Posttravmatik beyin omurilik sıvısı fistüllerine yaklaşım

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dc.contributor.authorZiyal, İbrahim M.
dc.contributor.authorKılınçoğlu, Bülent F.
dc.contributor.authorŞahin, Yüksel
dc.contributor.authorAydın, Yunus
dc.date.accessioned2021-06-23T18:42:20Z
dc.date.available2021-06-23T18:42:20Z
dc.date.issued1999
dc.departmentDüzce Üniversitesi Tıp Fakültesien_US
dc.description.abstractPosttraumatic Cerebrospinal Fistulas (PBF) are serious complications of head trauma which may cause to morbidity and mortality. Usually, they present with rhinorrhea or otorrhea, and they occur acutely in the first week after the trauma, rarely months and years later. In this retrospective study, from 2850 patients suffered head trauma, 48 (% 0.16) of them had PBF. The most frequent etiology was traffic accident in 34 (% 70) cases. Fifteen (%31.5) of all cases had temporal bone fracture; 8 of them had also petrous bone fracture, 31 (% 64.5) cases had parietal bone fracture; 12 of them had also ethmoid bone fracture, 2 (% 4.1) cases had fronto-parietal open depression fracture, also with fracture in the anterior fossa and the ethmoid bone. Rhinorrhea was encountered in 35 (% 73) cases, and otorrhea in 13 (% 27) cases. All patients, except four of them, admitted in 48 hours after the trauma (acute). Ten patients were treated surgically who were unresponded to the conservative treatment. Bifrontal craniotomy with extradural and/or intradural anterior fossa eksploration was performed. Primer repair could be achieved only in one case, eight cases were treated with galea greft, one case with fascia lata greft. Additionally, 8 cases needed the use of fibrin glue, and one case siyanoacrilate. The success of surgical treatment was 100%, and no postoperative fistul formation was observed. Two cases had meningitis on admission. During hospital stay, any case in this series developed meningitis. All patients were treated with prophylactic two combinations antibiotic therapy. For the precise evaluation of PBF, the efficacy of the conservative treatment and prophylactic antibiotic therapy, surgical indications of resistant cases, and appropriate surgical treatment was discussed with literature review.en_US
dc.description.abstractPosttraumatic Cerebrospinal Fistulas (PBF) are serious complications of head trauma which may cause to morbidity and mortality. Usually, they present with rhinorrhea or otorrhea, and they occur acutely in the first week after the trauma, rarely months and years later. In this retrospective study, from 2850 patients suffered head trauma, 48 (% 0.16) of them had PBF. The most frequent etiology was traffic accident in 34 (% 70) cases. Fifteen (X31.5) of all cases had temporal bone fracture; 8 of them had also petrous bone fracture, 31 (% 64.5) cases had parietal bone fracture; 12 of them had also ethmoid bone fracture, 2 (% 4.1) cases had fronto-parietal open depression fracture, also with fracture in the anterior fossa and the ethmoid bone. Rhinorrhea was encountered in 35 (% 73) cases, and otorrhea in 13 (% 27) cases. All patients, except four of them, admitted in 48 hours after the trauma (acute). Ten patients were treated surgically who were unresponded to the conservative treatment. Bifrontal craniotomy with extradural and/or intradural anterior fossa eksploration was performed. Primer repair could be achieved only in one case, eight cases were treated with galea greft, one case with fascia lata greft. Additionally, 8 cases needed the use of fibrin glue, and one case siyanoacrilate. The success of surgical treatment was 100%, and no postoperative fistulformation was observed. Two cases had meningitis on admission. During hospital stay, any case in this series developed meningitis. All patients were treated with prophylactic two combinations antibiotic therapy. For the precise evaluation of PBF, the efficacy of the conservative treatment and prophylactic antibiotic therapy, surgical indications of resistant cases, and appropriate surgical treatment was discussed with literature review.en_US
dc.identifier.endpage89en_US
dc.identifier.issn1300-6738
dc.identifier.issn1306-696X
dc.identifier.issue2en_US
dc.identifier.startpage86en_US
dc.identifier.trdizinid9770en_US
dc.identifier.urihttps://app.trdizin.gov.tr/makale/T1RjM01EQT0
dc.identifier.urihttps://hdl.handle.net/20.500.12491/3595
dc.identifier.volume5en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorZiyal, İbrahim M.
dc.language.isotren_US
dc.relation.ispartofUlusal Travma Dergisien_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi
dc.relation.ispartofTurkish Journal of Trauma and Emergency Surgery
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBos Fistülüen_US
dc.subjectKafa Travması
dc.subjectOtore
dc.subjectRinore
dc.subjectCsf Fistula
dc.subjectHead Trauma
dc.subjectOtorrhea
dc.subjectRhinorrhea
dc.titlePosttravmatik beyin omurilik sıvısı fistüllerine yaklaşımen_US
dc.title.alternativeEvaluation of posttraumatic cerebrospinal fluid fistulasen_US
dc.typeOtheren_US

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