Comparison of the Different Repair Models for Cerebrospinal Fluid Fistulas During Endoscopic Transsphenoidal Surgery Endoskopik Transsfenoidal Cerrahi Sırasında Gelişen Beyin Omurilik Sıvısı Fistüllerinde Farklı Onarım Modellerinin Karşılaştırılması
Anatolian Journal of General Medical Research, cilt.36, sa.1, ss.16-20, 2026 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.4274/anatoljmed.2025.44153
- Dergi Adı: Anatolian Journal of General Medical Research
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.16-20
- Anahtar Kelimeler: Endoscopic, repair, skull base, transphenoidal
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Intraoperative cerebrospinal fluid fistula, one of the most concerning complications of endoscopic transsphenoidal surgery, may result in significant morbidity if not adequately managed. We performed an analysis for different methods, used for repair of cerebrospinal fluid fistula occurring during endoscopic transsphenoidal surgery. Methods: Neurosurgical operations performed between November 2023-March 2025 were analyzed retrospectively using hospital records. In group 1, repair was performed by an irregularly shaped fat autograft, which was placed in the sphenoidal sinus with a Haddad nasoseptal flap. In group 2, a dumbbell-shaped fat autograft with a Haddad nasoseptal flap was used. Results: Controlling the variables, such as age and sex, we found that there was no statistical difference in gender distribution in groups. Group 1 patients needed postoperative lumbar drainage more often and also had longer hospital stays. However, no significant difference was observed between the hospitalization costs. Conclusion: Centers around the world make efforts to decrease the complication rates and invoices. Prolonged cerebral fistula can lead to serious consequences and cause distress to the patient, their relatives, and their doctor.