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WILLIAM W. MONTGOMERY, MD

Arch Otolaryngol. 1966;84(5):538-550.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CEREBROSPINAL FLUID leakage into the nasal and ear spaces can be repaired with a resultant lower morbidity and mortality by using extracranial rather than intracranial surgery. Techniques for repair of spinal fluid leakage which cause rhinorrhea, otorrhea, and otorhinorrhea are presented in this paper. The connection of the subarachnoid space with the intranasal space may be via the frontal sinus, sphenoid sinus, cribriform plate, ethmoid sinuses, or from the mastoid and middle ear by way of the eustachian tube.

Spinal fluid otorrhea or otorhinorrhea from the middle or posterior fossae by way of the mastoid can be treated by obliteration, using either a local pedicled connective tissue flap or an adipose autograft. If the spinal fluid leakage is subsequent to a radical mastoidectomy, it may be necessary to use a fascia lata graft. A nasal septal mucoperichondrial pedicled flap is used to repair spinal fluid leakage through the cribriform plate, . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Massachusetts Eye and Ear Infirmary and Massachusetts General Hospital, Boston, and Harvard Medical School, Cambridge, Mass.

Footnotes
Submitted for publication July 1, 1966.

Read before the Eighth Annual Meeting of the American Society for Head and Neck Surgery, April 22, 1966, San Juan, PR.

Reprint requests to 243 Charles St, Boston.

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