![]() An incidence of 13% for occult CSF leaks after FESS was found. Own titrations were performed to evaluate detection limits of CSF by beta2-transferrin and beta-trace protein assays in these settings. In-vivo analysis of a primary spontaneous CSF leak sample took place to verify difficulties in detecting beta2-transferrin in blood-contaminated settings. ![]() In case of CSF positive samples and continuing rhinorrhea, reanalysis after more than 1 year was conducted. An analysis of 57 intraoperative samples using hydrogel 6 beta2-transferrin assay after FESS was undertaken. To determine the incidence of occult cerebrospinal fluid leaks ( CSF) after functional endoscopic sinus surgery (FESS) and to evaluate the diagnostic performance of beta2-transferrin in blood-contaminated conditions. Occurrence of occult CSF leaks during standard FESS procedures.īucher, S Kugler, A Probst, E Epprecht, L Stadler, R S Holzmann, D Soyka, M B Cerebrospinal fluid rhinorrhea can be managed in first line therapy with endoscopic intranasal surgical techniques when they are localized in the anterior ethmoid or in the sphenoid cavity. This rapid low morbidity surgery offered secure closure of rhinorrhea in 4 cases after one procedure and in 1 case after two procedures with an average follow up of 22 months. A free graft of inferior turbinal mucosal was used to repair the breache. Wide sphenoidotomy enables detection and repair of CSF leaks from the sphenoid cavity. Total or selected ethmoidectomy depended on the localization of the leakage. Intrathecal injection of fluoresceine was very useful in all cases for detecting the CSF leak. We report our experience and our surgical technique in the treatment of CSF leaks in 5 patients. Endonasal surgery with endoscopic instruments provides many advantages compared with transcranial or transfacial approach used by neurosurgeons. The incidence and the risk of meningitidis justify treatment in all cases of cerebrospinal fluid rhinorrhea with spontaneous etiology or after traumatic injury. Nallet, E Decq, P Bezzo, A Le Lievre, G Peynegre, R Coste, A He’s an avid football fan and enjoys working out. He and his wife also enjoy trying new restaurants. ![]() Saini enjoys traveling with his wife, Lauren, and their two boys. Some of the procedures he offers patients are septoplasty, turbinate reduction, endoscopic sinus surgery, balloon sinuplasty and endoscopic anterior skull base surgery. His clinical practice focuses on diseases of the nose and sinuses including allergic and non-allergic rhinitis, nasal obstruction, deviated septum, sinusitis, nasal polyps, cerebrospinal fluid leaks, sinonasal tumors, and disorders of taste and smell. Saini joined the Division of Rhinology and Anterior Skull Base Surgery in the UK Department of Otolaryngology. Martin Citardi, Amber Luong and William Yao.ĭr. Saini completed a fellowship in rhinology and anterior skull base surgery at the University of Texas Health Science Center at Houston under the guidance of Drs. He was awarded the Chairman’s Award, which is given to the chief resident who most embodies the ideals of academic medicine. He then went to New York City to complete his otolaryngology residency at Mount Sinai Hospital, which is known to be one of the most rigorous training programs in the country. He also received the College of Medicine’s Faculty Medal, which is awarded to the graduate with the highest academic achievement. He then completed medical school at the University of Tennessee Health Science Center in Memphis, where he was inducted to the Alpha Omega Alpha Honor Medical Society and received a number of scholarships for academic achievement. Alok Saini grew up in Memphis, Tennessee, and attended Vanderbilt University in Nashville.
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