Volume : VIII, Issue : VIII, August - 2018

ANALYSIS OF POST TRAUMATIC CSF RHINORRHEA

Dr. M. Anandha Shanmugaraj, Dr. Sukirti Chauhan

Abstract :

 CSF rhinorrhea is one of the cause for increased morbidity and mortality in Head Injury patients. Aim: The aim of the study is to analyze about Mode of Injury, Time of Onset of Rhinorrhea, Site of Leak, Size of defects, Incidence of Meningitis, Incidence of Pneumocephalus, Anosmia, Visual Disturbance, Periorbital hematoma, all management modalities both conservative and surgical intervention and outcomes. Materials and Methods: This is a retrospective and prospective study. 56 Patients who developed Posttraumatic CSF Rhinorrhea following RTA, fall, assault and GCS > 12 were admitted and included in the study. CT Brain(1 mm cuts) and CSF biochemical analysis were done for all patients. Statistical Analysis Statistical analysis done using SPSS software to assess the multi factorial causes of complications and outcomes. Conclusion: The Most Common Mode of Injury in our study group is Road Traffic Accidents, the most common time of Onset of CSF Rhinorrhea is Early Onset (< 48 hours) and the most common Site of Leak is in Ethmoid and the most common Size of defects is Small size (<1.5 cm). Meningitis and Pneumocephalous developed in 1/3rd of patients. More than 50%of patients were successfully treated conservatively with drugs alone. Meningitis is high in Late onset CSF Rhinorrhea and associated Pneumocephalus. Hence Prophylactic Antibiotic is essential. Early onset CSF Rhinorrhea favours spontaneous closure. Late onset requires surgical intervention

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. M. ANANDHA SHANMUGARAJ, Dr. SUKIRTI CHAUHAN, ANALYSIS OF POST TRAUMATIC CSF RHINORRHEA, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-8 | August-2018

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