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Cerebrospinal Fluid Rhinorrhea
Comprehensive Guide to Evaluation and Management

The most comprehensive and authoritative multidisciplinary reference on optimal CSF leak evaluation and management

Raj Sindwani (Edited by), Christopher Roxbury (Edited by)

9780323870726

Hardback, published 12 April 2023

352 pages
27.6 x 21.6 x 2.5 cm, 1.04 kg

Offering up-to-date, multidisciplinary coverage of this nuanced and evolving field, Cerebrospinal Fluid Rhinorrhea provides a comprehensive overview of the evaluation and diagnosis, as well as the medical and surgical management options, for all causes of cerebrospinal fluid (CSF) rhinorrhea. It covers all aspects of CSF leaks, synthesizing current knowledge on pathophysiology, diagnosis, perioperative care, and operative techniques for this complex group of patients. Leading experts in otolaryngology and neurosurgery, as well as ophthalmology, neurology, and radiology, provide detailed coverage of the distinctions between management of patients with differing etiologies of CSF rhinorrhea, including spontaneous, traumatic/iatrogenic, and tumor-related.

  • Focuses exclusively on the comprehensive evaluation, and management of patients presenting with CSF leaks from the anterior cranial base, offering a reliable, one-stop resource for experienced clinicians as well as those in training. 

  • Covers the full breadth of cerebrospinal fluid rhinorrhea, with expert discussion of spontaneous CSF leaks, including evolving management techniques for patients with idiopathic intracranial hypertension; traumatic CSF leaks, including advanced management of complex anterior cranial base trauma; and up-to-date techniques for intraoperative skull base reconstruction after tumor resection. 

  • Includes tips and pearls on surgical approaches and postoperative management strategies for this complex and varied patient population. 

  • Features abundant high-definition images of anatomy, radiographic imaging, and intraoperative techniques, as well as videos that highlight intraoperative techniques in patients with spontaneous, traumatic, and tumor-related CSF leaks. 

  • Provides a detailed review of the different laboratory, examination (endoscopic nasal, as well as ophthalmologic) and imaging studies used to evaluate patients with CSF leaks. 

  • Discusses the evaluation and growing medical and procedural management options for patients with idiopathic intracranial hypertension. 

  • Offers state-of-the-art reconstruction options for CSF leaks and complex skull base defects, ranging from the nasoseptal flap and beyond. 

  • Addresses the controversial role of lumbar drains in CSF leak management, as will new and upcoming technological advances in operating room instrumentation. 

  • An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. 

Sections:

Part 1 Perspectives and Evolution of Cerebrospinal Fluid Leak Repair

Part 2 Surgical Anatomy of the Anterior Cranial Base

Part 3 Traumatic and Iatrogenic Cerebrospinal Fluid Leaks

Part 4 Spontaneous Cerebrospinal Fluid Leaks

Part 5 Skull Base Reconstruction after Endoscopic Endonasal Tumor Surgery

Part 6 Advances in Endoscopic Instrumentation and Techniques

Table of Contents:

Part 1 Perspectives and Evolution of Cerebrospinal Fluid Leak Repair

  1. Cerebrospinal Fluid Rhinorrhea: The Rhinologist’s Perspective – Bleier
  2. Cerebrospinal Fluid Rhinorrhea: The Neurosurgeon’s Perspective – Schwartz
  3. Part 2 Surgical Anatomy of the Anterior Cranial Base

  4. Surgical Anatomy of the Anterior Cranial Fossa - Eloy/Liu
  5. Surgical Anatomy of the Middle Cranial Fossa – Evans/Rosen
  6. Surgical Anatomy of the Posterior Cranial Fossa – JFM or Gardner
  7. Part 3 Spontaneous Cerebrospinal Fluid Rhinorrhea

  8. Evaluation of the Spontaneous Cerebrospinal Fluid Rhinorrhea Patient - Rowan
  9. Pathophysiology of Idiopathic Intracranial Hypertension – Vorster
  10. Ophthalmologic Evaluation of the Idiopathic Intracranial Hypertension Patient –Lisa Lystad or Tim McCulley
  11. Radiologic Evaluation of the Idiopathic Intracranial Hypertension Patient
  12. Medical Management of Idiopathic Intracranial Hypertension - Neurologist
  13. Surgical Management of Spontaneous Cribriform Plate Defects – Murray Ramanathan
  14. Surgical Management of Spontaneous Defects of the Lateral Sphenoid Recess – Sindwani
  15. Surgical Management of Spontaneous Clival Defects – Paramita Das and Chris Roxbury (author has a nice representative case with edited video)
  16. Postoperative Management of the Idiopathic Intracranial Hypertension Patient – Woodworth
  17. Evaluation and Management of Congenital Skull Base Defects – Gudis
  18. Part 4 Traumatic and Iatrogenic Cerebrospinal Fluid Leaks

  19. Pathophysiology and Evaluation of Iatrogenic Cerebrospinal Fluid Rhinorrhea
  20. -Stankiewicz

  21. Pathophysiology and Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base
  22. -David Chan (ENT/Trauma specialist at U of C)

  23. Radiological Evaluation of Anterior Cranial Base Trauma
  24. -Daniel Ginat

  25. Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
  26. -Kennedy

  27. Postoperative Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
  28. -Woodard

  29. Surgical Management of Large Traumatic Anterior Cranial Base Defects
  30. -Paramita Das

  31. Postoperative Management of Traumatic Cranial Base Defects
  32. -Peleg Horowitz (Neurosurgeon, U of C)

    Part 5 Skull Base Reconstruction after Endoscopic Endonasal Tumor Surgery

  33. Clinical Evaluation of the Sellar Mass Patient – Gary Gallia
  34. Clinical Evaluation of the Skull Base Malignancy Patient – Palmer
  35. Radiologic Evaluation of Skull Base Masses – Nafi Aygun
  36. Sellar Reconstruction after Pituitary Adenoma Resection – Roxbury/Horowitz
  37. Reconstruction after Craniopharyngioma Resection – Carrau/Prevedello
  38. Endoscopic Reconstruction of Anterior Cranial Fossa Defects – Casiano
  39. Endoscopic Reconstruction of Middle Cranial Fossa Defects – Varun/Pablo
  40. Endoscopic Reconstruction of Posterior Cranial Fossa Defects – Eric Wang
  41. Locoregional Flap Reconstruction for Anterior Cranial Base Defects – Zanation
  42. Free Flap Reconstruction for Anterior Cranial Base Defects – Fritz
  43. Postoperative Management After Complex Skull Base Reconstruction
  44. Part 6 Advances in Endoscopic Instrumentation and Techniques

  45. Advances in Endoscopic Visualization (4K Video Systems) – Varun
  46. Advances in Endoscopic Endonasal Skull Base Surgery Instrumentation
  47. Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair – Ed Kuan

Subject Areas: Otorhinolaryngology [ENT MJP]

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