Volume : 7, Issue : 4, April - 2018

ENDOSCOPIC REPAIR IN CASE OF TRAUMATIC BILATERAL CSF RHINORRHOEA

Dr Yesha Shah, Dr Ajay Shah, Dr Madhavi Raibagkar, Dr Saurabh Gandhi, Dr. Kinnari Rathod, Dr. Khyati Patel

Abstract :

<p>&nbsp;Cereospinal 􀃸uid (CSF) rhinorrhoea is the leakage of CSF from the subarachnoid space into the nasal cavity due to</p> <div>a defect in the dura, bone and mucosa. CSF rhinorrhoea most commonly occurs due to head trauma, and</div> <div>destructive lesions of ain and iatrogenic trauma. Cereospinal 􀃸uid leak from the intracranial space to the nasal respiratory tract carries</div> <div>the risk of an ascending infection which can lead to fulminant meningitis. Diagnosis is made on the basis of 1) clinical CSF leak (clear watery</div> <div>nasal discharge), 2) presence of a skull based fracture on Computed Tomography. Beta-2 transferrin test is a con􀃶rmatory test because of its</div> <div>high sensitivity and speci􀃶city. Endoscopic repair is method of choice for majority of CSF leaks. It has minimal morbidity and higher success</div> <div>rates.</div> <div>We report an uncommon case of traumatic bilateral CSF rhinorrhoea which was repaired by endoscopic approach using fascia latagraft.</div>