{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T22:56:31Z","timestamp":1775084191108,"version":"3.50.1"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T00:00:00Z","timestamp":1440460800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115002157_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To demonstrate a novel and effective surgical technique for the treatment of refractory cerebrospinal fluid rhinorrhoea after skull base surgery. The novel surgical technique is described and the findings of a review of relevant world English-language publications are reported.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115002157_sec_a2\"><jats:title>Case report:<\/jats:title><jats:p>A 44-year-old woman, otherwise fit and well, presented with more than a 2-year history of right-sided facial pain. A diagnosis of classical trigeminal neuralgia was made. Surgical treatment was undertaken with a retromastoid suboccipital craniotomy. Post-operatively, the patient showed signs of right-sided cerebrospinal fluid rhinorrhoea which was recalcitrant. In light of a continuous leak and several hospital admissions, a novel technique was performed whereby the eustachian tube orifice was obliterated using an endonasal endoscopic approach. The technique proved to be successful, with no further leakage.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115002157_sec_a3\"><jats:title>Conclusion:<\/jats:title><jats:p>Endoscopic obliteration of the eustachian tube using a double seal technique is a simple, safe and effective procedure in the treatment of a refractory cerebrospinal fluid leak.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115002157","type":"journal-article","created":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T04:58:22Z","timestamp":1440478702000},"page":"1028-1031","source":"Crossref","is-referenced-by-count":8,"title":["Double seal technique to obliterate the eustachian tube orifice: a novel method for the treatment of recalcitrant cerebrospinal fluid leak"],"prefix":"10.1017","volume":"129","author":[{"given":"A S","family":"Taghi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Bentley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Kuchai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H A","family":"Saleh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,8,25]]},"reference":[{"key":"S0022215115002157_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400115"},{"key":"S0022215115002157_ref6","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.115089"},{"key":"S0022215115002157_ref21","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1976.00780100062006"},{"key":"S0022215115002157_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210700409"},{"key":"S0022215115002157_ref10","first-page":"470","article-title":"Endoscopic closure of the eustachian tube for repair of cerebrospinal fluid leak","volume":"17","author":"Kwartler","year":"1996","journal-title":"Am J Otol"},{"key":"S0022215115002157_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200301000-00021"},{"key":"S0022215115002157_ref11","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1227\/01.neu.0000289709.87802.12","article-title":"Management of cerebrospinal fluid leaks after acoustic tumor removal","volume":"61","author":"Friedman","year":"2007","journal-title":"Neurosurgery"},{"key":"S0022215115002157_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/BF01406038"},{"key":"S0022215115002157_ref19","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540740211"},{"key":"S0022215115002157_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-198007000-00008"},{"key":"S0022215115002157_ref13","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.34"},{"key":"S0022215115002157_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70171-0"},{"key":"S0022215115002157_ref4","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.71.6.0799"},{"key":"S0022215115002157_ref7","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199309000-00003"},{"key":"S0022215115002157_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200405000-00030"},{"key":"S0022215115002157_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000176174.94764.3b"},{"key":"S0022215115002157_ref12","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1177\/194589240401800604","article-title":"Endoscopic closure of the eustachian tube","volume":"18","author":"Orlandi","year":"2004","journal-title":"Am J Rhinol"},{"key":"S0022215115002157_ref14","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199401000-00009"},{"key":"S0022215115002157_ref15","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1981.54.3.0392"},{"key":"S0022215115002157_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/000348947508400406"},{"key":"S0022215115002157_ref20","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198109000-00003"},{"key":"S0022215115002157_ref5","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199006000-00009"}],"container-title":["The Journal of Laryngology &amp; 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