2018 Section 5 - Rhinology and Allergic Disorders

Meningitis: 1 LD: 1 of 5

Meningitis: 1 LD: 0 of 6

Meningitis: 1 LD: 1 of 9

(19.1), 2 LD: 6 of 37 (16.2) Meningitis: 1 LD: 1 of 8

69 of 75 (92.0) 36; N/A 63; N/A 33; N/A 18; N/A Meningitis: 1 LD: 1 of 75

(22.7), 2 LD: 4 of 75 (5.3) N/A N/A Meningitis: 1 LD: 4 of 68

(1.3), 2 LD: 2 of 75 (2.7); headache: 1 LD: 17 of 75

(5.9), 2 LD: 1 of 37 (2.7); headache: 1 LD: 13 of 68

15; 1 LD: 0 of 1 (0), 2 LD: 14 of 14 (100) — — N/A

8; N/A 2; N/A 5; N/A 3; N/A N/A

N/A

(11.1), 2 LD: 0 of 4 (0) N/A

19 of 21 (90.5) 6; N/A 20; N/A 7; N/A 6; N/A N/A

(12.5), 2 LD: 0 of 2 (0) N/A

(20), 2 LD: 0 of 5 (0)

(0), 2 LD: 2 of 4 (50)

Events, n (%)

LD-Associated Adverse

— — — 64; 1 LD: 61 of 63 (96.8), 2 LD: 1 of 1 (100)

2 LD: 5 of 5 (100) 6; N/A 7; N/A 4; 1 LD: 1 of 4 (25), 2 LD: 0 (N/A)

2 LD: 3 of 4 (75)

Iatrogenic ASB

— — — 10; 1 LD: 5 of 5 (100),

— — — 13; 1 LD: 9 of 9 (100),

— — — 10; 1 LD: 7 of 8 (87.5),

— — — 10; 1 LD: 6 of 6, (100),

2 LD: 5 of 5 (100)

2 LD: 4 of 4 (100)

2 LD: 2 of 2 (100)

2 LD: 13 of 14 (92.9)

13 of 14 (92.9) — — — 46; 1 LD: 31 of 32 (96.9),

Iatrogenic ESS

15; 1 LD: 8 of 11 (72.7),

2 LD: 3 of 4 (75.0)

Table 2. Studies Utilizing Perioperative Lumbar Drainage Following Endoscopic Cerebrospinal Fluid Leak Repair. a Success of Repair, n (%) Success: Etiology, n; LD Placement, n (%) Study Study Design Level of Evidence Cases, n Mean F/U (Range), mo With LD Without LD Spontaneous Traumatic Albu (2013) 22 RCT 1b 150 48 (6-120) 71 of 75 (94.7) Caballero (2012) 23 Case series 4 105 13 (1-68) 53 of 68 (77.9) 32 of 37 (86.5) 40; 1 LD: 24 of 30 (80.0), 2 LD: 8 of 10 (80.0) Fraser (2010) 24 Case series 4 10 8.5 (0.2-49.1) 7 of 8 (87.5) 2 of 2 (100) Garcia-Navarro (2013) 25 Case series 4 46 28.5 (3-63) 31 of 32 (96.9) Gilat (2011) 13 Case series 4 24 24 (6-96) 3 of 7 (42.9) 17 of 17 (100) 7; 1 LD: 2 of 2 (100), Lee (2004) 26 Case series 4 39 30.6 (9-112) 17 of 18 (94.4) Leng (2008) 27 Case series 4 10 12 (N/A) 5 of 5 (100) 5 of 5 (100) Leong (2006) 28 Case series 4 10 18 (1-56) 6 of 6 (100) 4 of 4 (100)

4; 1 LD: 3

2 LD: 1 of 1 (100)

of 3 (100),

(75)

15 of 15 (100)

(100)

(100)

3 of 4

7 of 7

1 of 1

Abbreviations: ASB, anterior skull base; ESS, endoscopic sinus surgery; F/U, follow-up; 1 LD, with lumbar drain; –LD, without lumbar drain; N/A, not available; RCT, randomized controlled trial. a Dashes (—) indicate no patients were in this category.

(75)

(100)

10 of 11 (90.9)

Zanation (2009) 31 Case series 4 64 N/A 61 of 63 (96.8)

3 of 4

9 of 9

Case series 4 18 24.1 (6-59)

Case series 4 19 18.6 (6-41)

Case series 4 13 21.4 (N/A)

(1998) 29

(2007) 30

(2003) 3

Marks

Meco

White

269