Cerebrospinal Fluid Leak Clinical Trial
Official title:
International Opinion Study on Peri-operative Cerebrospinal Fluid Leaks Management After Endoscopic Skull Base Surgery
Cerebrospinal fluid (CSF) leak is a rare condition. When it involves the ventral skull base,
a surgical closure may be achieved using endoscopic skull base surgery techniques. The major
principles remain in achieving a watertight closure that can also support the brain (and
avoid brain sagging) in case of extensive skull base defects. Surgical techniques are well
described. Many clinical factors may influence the successful rate of the reconstruction.
However, there is a lack of clinical study on perioperative management of CSF leaks. The
purpose of this study is to gather the opinion of skull base surgeons on the post-operative
management of patients to avoid CSF leak recurrence.
•Methods: The investigators will collect data from skull base surgeons using an electronic
survey questionnaire (Google Form, Google, Mountain View, California, U.S.A.) submitted by
e-mail to the members of the French Association of Rhinology, to the European Rhinologic
Society, to the French college of neurosurgeons, to the Italian skull base society members,
and to the former students of the European endoscopic skull base diploma. This is an
anonymous 60-items survey. Questions were classified in eight sections: general questions,
material used at the end of the surgical procedure, post-operative resting position, drugs,
CSF depletion, post-operative advices, explorations in case of early recurrence of the
rhinorrhoea, and follow-up modalities.
•Discussion: The investigators aim to understand the actual practice of skull base surgeons
after closure of ventral skull base CSF leaks. This can serve as a basis for conducting
clinical studies in the future.
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