When breaks in the skull base and microscopic tears occur in the tissue surrounding the brain, called the dura, nasal CSF leaks can occur. This is a very serious condition, and these tears must be repaired. The Johns Hopkins Sinus Center is the regional referral center of choice for these delicate surgical repairs.
Patients who have tears in their dura must have those leaks closed immediately in order to improve headaches and reduce the chance of meningitis.
The primary goal of the surgery is to repair the CSF leak.
- CSF leak closure surgery is usually performed under general anesthesia.
- Working endoscopically through the nose, our surgeons identify the leak and repair it using cartilage and other tissue from the ear and nose.
- CSF leak closure surgery does not involve cutting through the skin, as it is performed entirely through the nostrils. Depending on the size of the leak most patients will have to stay in the hospital for 1-3 days after surgery. Some patients may require a lumbar drain during that time that is removed prior to going home. Learn more about pre and post-operative care.