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Delayed cerebrospinal fluid rhinorrhea four years after gamma knife surgery for juvenile angiofibroma

Authors
 Hyun Jin Min  ;  Hyo Jin Chung  ;  Chang Hoon Kim 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.25(6) : 565-567, 2014 
Journal Title
 JOURNAL OF CRANIOFACIAL SURGERY 
ISSN
 1049-2275 
Issue Date
2014
MeSH
Abdominal Fat/transplantation ; Angiofibroma/surgery* ; Cerebrospinal Fluid Rhinorrhea/etiology* ; Embolization, Therapeutic/methods ; Endoscopy/methods ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Nasal Mucosa/transplantation ; Nasopharyngeal Neoplasms/surgery* ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local/surgery ; Postoperative Complications* ; Radiosurgery/methods* ; Recurrence ; Sphenoid Sinus/surgery ; Tomography, X-Ray Computed/methods ; Treatment Outcome ; Young Adult
Abstract
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.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=&AN=00001665-201411000-00109&PDF=y
DOI
10.1097/SCS.0000000000001164
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Min, Hyun Jin(민현진)
Chung, Hyo Jin(정효진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138396
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