2025 Poster Presentations
P036: LATERAL ORBITOTOMY IN A PEDIATRIC PATIENT FOR A COMPLEX CSF LEAK VIA SUPERIOR ORBITAL FISSURE AND FORAMEN ROTUNDUM FOLLOWING DELAYED FAILURE OF EXPANDED ENDOSCOPIC ENDONASAL TRANSPTERYGOID REPAIR
Mahmoud Y Asad, Mr1; Evangelos Drosos, Mr2; Mustafa Motiwala, Mr3; Warren Bennett, Mr4; Rebecca Ford, Ms5; William Singleton, Mr1; Samantha Hunt, Ms5; Kumar Abhinav2; 1Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Bristol, UK; 2Bristol Institute of Clinical Neurosciences, Department of Neurosurgery, Southmead Hospital, Bristol, UK; 3Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, USA; 4Department of Ear Nose and Throat, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom; 5Bristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
A 3-year-old patient presented with recurrent chest infections and complex CSF leak from the right superior orbital fissure and foramen rotundum. Patient had recurrence of CSF leak 14 months following an initial expanded endoscopic endonasal transpterygoid repair. A lateral orbitotomy with maxillary nerve sacrifice followed by multilayered repair was undertaken leading to successful repair and resolution of chest symptoms with the latter likely due to silent CSF aspiration.