Basiespinal Cerebrospinal Fluid Leak as a Complication After Adenoidectomy: Case Report and Literature Review.

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 Neurosurg

journal_title

World neurosurgery

authors

Moreno-Luna R,Cárdenas Ruiz-Valdepeñas E,Tato JI,Rivero-Garvia M,Márquez-Rivas J,Mochón Martín A

doi

10.1016/j.wneu.2016.07.053

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

484.e9-484.e12

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(16)30581-2

journal_volume

93

pub_type

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