Decreasing Morbidity with Nasal Cerebrospinal Fluid Leak Repair: No Fat or Fascia and No Nasal Packing

Introduction: A myriad of methods have been described to repair low- and high-flow nasal cerebrospinal fluid (CSF) leaks, but significant practice variations remain. While the majority of published repair techniques have led to excellent outcomes regardless of CSF leak type, less consideration has been given to the morbidity of commonly performed CSF leak repair methods, such as fat and fascia harvest and nasal packing. The purpose of the study was to determine whether high success rates could still be achieved for CSF leak repair while avoiding the morbidity of fat or fascia lata harvest and nasal packing.