Case Report: CSF Leak Developed after Adenoidectomy

Vassos, G.; Kong, Jeong-Taek; Hopkins, Claire; Roberts, D.; Thomas, Niranjan

doi:10.1055/s-0032-1314365

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“… 8 CSF leakage and secondary meningitis in the second case were attributed to overzealous curettage and injury to the medial aspect of the pterygopalatine fossa where the child had a congenital bony defect. 9 …”

Section: Discussionmentioning

confidence: 99%

Cerebrospinal fluid leakage after turbinate submucosal diathermy: an unusual complication

Abobotain

Ajlan

Alsaleh

2018

Annals of Saudi Medicine

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Submucosal diathermy of the inferior turbinate (SMDIT) is a generally safe procedure to control inferior turbinate hypertrophy. We present a case of a cerebrospinal fluid (CSF) leak at the craniocervical junction after SMDIT done in another institution. A 27-year-old man presented 3 weeks after undergoing SMDIT with signs and symptoms of meningitis and postnasal rhinorrhea. Nasal endoscopy and imaging revealed a nasopharyngeal CSF fistula at the craniocervical junction. Transnasal endoscopic repair and reconstruction was performed with no recurrence on repeat imaging and clinical follow up. We describe the first reported case in the literature of an iatrogenic CSF fistula caused by SMDIT, an unusual and potentially fatal complication, and its surgical management.

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Section: Discussionmentioning

confidence: 99%