Management of Large Dural Defect with CSF Leak in Hypertelorism Correction

xlomafota13 shared this article with you from Inoreader Management of Large Dural Defect with CSF Leak in Hypertelorism Correction Via leak of cerebrospinal fluid Ann Maxillofac Surg. 2021 Jan-Jun;11(1):136-139. doi: 10.4103/ams.ams_43_21. Epub 2021 Jul 24. ABSTRACT THE RATIONALE: Dural tear is a serious complication during hypertelorism corrective surgeries. Identifying the tear and managing requires considerable expertise. Managing large dural tears correctly is necessary to prevent cerebrospinal fluid (CSF)-related complications in craniofacial surgery. PATIENT CONCERNS: The patient presented with hypertelorism as a part of the Tessier Cleft 0 and sought to correct the widely placed eyes. DIAGNOSIS: Large critical-sized dural tear during modified box osteotomy surgery. TREATMENT: Besides successful modified box osteotomy surgery, the critical-sized dural tear was managed with fascia lata and fibrin glue. OUTCOMES: There was no CSF leak or related complication postsurgically indicating successful sealing and healing of the dural tear. TAKE-AWAY LESSONS: The synergistic m echanism by which fascia lata graft and fibrin glue help to hermetically seal the critical-sized defect, especially when there are variable amounts of hydrostatic-hydrodynamic forces of CSF exerting pressure on the patched area, is discussed. PMID:34522669 | PMC:PMC8407622 | DOI:10.4103/ams.ams_43_21 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.