TY - JOUR
T1 - Delayed cerebrospinal fluid rhinorrhea four years after gamma knife surgery for juvenile angiofibroma
AU - Min, Hyun Jin
AU - Chung, Hyo Jin
AU - Kim, Chang Hoon
N1 - Publisher Copyright:
Copyright © 2014 by Mutaz B. Habal, MD.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Juvenile angiofibroma (JA) is a highly vascularized tumor that often recurs or regrows. Recently, gamma knife surgery (GKS) was attempted on unresectable or remnant JA. We experienced a JA case that developed cerebrospinal fluid (CSF) rhinorrhea 4 years after GKS. Two surgical excisions using midfacial degloving approach were performed before GKS. After radiosurgery, the tumor was controlled, and no early complications were observed. However, 4 years after, intractable CSF leakage developed as a late complication, and we thus performed 4 subsequent endoscopic surgical repairs. The CSF leakage is very rare but can occur as a late complication of GKS and should be treated aggressively.
AB - Juvenile angiofibroma (JA) is a highly vascularized tumor that often recurs or regrows. Recently, gamma knife surgery (GKS) was attempted on unresectable or remnant JA. We experienced a JA case that developed cerebrospinal fluid (CSF) rhinorrhea 4 years after GKS. Two surgical excisions using midfacial degloving approach were performed before GKS. After radiosurgery, the tumor was controlled, and no early complications were observed. However, 4 years after, intractable CSF leakage developed as a late complication, and we thus performed 4 subsequent endoscopic surgical repairs. The CSF leakage is very rare but can occur as a late complication of GKS and should be treated aggressively.
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U2 - 10.1097/SCS.0000000000001164
DO - 10.1097/SCS.0000000000001164
M3 - Article
C2 - 25377982
AN - SCOPUS:84926453219
VL - 25
SP - e565-e567
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
SN - 1049-2275
IS - 6
ER -