J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803957
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Lateral Orbitotomy in a Pediatric Patient For a Complex CSF Leak Via Superior Orbital Fissure And Foramen Rotundum Following Delayed Failure of Expanded Endoscopic Endonasal Transpterygoid Repair

Mahmoud Y. Asad
1   Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom
,
Evangelos Drosos
2   Department of Neurosurgery, Bristol Institute of Clinical Neurosciences, Southmead Hospital, Bristol, United Kingdom
,
Mustafa Motiwala
3   Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Warren Bennett
4   Department of Ear Nose and Throat, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom
,
Rebecca Ford
5   Bristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom
,
William Singleton
1   Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom
,
Samantha Hunt
5   Bristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom
,
Kumar Abhinav
2   Department of Neurosurgery, Bristol Institute of Clinical Neurosciences, Southmead Hospital, Bristol, United Kingdom
› Author Affiliations
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A 3-year-old patient presented with recurrent chest infections and complex CSF leak from the right superior orbital fissure and foramen rotundum. Patient had recurrence of CSF leak 14 months following an initial expanded endoscopic endonasal transpterygoid repair. A lateral orbitotomy with maxillary nerve sacrifice followed by multilayered repair was undertaken leading to successful repair and resolution of chest symptoms with the latter likely due to silent CSF aspiration.



Publication History

Article published online:
07 February 2025

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