We are medical doctors practicing the specialty of otolaryngology—care of the ears, nose, throat, and head and neck surgery. We also have a staff for Allergy test, who perform Allergy test here in our office, as well as offer Immunotherapy to get permanent relief from Allergy. 

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CSF Leak Repair

The brain is fully encased inside a lining called dura. The brain and the dura are positioned partly above the nose and the sinuses that are separated from them by a thin bone. Any perforation in the bone and the dura can leak the CSF(cerebrospinal fluid) straight into the nasal or the throat cavities.

CSF leakage can occur due to a head injury, complication from sinus or brain injury or due to tumour removal from inside a sinus. The CSF leak becomes visible when clear fluid starts draining from the nose (usually from one nostril) or into the back of the throat (tastes salty).

Conditions treated

Why this surgery?

Benefits

CSF Leakage

  • While a CSF leak in itself is a perilous condition, there is also the added risk of an intracranial (within the skull) infection.
  • The sinuses are high on infection-causing microbes. When the leakage point takes CSF into sinuses, it may also pass on some of these microbes into the CSF space which can then infect the brain and the tissue around.

Prevents infection of the brain and surrounding tissues.

Know more about CSF Leak Repair

  • Prior to the surgery the patient will have to take the several prescribed medicines that will help reduce inflammation.
  • The patient will have to abstain from smoking, 3-4 weeks prior to the surgery.
  • If the patient is on any blood-thinning medications such as aspirin, ibuprofen, omega 3 and/or vitamin E, they should stop their intake at least two weeks prior to the surgery.
    • Patient should sleep with head slightly elevated for 7 days.
    • No heavy lifting, bending over, or straining for 30 days.
    • Do not blow nose or sniff forcefully.
    • Sneeze with mouth open if possible.
    • Wipe nose gently
    • Pain medication is to be taken after surgery.
    • It is normal to have mild bloody drainage for the first 24 to 72 hours.
    • The patient must use the prescribed nasal sprays as instructed by the doctor.
    • Patients can go home few hours after surgery

Post-operative follow-up visits with the operating surgeon can be scheduled as follows:

  1. 10 days after surgery (1st visit)
  2. Every 10 days in the first month after the initial visit (2nd & 3rd visits)
  • The potential risks of this surgery are similar to endoscopic sinus surgery risks wherein there is less than 1% risk of unexpected damage to the brain and the optic nerve. 
  • There is also some risk that the leakage can recur.
  • Medical and surgical treatments of larynx- related disorders
  • Advanced examination of larynx through hi-tech HD angled endoscopes, flexible scopes and HD camera systems, such as the pulsar II Stroboscope that can identify the minutest functional problems in the larynx
  • Precision surgery of vocal cords (a region very prone to surgical trauma and very critical for patient’s quality of life) using best-in-class Zeiss Vario microscope and Lumenis Acupulse duo laser for the best possible results, all surgeries conducted in state of the art, laminar flow operation theatres
  • Voice preservation and rehabilitation after microlaryngoscopy and larynx cancer surgeries

Meet Our Doctors

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