img
Use of cyanoacrylate to prevent cerebrospinal fluid fistulas after cranial surgery        
Yazarlar
Doç. Dr. Ziya ASAN Doç. Dr. Ziya ASAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Asuman Kilitci
Kırşehir Ahi Evran Üniversitesi, Türkiye
Özet
Purpose: Cerebrospinal fluid (CSF) fistula is one of the most common complications encountered after cranial surgeries. In cases where CSF fistula frequently appears due to surgical technique, dural sealants are used as auxiliary preparations to prevent CSF fistula and provide convenience to the surgeon.
Materials and Methods: Data obtained from 128 number of cases where cyanoacrylate (CA) had been used for dural repair to prevent CSF fistula was evaluated, retrospectively. The cases of skull base and frontal sinus fractures where the primary repair had not been carried out were also included in the study.
Results: The mean follow-up of all cases was 9,7 months. CSF fistula was not encountered in 121 of 128 cases. 4 of the cases developed CSF fistula in the early period. 3 of the cases presented with CSF fistula in the late period after discharge. No side effects due to hypersensitivity or preparation were encountered.
Conclusion: CA can help dural repair against the development of CSF fistula by taking effect quickly. Also, it is a rapid anti-haemorrhagic agent. It can also be used after posterior fossa surgery, skull base surgery where dural repair is difficult, or during sinus repair.
Anahtar Kelimeler
Cerebrospinal fluid fistula | complication | CSF fistula | cyanoacrylate | posterior fossa surgery
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı BRITISH JOURNAL OF NEUROSURGERY
Dergi ISSN 0268-8697
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 01-2018
Cilt No 32
Sayı 5
Sayfalar 544 / 547
Doi Numarası 10.1080/02688697.2018.1494265
Makale Linki https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1494265