What is Endoscopic CSF Leak Repair
Endoscopic CSF leak repair addresses the issue of cerebrospinal fluid leakage originating from a breach in the protective dura mater surrounding the brain and spinal cord.
A nasal endoscope is inserted inside to navigate the nasal passages to find the breach in the dura mater commonly found at the skull base.
Using small surgical tools, the identified breach in the dura mater is meticulously patched using an Alloderm graft and mucosal tissue from the nasal passages.
Recovery and Postoperative Instructions
Following the surgical procedure, patients typically undergo a 1-2 night stay for rest and continuous monitoring. In rare instances, some may require the placement of a lumbar drain to prevent excessive cerebrospinal fluid (CSF) pressure within the spine.
Habits to Adopt for Optimal Healing
In the initial phase of recovery, patients are advised to adopt specific practices to facilitate healing and prevent undue pressure on the repaired dura mater:
Gentle Nasal Care:
- Refrain from forceful blowing or wiping of the nose.
- Avoid vigorous sniffing, promoting a gentle approach to nasal care.
- Address persistent or worsening nosebleeds by sitting up and applying oxymetazoline spray as directed.
Medication Compliance:
- Ensure adherence to prescribed medications until completion as part of the postoperative regimen.
First Week of Recovery
Nasal Moisturization:
- Maintain nasal moisture using saltwater spray 3-4 times daily (unless instructed otherwise) during the first week.
- Opt for rest while maintaining an upright posture during the day and sleep with the head slightly elevated for comfort.
- Expect mild bloody nasal drainage during the initial 24-72 hours post-surgery, which is considered normal.
First 30 Days of Postoperative Care
Activity Limitations:
- Refrain from lifting heavy objects, straining, or excessively bending over during the initial 30 days.
- Utilize stool softeners to ease bowel movements and prevent straining.
Nasal Irrigation Caution:
- Avoid forceful nasal irrigation techniques such as squeeze bottles or neti pots.
When to Contact Your Healthcare Provider
In the postoperative period, promptly seek medical attention if experiencing the following:
- Persistent nasal bleeding or unceasing clear nasal discharge.
- Noticeable bruising or swelling around the eye region.
- Sustained fever exceeding 100 degrees Fahrenheit.
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