A Case of Reoperation for Eosinophilic Chronic Rhinosinusitis in which Intraoperative MRI Was Useful for Diagnosis Cerebrospinal Fluid Leakage
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- Fujii Hironori
- Yamaguchi University Graduate School of Medicine
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- Hashimoto Makoto
- Yamaguchi University Graduate School of Medicine
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- Okinaka Yosuke
- Yamaguchi University Graduate School of Medicine
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- Sugahara Kazuma
- Yamaguchi University Graduate School of Medicine
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- Yamashita Hiroshi
- Yamaguchi University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 髄液漏の診断に術中MRIが有用であった好酸球性副鼻腔炎再手術例
Abstract
<p>We present the case of a patient who was diagnosed preoperatively as a case of eosinophilic chronic rhinosinusitis with supra agger frontal cell (SAFC) cyst. In fact, there was no cyst, but rather bone thinning of the anterior cranial floor caused by nasal polyps. Therefore, the cyst wall was perforated, but it was actually the dural membrane, and spinal fluid leakage occurred. Intraoperative MRI was used to minimize complications. The dura was repaired using a free mucosal flap and the postoperative course was satisfactory. Even polyps, such as in case of eosinophilic chronic rhinosinusitis, can cause thinning and loss of bone in the skull base, and intraoperative MRI, which can confirm dural membrane damage and anatomic location, is useful if such a finding is present.</p>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 116 (10), 969-975, 2023
The Society of Practical Otolaryngology
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Details 詳細情報について
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- CRID
- 1390016184232551936
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- ISSN
- 18844545
- 00326313
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed