Abstract
Although the surgical procedure for the treatment of cerebrospinal fluid leakagea ssociated with trauma has been mainly performed by the intracranial approach, it is necessary to treat such injuries by the rhinological approach in cases of injury involving the nose and/or paranasal sinuses.
The author describes 12 cases of cerebrospinal fluid leakage treated surgically through the nose and paranasal sinuses. Spontaneous discontinuance of the cerebrospinal fluid leakage is often succeeded by late complications such as mucocele or pyocele, due to obstruction of the natural ostium of the sinuses.
The author stresses the importance of rhinological approach to the cerebrospinal leakage through the paranasal sinuses so as to treat the injury of the nose and paranasal sinuses together with the repair of the injured dura mater.
