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Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures

Published online by Cambridge University Press:  12 July 2012

D-G Lee ,
K-S Cho ,
H-J Kim  and
H-J Roh
D-G Lee
Affiliation:
Department of Otorhinolaryngology, Medical Research Institute, Pusan National University School of Medicine, Busan, South Korea Medical Research Institute, Pusan National University School of Medicine, Busan, South Korea
K-S Cho*
Affiliation:
Department of Otorhinolaryngology, Medical Research Institute, Pusan National University School of Medicine, Busan, South Korea Medical Research Institute, Pusan National University School of Medicine, Busan, South Korea
H-J Kim
Affiliation:
Department of Radiology, Medical Research Institute, Pusan National University School of Medicine, Busan, South Korea
H-J Roh
Affiliation:
Department of Otorhinolaryngology, Pusan National University School of Medicine Yangsan Hospital, South Korea
*
Address for correspondence: Dr Kyu-Sup Cho, Department of Otorhinolaryngology, Pusan National University School of Medicine, 1-10 Ami-dong, Seo-gu, Busan 602-739, South Korea Fax: +82 51 246 8668, E-mail: choks@pusan.ac.kr
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Abstract

Background:

Unless the orbital contents are supported, the insertion of nasal packing material during endoscopic endonasal surgery may cause serious intracranial complications such as cerebrospinal fluid leakage.

Methods:

Case report and literature review.

Results:

We report a patient with iatrogenic cerebrospinal fluid rhinorrhoea caused by intracranial entry of a Silastic sheet inserted into the nasal cavity. This skull defect and the surrounding skull base were successfully reconstructed in a multilayer fashion via an endoscopic endonasal approach.

Conclusion:

This case highlights the need for caution when inserting nasal packing material. During endoscopic endonasal reduction of blowout fractures, great care must be taken to support the orbital contents, in order to avoid serious intracranial complications such as cerebrospinal fluid leakage.

Keywords

Cerebrospinal Fluid RhinorrheaPostoperative ComplicationsOrbital FracturesEndoscopes

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 942 - 945
Copyright
Copyright © JLO (1984) Limited 2012

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References

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