ABSTRACT
The management of cerebrospinal fluid [CSF] rhinorrhea is a complex and challenging problem. Its management has historically plagued the neurosurgeon and the otolaryngologist. Majority of these cases are secondary to blunt head trauma which fortunately respond well to conservative medical management. However some cases of traumatic CSF rhinorrhea and all cases of non-traumatic [spontaneous] rhinorrhea need surgical repair. Surgical approach for repair of CSF rhinorrhea had traditionally been intracranial and requires frontal craniotomy. Such intracranial repair is still favored at many institutions despite its inherent morbidity. Extracranial non-endoscopic techniques have been previously described but have not gained wide acceptance. Recently, intranasal endoscopic repair has been reported with comparable success rates. This retrospective study consists of 4 cases of CSF rhinorrhea seen in al Nahdha hospital. These patients underwent nasal endoscopic repair to control their CSF leak and were followed for more than 12 months. The surgical technique, results of procedure and relevant literature are discussed here