ENDOSCOPIC REPAIR IN CASE OF TRAUMATIC BILATERAL CSF RHINORRHOEA

Volume : VII, Issue : IV, April - 2018

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

Cereospinal 􀃸uid (CSF) rhinorrhoea is the leakage of CSF from the subarachnoid space into the nasal cavity due to

a defect in the dura, bone and mucosa. CSF rhinorrhoea most commonly occurs due to head trauma, and

destructive lesions of ain and iatrogenic trauma. Cereospinal 􀃸uid leak from the intracranial space to the nasal respiratory tract carries

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

nasal discharge), 2) presence of a skull based fracture on Computed Tomography. Beta-2 transferrin test is a con􀃶rmatory test because of its

high sensitivity and speci􀃶city. Endoscopic repair is method of choice for majority of CSF leaks. It has minimal morbidity and higher success

rates.

We report an uncommon case of traumatic bilateral CSF rhinorrhoea which was repaired by endoscopic approach using fascia latagraft.