CSF Leak Repair Of Cribriform Plate

Running Time: 1:43

 Indications:

• Spontaneous, traumatic, or iatrogenic CSF leak

Highlights:

• Edges of skull base defect identified and freshened
• Underlay cartilage graft placed extra-durally
• Free mucosal graft from septum or turbinate placed over defect
• Graft held firmly in place with absorbable packing material

Keep in Mind:

• Most intraop leaks can be successfully closed with one-layer repair
• Spontaneous leaks often closed with two layers
• A non-absorbable packing material may be placed for a one-week period to further bolster the repair site