Publication:

The study of management of cerebrospinal fluid rhinorrhea at tertiary care center

Background CSF Rhinorrhea is clinically emergency condition in Otorhinolaryngology. Patients were presented with unilateral watery nasal discharge. In the evolving world, CSF leak repair done via endoscopic method. Recurrence is very less with endoscopic repair method of CSF leak.

Methods We took complete history, complete Ear, Nose, Throat and Head and Neck examination, Endoscopic examination of nasal cavity followed by Radiological test in the form of MR Cisternography. Depending upon the site of leak, CSF leak repair done via endoscopic method of overlay and underlay and with the help of fascia, fat, surgical, flap, fibrin glue and cartilage.

Results Total 30 cases analysed where 63.33% & 26.67% patients have defect at cribriform plate & fovea ethmoidal is respectively. 63.33% patients are male, almost all patients are adults. 73.33% are spontaneous & rest are traumatic, 43.33% have circular defect, 36.67% have horizontal defect, 53.33% are treated with fat, surgical, fascia, fibrin glue, 40% are treated with above-mentioned things with flap, 6.67% patients are treated with above-mentioned things with cartilage.

Conclusions Most of CSF leak are spontaneous in nature, most of patients had defect in cribriform plate that too in anterior portion of the plate, almost all patients were adults, more females had defect than males, circular defects are slightly more common than horizontal ones, and most of the patients didn’t need flap or cartilage during surgery.