Management options for Post Traumatic CSF Rhinorrhea

Abstract

Objective: A descriptive case series study was aimed to evaluate management options for traumatic csf rhinorrhea and develop a better option Materials  and Methods: The  study was conducted  at Neurosurgery department,  Bahwal Victotoria hospital Bahawalpur . This study involved 80 patients aged between 20-55 years of both genders diagnosed of CSF rhinorrhea presented with trauma. Results: In the department of Neurosurgery BVH, Bahawalpur 2000 patients were admitted with head injury in two years from April 2021 to February 2022. A total of 80 patients of these had cerebrospinal fluid (CSF) rhinorrhea. This study was conducted to evaluate the management options of CSF rhinorrhea in the patients with head injury. CSF rhinorrhea was stopped in 70 patients with conservative management. In 10 patients cerebrospinal fluid rhinorrhea continued after the conservative management of 2-6 weeks and surgical repair of Dural tear at the base of skull was done in these patients. Site of CSF rhinorrhea leakage was located in these patients with the help of CT Scan and MRI skull.In all these patients Dural tears was repaired with a graft of fascia Lata or periosteum, pasted on the site of defect with fibrin glue. CONCLUSION:We concluded that all post traumatic C.S.F rhinorrhea cases should be managed conservatively because most of the C.S.F leaks stop spontaneously with proper conservative management. So surgical repair should be delayed for 2-12 weeks after a leak has been identified.