Arch Plast Surg.  2018 Jul;45(4):379-383. 10.5999/aps.2017.00913.

Traumatic cerebrospinal fluid leakage following septorhinoplasty

• Youssef A
• Ahmed S
• Ibrahim AA
• Daniel M
• Abdelfattah HM
• Morsi H

• KMID: 2418252
• DOI: http://doi.org/10.5999/aps.2017.00913

Abstract

Septoplasty/septorhinoplasty is a common ear, nose and throat procedure offered for those patients with deviated septum who are suffering from nasal obstruction and functional or cosmetic problems. Although it is a basic and simple procedure, it could lead to catastrophic complications including major skull base injuries which result in cerebrospinal fluid (CSF) leaks. We describe two different cases of traumatic CSF leaks following septoplasty/septorhinoplasty at two different sites. The first patient suffered a CSF leak following septoplasty and presented to Alexandria University Hospital. The leak was still active at presentation and identified as coming from a defect in the roof of the sphenoid sinus and was repaired surgically. The second patient presented 4 days after her cosmetic septorhinoplasty with a CSF leak and significant pneumocephalus. She was managed conservatively. Understanding the anatomical variations of the paranasal sinuses and implementing proper surgical techniques are crucial in preventing intracranial complications when performing either septoplasty or septorhinoplasty. A good quality computed tomography of the nose and paranasal sinuses is a valuable investigation to avoid major complications especially CSF leaks following either procedure.

Keyword

Rhinoplasty; Cerebrospinal fluid rhinorrhea; Sphenoid sinus; Computed tomography; Diabetes insipidus

MeSH Terms

Cerebrospinal Fluid Leak*
Cerebrospinal Fluid Rhinorrhea
Cerebrospinal Fluid*
Diabetes Insipidus
Ear
Humans
Nasal Obstruction
Nose
Paranasal Sinuses
Pharynx
Pneumocephalus
Rhinoplasty
Skull Base
Sphenoid Sinus