What is blank?
The spaces between the membranes surrounding the brain and spinal cord and structures located within liquid “cerebrospinal fluid (CSF) are called. In normal conditions microorganism that does not contain a clear fluid, which is composed of different layers of waste, and remain inside of the lining of the brain must not have contact with the external environment. The structure of the membrane that surrounds the brain and spinal cord and the protective layer located on the outside of the dura, most powerful, and is known as a layer. For various reasons, in standing, depending on the damage, leakage of CSF leakage to the external environment of the blank or empty when the sinuses around the nose and the leak a clear discharge from the nose towards it as a result of that “to CSF leak” is called.
Brain and nasal-sinus cavities between the close neighbourhood, as well as between these anatomical structures of the bone wall is very thin and fragile in some areas in these regions increases the risk of CSF leakage. In a sterile environment with non-damaged area of the nose and sinuses, which is located in the membranes of the microorganisms to pass to the inside of the brain from inflammation of the brain (meningitis), brain inflammation (encephalitis), or may lead to serious complications such as abscess formation in the brain.
EMPTY what causes leaks?
- Face or head injury brain membranes (the dura layer) that occur in the adjacent bone structures with fractures,
- Standing traumas that occur involuntarily in the neighboring regions during surgical interventions, including endoscopic sinus surgery
- Standing in the neighbouring areas mostly malignant tumors
- For the masses in the vicinity of the tumor and the dura during surgery induced openings,
- Congenital weak spots in the dura surrounding bone structure, openings, most free, although this causes the leakage of anatomical variations, the cause is not found and spontaneous
- called EMPTY leaks can occur.
A blank Leak How is it diagnosed?
Head trauma or surgery in all patients, including those with a history of nasal and sinus area in the nose and unilaterally this forward bending, pushing Andi to have a clear discharge with the ongoing possibility of CSF leakage bring to mind.
Endoscopic evaluation of the surgical site in patients with sinus surgery can help with the differential diagnosis, but definitive diagnosis can be made by laboratory analysis of clear fluid from the nose. After announcing the diagnosis, the treatment can be planned illegal so the region must be identified. For this purpose, various radiological evaluations are carried out, including computed tomography and MRI, and standard imaging techniques in cases where leakage of the area could not be determined through the nose and into the blank of this determination is given to special dyes may be made by endoscopic examination.
What is the treatment for EMPTY Leaks?
EMPTY to stop the leakage, cerebral cortex damage in water-tight manner must be repaired.
The bones of the skull from the outside in for this repair in the past, when applying the approach by way of the window opening today, endoscopic sinus surgery, especially following the development of technology, primarily the interventions from the inside of the nose are preferred.
Methods endoscopic sphenoid sinus in front of the forehead up your nose and sinus cavities and sinuses in the back of the fugitives in all anatomical regions neighboring EMPTY %success rates with up to 95-97 repaired.
During surgery, the damaged region with endoscopes after appearing from the inside of the nose, often through the nose or the body of the patient obtained from fat, cartilage, bone plate, fascia and necessary intervention in special cases such as small tissue fragments without creating additional damage repair using tissue adhesives can be serious outside the region.
The most important advantages of the method according to endoscopic outside the open approach; the formation of similar success rates while providing less tissue trauma, shorter recovery time and is more comfortable in the postoperative period.