Evidence map›Paper›PMID 34691428›Full record

ArticleAnnals of medicine and surgery (2012)2021

Outcome of the endoscopic repair of frontal sinus cerebrospinal fluid leak.

Wael F Ismaiel, Mohamed H Abdelazim, Ahmed Younes, Mahmoud E Alsobky, Abdulkarim Hasan, Ahmed M Taha

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Wael F Ismaiel-Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Mohamed H Abdelazim-Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Ahmed Younes-Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Mahmoud E Alsobky-Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Abdulkarim Hasan-Department of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed M Taha- Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Al-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionand Objectives: Leakage of cerebrospinal fluid (CSF) from the frontal sinus is a challenging condition facing the ENT surgeon. Repair of this condition has been changed nowadays due to the newer instruments and techniques of nasal endoscopy. This study aims to evaluate the outcome of frontal sinus CSF leak endoscopic repair. PATIENTS AND

methodsTwenty-seven patients who had frontal sinus CSF leaks were included in this study. They were 9 females and 18 males. They underwent endoscopic repair of the leak site at the period of five years from 2015 to 2020. A retrospective evaluation of these patients includes reconstructive procedures, complications, and postoperative follow-up.

resultsThe frontal leaks were present in the frontal recess (8 patients, 29.6%), ethmoidal roof (5 patients, 18.5%), and the majority was in the posterior wall (14 patients, 51.9%); 11 in the medial side and 3 in the lateral side. All cases, 27 (100%) were treated successfully, no failed treatment was observed. Postoperative complications were minimal; two patients had elevated intracranial pressure (ICP), infection with fever were found in four patients (7.4%), and meningitis was observed in only two cases (7.4%), treated conservatively.

conclusionFor frontal sinus CSF leak repair, the endonasal endoscopic approach is the treatment of choice due to higher success rates and lower morbidity profile. A favorable result is possible with proper diagnosis, precise localization, and an appropriate strategy.

Indexed as

CSF leakDraf IIIEndoscopic surgeryFrontal sinus

Identifiers

PMID34691428
PMCPMC8519771
OpenAlexW3204045110

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.