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January 1989

The Osteomucoperiosteal Flap in the Repair of Cerebrospinal Fluid Rhinorrhea

Author Affiliations

Chapel Hill, NC

Arch Otolaryngol Head Neck Surg. 1989;115(1):16. doi:10.1001/archotol.1989.01860250018016

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At the annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery, Washington, DC, Sept 25-29, 1988, Randall S. Yessenow, MD, and colleagues of the University of Iowa, Iowa City, reported their 20-year experience with the osteomucoperiosteal flap in the repair of cerebrospinal fluid rhinorrhea. They have treated 16 patients with this technique; 14 cases were secondary to trauma, and the other two were spontaneous cerebrospinal fluid leaks. The technique is used for leaks of the cribriform plate and fovea ethmoidalis. It is performed through an external ethmoidectomy incision and, essentially, consists of identifying the defect and swinging a flap consisting of the medial wall of the ethmoid sinus (many would feel that this is essentially the middle turbinate) to cover it. Nasal packing is left in place for ten days, beginning the removal on postoperative day 7 and slowly removing the pack over the ensuing three days. They reported

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