Abstract:
BACKGROUND:Adenoidectomy is one of the most common procedures in the field of pediatric otolaryngology. Postoperative bleeding is one of the most frequent complications (0.4%). In turn, cerebrospinal fluid fistula is a very uncommon but critical complication in this type of surgery. METHODS:We report the case of a 3-year-old patient who underwent adenoidectomy and presented a cerebrospinal fluid leak associated with pneumocephalus and meningitis. RESULTS:The solution provided was a suture in layers of the fistula tract, reinforced with basipharyngeal vascularized and rotation random flap of mucosa, and a free graft of muscle, through a transoral endoscopic approach. CONCLUSIONS:Cerebrospinal fluid leak as a complication after adenoidectomy is exceedingly rare. These pharyngospinal fistulae are determined by the anatomic features associated with intraoperative hemorrhagic complications, and it is essential that we take them into account when facing postoperative complications in the follow-up. The use of vascularized flaps based on the irrigation of the ascending pharyngeal artery with endoscopic techniques offers low-morbidity solutions, which are more efficient than traditional methods.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Moreno-Luna R,Cárdenas Ruiz-Valdepeñas E,Tato JI,Rivero-Garvia M,Márquez-Rivas J,Mochón Martín Adoi
10.1016/j.wneu.2016.07.053subject
Has Abstractpub_date
2016-09-01 00:00:00pages
484.e9-484.e12eissn
1878-8750issn
1878-8769pii
S1878-8750(16)30581-2journal_volume
93pub_type
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pub_type: 杂志文章,评审
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更新日期:2018-02-01 00:00:00
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更新日期:2016-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00
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更新日期:2017-02-01 00:00:00