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Cerebrospinal fluid rhinorrhoea after nasal packing for epistaxis: case report
Published online by Cambridge University Press: 24 February 2012
Abstract
We report a case of traumatic cerebrospinal fluid rhinorrhoea following nasal packing with a Rapid Rhino inflatable balloon pack, as treatment for epistaxis.
Case report and review of the literature regarding this complication.
A thorough literature search was performed using PubMed. To our best knowledge, there have been no previous reports of cerebrospinal fluid rhinorrhoea following nasal packing. In our case, cerebrospinal fluid leakage occurred due to fracture of the middle turbinate at its superior skull base insertion. The cerebrospinal fluid leak resolved spontaneously without the need for surgical intervention.
This case report highlights not only the need for an appreciation of sinonasal anatomy and the potential risks associated with nasal packing, but also the need for adequate training in the use of commercially available nasal packs by medical practitioners attending patients with epistaxis.
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- Copyright © JLO (1984) Limited 2012
Footnotes
Presented as a poster at the Annual Congress of the South African Society of Otorhinolaryngology, Head and Neck Surgery, 24–27 October 2010, Drakensberg, South Africa
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