Bath plug closure method for cerebrospinal fluid leakage by endoscopic endonasal approach cooperative treatment by neurosurgeons and otolaryngologists

Tomohiro Kawaguchi, Kazuya Arakawa, Kazuhiro Nomura, Yoshikazu Ogawa, Yukio Katori, Teiji Tominaga

Research output: Contribution to journalArticlepeer-review

Abstract

Endoscopic endonasal surgery, an innovative surgical technique, is used to approach sinus lesions, lesions of the skull base, and intradural tumors. The cooperation of experienced otolaryngologists and neurosurgeons is important to achieve safe and reliable surgical results. The bath plug closure method is a treatment option for patients with cerebrospinal fluid (CSF) leakage. Although it includes dural and/or intradural procedures, surgery tends to be performed by otolaryngologists because its indications, detailed maneuvers, and pitfalls are not well recognized by neurosurgeons. We reviewed the cases of patients with CSF leakage treated by using the bath plug closure method with an endoscopic endonasal approach at our institution. Three patients were treated using the bath plug closure method. CSF leakage was caused by a meningocele in two cases and trauma in one case. No postoperative intracranial complications or recurrence of CSF leakage were observed. The bath plug closure method is an effective treatment strategy and allows neurosurgeons to gain in-depth knowledge of the treatment options for CSF leakage by using an endoscopic endonasal approach.

Original languageEnglish
Pages (from-to)1067-1073
Number of pages7
JournalNeurological Surgery
Volume45
Issue number12
Publication statusPublished - 2017 Dec

Keywords

  • Bath plug closure method
  • Cerebrospinal fluid leakage
  • Endoscopic endonasal surgery
  • Meningocele

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Bath plug closure method for cerebrospinal fluid leakage by endoscopic endonasal approach cooperative treatment by neurosurgeons and otolaryngologists'. Together they form a unique fingerprint.

Cite this