Cerebrospinal Fluid Rhinorrhea

Raj Sindwani MD, FACS, FRCS(C) is Vice Chairman and Head of the Section of Rhinology, Sinus and Skull Base Surgery of the Head and Neck Institute at the Cleveland Clinic. He is also Co-Director of the Minimally Invasive Cranial Base and Pituitary Program of the Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center and Fellowship Co-Director of the Advanced Rhinology and Skull Base Surgery Program. Dr. Sindwani is currently President-Elect of the Cleveland Clinic Medical Staff and a member of the Board of Governors. Dr. Sindwani is currently the Editor-in-Chief of the American Journal of Rhinology and Allergy, and past Editor-in-Chief of the Yearbook of Otolaryngology. Dr. Sindwani is an established authority on the medical and surgical management of conditions affecting the sinuses and skull base, and he pioneered endoscopic surgical approaches. He has published and lectured extensively in the field of Rhinology and Skull Base Surgery. Christopher R. Roxbury, MD, FARS is an assistant professor and the director of endoscopic skull base surgery in the section of otolaryngology-head and neck surgery at the University of Chicago. Dr. Roxbury is a Fellow of the American Rhinologic Society, where he serves as an active member on several committees. He has published several peer-reviewed articles discussing the epidemiology, management, and postoperative outcomes of patients suffering from rhinologic and anterior cranial base diseases. He serves as an ad hoc editor for several otolaryngology and neurosurgery journals, including International Forum of Allergy and Rhinology, Laryngoscope, American Journal of Rhinology and Allergy, and World Neurosurgery. Dr. Roxbury is a regular speaker at national rhinology and skull base surgery conferences and has also lectured internationally on reconstructive techniques for cerebrospinal fluid leaks.

Sections:

Part 1 Perspectives and Evolution of Cerebrospinal Fluid Leak Repair

Part 2 Surgical Anatomy of the Anterior Cranial Base

Part 3 Traumatic and Iatrogenic Cerebrospinal Fluid Leaks

Part 4 Spontaneous Cerebrospinal Fluid Leaks

Part 5 Skull Base Reconstruction after Endoscopic Endonasal Tumor Surgery

Part 6 Advances in Endoscopic Instrumentation and Techniques

Table of Contents:

Part 1 Perspectives and Evolution of Cerebrospinal Fluid Leak Repair



Cerebrospinal Fluid Rhinorrhea: The Rhinologist's Perspective - Bleier
Cerebrospinal Fluid Rhinorrhea: The Neurosurgeon's Perspective - Schwartz
Part 2 Surgical Anatomy of the Anterior Cranial Base

Surgical Anatomy of the Anterior Cranial Fossa - Eloy/Liu
Surgical Anatomy of the Middle Cranial Fossa - Evans/Rosen
Surgical Anatomy of the Posterior Cranial Fossa - JFM or Gardner
Part 3 Spontaneous Cerebrospinal Fluid Rhinorrhea

Evaluation of the Spontaneous Cerebrospinal Fluid Rhinorrhea Patient - Rowan
Pathophysiology of Idiopathic Intracranial Hypertension - Vorster
Ophthalmologic Evaluation of the Idiopathic Intracranial Hypertension Patient -Lisa Lystad or Tim McCulley
Radiologic Evaluation of the Idiopathic Intracranial Hypertension Patient
Medical Management of Idiopathic Intracranial Hypertension - Neurologist
Surgical Management of Spontaneous Cribriform Plate Defects - Murray Ramanathan
Surgical Management of Spontaneous Defects of the Lateral Sphenoid Recess - Sindwani
Surgical Management of Spontaneous Clival Defects - Paramita Das and Chris Roxbury (author has a nice representative case with edited video)
Postoperative Management of the Idiopathic Intracranial Hypertension Patient - Woodworth
Evaluation and Management of Congenital Skull Base Defects - Gudis
Part 4 Traumatic and Iatrogenic Cerebrospinal Fluid Leaks

Pathophysiology and Evaluation of Iatrogenic Cerebrospinal Fluid Rhinorrhea
-Stankiewicz

Pathophysiology and Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base
-David Chan (ENT/Trauma specialist at U of C)

Radiological Evaluation of Anterior Cranial Base Trauma
-Daniel Ginat

Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
-Kennedy

Postoperative Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
-Woodard

Surgical Management of Large Traumatic Anterior Cranial Base Defects
-Paramita Das

Postoperative Management of Traumatic Cranial Base Defects
-Peleg Horowitz (Neurosurgeon, U of C)

Part 5 Skull Base Reconstruction after Endoscopic Endonasal Tumor Surgery

Clinical Evaluation of the Sellar Mass Patient - Gary Gallia
Clinical Evaluation of the Skull Base Malignancy Patient - Palmer
Radiologic Evaluation of Skull Base Masses - Nafi Aygun
Sellar Reconstruction after Pituitary Adenoma Resection - Roxbury/Horowitz
Reconstruction after Craniopharyngioma Resection - Carrau/Prevedello
Endoscopic Reconstruction of Anterior Cranial Fossa Defects - Casiano
Endoscopic Reconstruction of Middle Cranial Fossa Defects - Varun/Pablo
Endoscopic Reconstruction of Posterior Cranial Fossa Defects - Eric Wang
Locoregional Flap Reconstruction for Anterior Cranial Base Defects - Zanation
Free Flap Reconstruction for Anterior Cranial Base Defects - Fritz
Postoperative Management After Complex Skull Base Reconstruction
Part 6 Advances in Endoscopic Instrumentation and Techniques

Advances in Endoscopic Visualization (4K Video Systems) - Varun
Advances in Endoscopic Endonasal Skull Base Surgery Instrumentation
Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair - Ed Kuan