Buccal Fat Pad for Management of Cerebrospinal FluidLeakage Using Endoscopy: A Randomized Clinical Trial

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REZAEIAN AHMAD

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Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF NEUROSURGERY Year:2018 | Volume:4 | Issue:2 (13) Page(s): 101-108

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Information Journal Paper

Title

Buccal Fat Pad for Management of Cerebrospinal FluidLeakage Using Endoscopy: A Randomized Clinical Trial

Author(s)

REZAEIAN AHMAD | Issue Writer Certificate

Keywords

Cerebrospinal fluid

Leakage

Buccal Fat Pad

Abdominal fat

Abstract

Background and Aim: Several surgical techniques have been so far used for treating CerebrospinalFluid (CSF) Leakage (rhinorrhea) such as using Abdominal fat or fascia lata, but these methods havecomplications such as the presence of several surgeons in variable fields in the operating room orcosmetic complications for donors such as the surgical scar. This study aimed to investigate usingbuccal fat pad for management of traumatic CSF Leakage. Methods and Materials/Patients: In this clinical trial, 46 patients with traumatic CSF Leakage wereenrolled according to inclusion criteria and randomly divided into intervention and control groups. Buccal Fat Pad for the intervention and Abdominal fat for the control were inserted in the defectof the anterior cranial cavity by applying endoscopic sinus surgery. The patients were followed upfor 1 year postoperatively. Results: All patients were improved with no recorded report of CSF Leakage relapse. In theintervention group, temporary complications such as edema (18. 2%), numbness (9. 1%) andfacial asymmetry (9. 1%) were observed in resected Buccal Fat Pad areas. Also the control groupall developed abdominal scar. The duration of surgery in the intervention group was significantlyshorter than control (P=0. 02). Conclusion: Using Buccal Fat Pad for management of CSF Leakage is a highly effective and reliablemethod which requires simple procedure with low cosmetic complication and short duration ofsurgery compared with other methods such as an Abdominal fat graft. In addition, using buccal fatpad has better cosmetic results, so we suggest this surgical method for patients with CSF Leakage

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APA: Copy

REZAEIAN, AHMAD. (2018). Buccal Fat Pad for Management of Cerebrospinal FluidLeakage Using Endoscopy: A Randomized Clinical Trial. IRANIAN JOURNAL OF NEUROSURGERY, 4(2 (13)), 101-108. SID. https://sid.ir/paper/351593/en

Vancouver: Copy

REZAEIAN AHMAD. Buccal Fat Pad for Management of Cerebrospinal FluidLeakage Using Endoscopy: A Randomized Clinical Trial. IRANIAN JOURNAL OF NEUROSURGERY[Internet]. 2018;4(2 (13)):101-108. Available from: https://sid.ir/paper/351593/en

IEEE: Copy

AHMAD REZAEIAN, “Buccal Fat Pad for Management of Cerebrospinal FluidLeakage Using Endoscopy: A Randomized Clinical Trial,” IRANIAN JOURNAL OF NEUROSURGERY, vol. 4, no. 2 (13), pp. 101–108, 2018, [Online]. Available: https://sid.ir/paper/351593/en

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