Cerebrospinal fluid rhinorrhoea after nasal packing for epistaxis: case report

The Journal of Laryngology and Otology
O EdkinsD Lubbe

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.

References

May 11, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ioannis MoumoulidisTimothy Price
May 12, 2006·BMC Ear, Nose, and Throat Disorders·Heidi Smith-VaughanAmanda J Leach
May 8, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery·Richard Douglas, Peter-John Wormald
Apr 26, 2008·Otolaryngologic Clinics of North America·Kevin C Welch, James N Palmer
Mar 24, 2009·The Journal of Craniofacial Surgery·Tarik CavusogluReha Yavuzer

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Citations

Sep 10, 2015·International Journal of Otolaryngology·Henri TraboulsiUsamah Hadi
Nov 9, 2016·The Journal of Laryngology and Otology·A K SahooD K Samal
Mar 14, 2014·British Journal of Hospital Medicine·Neil KillickB Nirmal Kumar

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