Management of incisional cerebrospinal fluid leak in open cranial surgeries and the "folding technique" in duraplasty
Incisional CSF leakage is a potentially preventable complication with high morbidity. Such cases could be managed via conservative approaches including wound resuturing, LED or EVD, and surgical reexploration. However, the management strategy is beyond any strict algorithm. This folding technique for duraplasty is a worthy replacement for conventional primary suturing for dural repair or reconstruction in cranial and even spinal defects. This study highlights the importance of regaining the watertight nature of the dura in the primary surgery to prevent any further intervention and lower the overall morbidity.
Authors
- Yusuf Çağlar (ORCID: https://orcid.org/0000-0003-4989-3965)
- İhsan Doğan (ORCID: https://orcid.org/0000-0002-1985-719X)
- Gökmen Kahiloğulları (ORCID: https://orcid.org/0000-0001-8137-0510)
- Hasan Çağlar Uğur (ORCID: https://orcid.org/0000-0003-3728-4599)
- Engin Erdin (ORCID: https://orcid.org/0000-0002-1659-4224)
- Hakan Tuna (ORCID: https://orcid.org/0000-0002-5980-8413)
- Ağahan Ünlü (ORCID: https://orcid.org/0000-0002-2039-8592)
- Onur Özgüral (ORCID: https://orcid.org/0000-0003-0592-6139)
- Ayhan Attar (ORCID: https://orcid.org/0000-0002-6525-1893)
- Eyüp Bayatli
- Ümit Karadagoglu
Institutions
- Ankara University (TR)
Publication Details
- Journal
- Neurosurgical FOCUS
- Published
- 2025-02-01
- DOI
- https://doi.org/10.3171/2024.11.focus24661
- Citations
- 7
- Primary Topic
- Head and Neck Surgical Oncology
- Type
- article
- Field-Weighted Citation Impact
- 14.04