Leong Annabelle C, Patel Toral, Rehman Faizal, Oyarzabal Manuel, Gluckman Paul
Department of Otolaryngology, Medway Maritime Hospital, Windmill Rd., Gillingham, Kent ME7 5NY, UK. ackleong@gmail
Ear Nose Throat J. 2010 Jan;89(1):27-9.
Cerebrospinal fluid (CSF) rhinorrhea after a septoplasty procedure is very rare and potentially life-threatening. We present a case of iatrogenic postseptoplasty CSF rhinorrhea. To the best of our knowledge, only 2 other cases of CSF rhinorrhea complicating septoplasty have previously been reported. However, neither resolved in the manner that our case did, when spontaneous cessation of CSF rhinorrhea unexpectedly occurred upon removal of intranasal splints. We discuss the clinical importance of anatomic variations and potential causative mechanisms of CSF rhinorrhea during septoplasty. Our experience with this case suggests a mechanism of injury to the cribiform plate during septoplasty that has not been described previously.
鼻中隔成形术后脑脊液鼻漏非常罕见且可能危及生命。我们报告一例医源性鼻中隔成形术后脑脊液鼻漏病例。据我们所知，此前仅另有2例鼻中隔成形术并发脑脊液鼻漏的病例报道。然而，这两例均未像我们的病例那样，在移除鼻内夹板后脑脊液鼻漏意外自行停止。我们讨论了解剖变异的临床重要性以及鼻中隔成形术中脑脊液鼻漏的潜在致病机制。我们对该病例的经验提示了一种此前未描述过的鼻中隔成形术中筛板损伤机制。
