Specifically, she is responsible for coordinating all electives for medical students in the Department of Otolaryngology - Head & Neck Surgery. ![]() Fox also enjoys educating residents and medical students. Fox is committed to providing patient-centered high-quality medical and surgical care to patients with diseases of the nose and sinuses. She then completed fellowship in rhinology and anterior skull base surgery at the University of Kansas Medical Center. Fox earned her medical degree and completed residency at Baylor College of Medicine. Her clinical interests include acute and chronic sinusitis, recurrent sinusitis, nasal polyps, cerebrospinal fluid leaks, benign and malignant sinonasal and skull base tumors, septal deviation, nasal congestion, and allergies.ĭr. Fox is an Assistant Professor of Rhinology and Skull Base Surgery. Award for Administrative Chief Resident Leadership Power of Professionalism 2014, 2019īaylor College of Medicine Professional Interestsĭr. Houston, Texas United States Certifications American Board of Otolaryngology - Head & Neck Surgery Honors & Awards James L. Kansas City, Kansas United States Rhinology & Anterior Skull Base Surgery MD from Baylor College of Medicine Houston, Texas United States Otolaryngology - Head & Neck Surgery Clinical Fellowship at University of Kansas Medical Center Waco, Texas United States Residency at Baylor College Medicine Phone: (713) 798-5900 Education BBA from Baylor University 1 2 A cerebrospinal fluid leak can be either cranial or spinal, and these are two different disorders. Phone: (713) 798-5900 Jamail Specialty Center (Office) A cerebrospinal fluid leak ( CSF leak or CSFL) is a medical condition where the cerebrospinal fluid (CSF) surrounding the brain or spinal cord leaks out of one or more holes or tears in the dura mater. Houston, Texas United States Affiliate Clinical FacultyĪddresses Jamail Specialty Center (Clinic) ![]() Course Director: Clinical Otolaryngology Electives & Selective This would indicate that in the absence of other contraindications for delaying repair, a trial of acetazolamide therapy could be considered as an initial option in the management of isolated spontaneous CSF rhinorrhea.ĬSF rhinorrhea acetazolamide idiopathic intracranial hypertension medical management.Houston, Texas United States Department Lead Elective OfficerĬurriculum development and supervision of medical student clinical rotations in the Department of Otolaryngology - Head & Neck Surgery. This therapy enabled surgery to be avoided in 31.3% of patients. This is the first study to report the use of acetazolamide therapy as a primary treatment option for spontaneous CSF rhinorrhea. Nonsurgical patients had a lower body mass index (BMI) than surgical patients (p = 0.04). There were no differences in the patients' age or site of leak between surgical and nonsurgical patients (p = 0.65, p = 0.52, respectively). Mean follow-up for these nonsurgical patients was 470 days (range, 64 to 857 days). Five patients had resolution of their rhinorrhea without surgery (31.3%). Leak sites were noted as cribriform (5/16), sphenoid (8/16), ethmoid (1/16), multiple (1/16), and indeterminate (1/16). The primary endpoint was whether the patient went on to require surgical repair.Ī total of 16 patients were identified who were pretreated with acetazolamide. Although postoperative acetazolamide use has been described, no data currently exists on the potential for preoperative use.Ī retrospective review was performed including patients treated for anterior spontaneous CSF leaks by a single surgeon over a 6-year period during which acetazolamide therapy (250 mg twice daily) was employed before considering surgical repair. As such, ICP reducing measures are commonly employed to optimize repair. ![]() Spontaneous cerebrospinal fluid (CSF) rhinorrhea has been associated with elevated intracranial pressure (ICP).
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