CSF Rhinorrhoea Repair Surgery

CSF (Cerebrospinal Fluid) rhinorrhoea repair surgery, also known as CSF leak repair, is a surgical procedure performed to treat cerebrospinal fluid leaks from the nose or sinuses. Cerebrospinal fluid is a clear fluid that surrounds and protects the brain and spinal cord.

CSF leaks can occur due to various reasons, such as head trauma, certain medical conditions, or as a complication of previous surgeries involving the skull base or sinuses. When a CSF leak happens, cerebrospinal fluid can escape through the nose, leading to symptoms like persistent nasal discharge (clear and watery fluid), headaches, and increased risk of infections such as meningitis.

The primary goal of CSF rhinorrhoea repair surgery is to identify and close the site of the leak, preventing further leakage of cerebrospinal fluid. The procedure is typically performed by an otolaryngologist (ear, nose, and throat specialist) or a neurosurgeon with expertise in skull base surgery.

There are different surgical approaches to repairing CSF leaks, and the specific technique used depends on the location and severity of the leak. Some common surgical approaches include:

1. Endoscopic Repair: This is a minimally invasive technique that involves using an endoscope (a thin, flexible tube with a camera) to visualize the area and repair the CSF leak. The surgeon accesses the site of the leak through the nostrils, avoiding the need for external incisions.
2. Open Craniotomy: In more complex cases or when the CSF leak originates from deeper within the skull, an open craniotomy may be necessary. This involves making an incision in the scalp and creating a small opening in the skull to directly access and repair the leak.
3. Middle Fossa Approach: This is a specialized surgical approach used for certain types of CSF leaks that are located in the middle cranial fossa, a specific region within the skull.

The choice of approach depends on the surgeon's evaluation of the patient's condition, the location of the leak, and other individual factors.

Post-surgery, patients may need to stay in the hospital for a short period for monitoring and recovery. They are advised to avoid activities that could increase intracranial pressure, such as heavy lifting or straining, during the healing process.

Overall, CSF rhinorrhoea repair surgery has a high success rate and can significantly improve a patient's quality of life by resolving symptoms and preventing complications associated with CSF leaks. As with any surgery, there are potential risks and complications, which the surgeon will discuss with the patient prior to the procedure.