Amulya T M, Babu A R, Kuriachan Merin, Vasan T S Col
Department of ENT, Head and Neck surgery, JSS Academy of Higher Education and Research(JSSAHER), Mysuru, Karnataka 570004 India.
Department of Neurosurgery, JSS Academy of Higher Education and Research (JSSAHER), Mysuru, Karnataka 570004 India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):653-657. doi: 10.1007/s12070-023-04240-z. Epub 2023 Sep 29.
CSF (Cerebro Spinal Fluid) rhinorrhoea occurs when the fluid leaks from subarachnoid space into the nasal cavity. The study aims to find out the prevalence and demographic distribution of CSF leak and to describe the site of the CSF leak along with the management. We did a prospective study on 180 patients admitted with head injury in neurosurgery department, along with the patients who came to ENT department with unilateral nasal discharge during the time period from March 2017 to March 2021. A total of 36 cases of CSF leak were obtained during the time period. The etiology in 18 cases was head injury & the other 18 cases were either due to infectious or nontraumatic causes. In our study, 26(72.22%) patients were aged less than 50 years. Incidence was more among males compared to females. The most common etiology was head injury - 18(50%) patients followed by the spontaneous leak- 16 (44.44%) patients with the most common site as the cribriform plate. Endoscopic repair using a hadad flap was done in most of the patients. Trauma due to head injury is the most common etiology in CSF rhinorrhea with more number of patients aged less than 50 years. Most of the leaks can be repaired successfully with the use of endoscope with excellent illumination & localizing the exact site of the leak.
脑脊液鼻漏是指脑脊液从蛛网膜下腔漏入鼻腔。本研究旨在查明脑脊液漏的患病率和人口统计学分布，并描述脑脊液漏的部位及治疗方法。我们对2017年3月至2021年3月期间神经外科收治的180例头部受伤患者以及到耳鼻喉科就诊的单侧鼻腔流涕患者进行了一项前瞻性研究。在此期间共获得36例脑脊液漏病例。其中18例病因是头部受伤，另外18例是由感染性或非创伤性原因引起。在我们的研究中，26例（72.22%）患者年龄小于50岁。男性发病率高于女性。最常见的病因是头部受伤——18例（50%）患者，其次是自发性漏——16例（44.44%）患者，最常见的部位是筛板。大多数患者采用Hadad皮瓣进行内镜修复。头部受伤导致的创伤是脑脊液鼻漏最常见的病因，年龄小于50岁的患者数量较多。大多数漏口可通过使用具有良好照明且能定位漏口确切位置的内镜成功修复。
