The Use of Fibrin Sealant in Chiari Malformation Type-1 Surgery; Is It Effective in Preventing the Formation of CSF Fistula?
Journal Title: THE ULUTAS MEDICAL JOURNAL - Year 2019, Vol 5, Issue 1
Abstract
Background: Symptomatic disease requires surgical intervention comprising of posterior fossa decompression with or without an expansile duraplasty. Until date, the optimal surgical treatment for CM-1 has not been delineated. Thus, we evaluated the results to assess the effectiveness of fibrin sealant augmentation in combination with locally harvested autologous pericranium for duraplasty in adult CM-1 decompression. Materials and Methods: We retrospectively evaluated the cases that were operated due to CM-1. The cases were divided into two groups in which fibrin sealant (FS) was used and not used. There were 15 patients in the first group (FS group) and 16 in the second group (no fibrin sealant (NFS) group). We followed the standardized surgical technique suggested by Stevens and colleagues for CM 1 decompression. Results: Cerebrospinal fluid (CSF) fistula was not observed in any patient in the FS group. However, in the NFS group, two patients were reported to develop CSF fistula. Although the findings are not statistically significant, these are clinically important. Conclusion: Use of FS to seal the autologous graft during closure may prevent the occurrence of CSF fistula among patients of CM-1.
Authors and Affiliations
Huseyin Dogu, Abdurrahman Avar Ozdemir
Keywords
Related Articles
- EP ID EP609213
- DOI 10.5455/umj.20191108075317
- Views 128
- Downloads 0
Comparison of Efficacy and Tolerability of Modified Release Methylphenidate, Osmotic-Release Methylphenidate and Atomoxetine in Children with Attention Deficit Hyperactivity Disorder
Background: Attention deficit hyperactivity disorder (ADHD) is a common psychiatric condition that affects the daily functioning of children, adolescents, and adults. In this study, we aim to determine the efficacy and t...
Pelvic Actinomycosis Associated with Intrauterine Device
Actinomycosis caused by Actinomyces genus is a subacute or chronic suppurative disease.1 Pelvic actinomycosis is usually associated with the longstanding use of IUDs.2 Because the clinical manifestation of pelvic actinom...
Arrested Pneumatization of the Sphenoid Sinus: A Normal Variant That Can Be Confused With a Pathological Entity
Background: An arrested pneumatization of the sphenoid sinus is an anatomical variant. It is known that the sphenoid bones undergo early fatty marrow conversion antecedent to normal pneumatization. Since it is a developm...
Burden of Emergency Exploratory Laparotomies: Sleepless Nights in Operation Rooms
Background: Recently the burden of emergency exploratory laparotomies has increased very rapidly. Both traumatic and non-traumatic abdominal emergencies are dealt with in surgical emergency departments which not only inc...
OSE: A New Education and Treatment Program for Preschool Period
The OSE program is of particular importance for young children to be healthy and successful and alleviate their suffering. If necessary, child psychiatrists will be contacted and appropriate medications will be used. Med...