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C.S.F RHINORRHOEA
This middle aged lady
presented with spontaneous watery nasal discharge. Clinical
photograph demonstrates the C.S.F drip |
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Endonasal
view showing the C.S.F dripping along the middle turbinate.
She was conservatively treated with acetazolamide for
2 weeks.when the leak persisted, surgical repair was
undertaken. |
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MRI Scan showing the site of leak to be in the region
of right cribriform plate.
HRCT with a contrast can also indicate
the site of leak in a similair fashion |
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Endoscopic
repair of the CSF leak from the cribriform plate being
carried out.The middle turbinate is resected to provide
adequate working space A mucosal graft is tucked into
the defect after freshening the edges. |
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The bony defect seen after repair with
mucosa taken from middle turbinate.The repaired defect
is packing with Surgicel.The nasal cavity is then packed
with Merocel and the pack kept insitu for 1 week. |
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