Romanian Neurosurgery (Sep 2024)
Skull base-cranio-facial trauma with dura mater repair after subsequent CSF leaking, diagnosis treatment and outcomes
Abstract
Background. Since there is a chance of serious neurological consequences, it is critical to demonstrate the diagnosis and treatment of craniofacial trauma with aetiologies such as extreme sports, motor vehicle accidents, and social trauma. Examining the effectiveness of methods for restoring the Dura after severe craniofacial and skull-base damage made worse by rhinorrhea and CSF leakage is our goal. Methodology. In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews) criteria, a systematic review was conducted. The following search terms were used: "Articles criticizing the analysis of open penetrating craniofacial injury with concurrent CSF leakage from the cranial cavity were examined and included, and associated pathologies, especially severe trauma of the upper and middle regions of the anterior cranial fossa." Rayyan - Intelligent Systematic Review Software A thorough search was conducted in databases like ScienceDirect and PubMed/MEDLINE before employing IBM SPSS Statistics for Windows, Version 26.0 (Released 2020; IBM Corp., Armonk, New York, United States), and EXCEL criteria for the statistical analysis. Results. A total of 1584 patients with cerebrospinal fluid leaks were included in this investigation. Additionally, 698 patients were shown in Table 1 figure 2 and 886 patients in Table 2, figure 3-4-5. Rhinorrhea following trauma to the base of the skull, or craniofacial, was corrected by transnasal endoscopy in most cases and extracranial approach or craniotomy in fewer cases. Conclusion. A thorough analysis of the outcomes within the context of healthcare reveals: 1. The efficacy of polyoxybutyrate membrane-based multilayer D-plasty. 2. This evaluation clarified that the inferred further planning for surgical suture material development was made.
