Osteoplastic Flap Approach for Posterior Table Leak: A Case Report

Frontal sinus Cerebrospinal Fluid (CSF) leak is relatively uncommon. Surgical treatment is indicated when conservative management fails. Here we present a case report of 19-year-old male who presented with delayed CSF rhinorrhea after trauma with one episode of meningitis. On evaluation, frontal sin...

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Main Authors: Rishikesh Thakur, David Victor Kumar Irugu, Hitesh Verma
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2019-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/12998/41648_CE[Ra1]_F(KM)_PF1(AG_SHU)_PFA(OM)_PB(AG_SL)_PN(SL).pdf
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author Rishikesh Thakur
David Victor Kumar Irugu
Hitesh Verma
author_facet Rishikesh Thakur
David Victor Kumar Irugu
Hitesh Verma
author_sort Rishikesh Thakur
collection DOAJ
description Frontal sinus Cerebrospinal Fluid (CSF) leak is relatively uncommon. Surgical treatment is indicated when conservative management fails. Here we present a case report of 19-year-old male who presented with delayed CSF rhinorrhea after trauma with one episode of meningitis. On evaluation, frontal sinus posterior vault leak was seen. The repair was done by osteoplastic flap raising approach. Follow-up clinico-radiological assessment showed no evidence of leak or defect. Although endoscopic approach is used most commonly now-a-days, defect in posterior vault may not be adequately dealt especially if defect is laterally or superiorly located as seen in this case. This case is reported to highlight the indication of open approach in endoscopic era.
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spelling doaj.art-e83326b4c8654db190cbbd664f3a30602022-12-22T00:12:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-07-01137MD01MD0210.7860/JCDR/2019/41648.12998Osteoplastic Flap Approach for Posterior Table Leak: A Case ReportRishikesh Thakur0David Victor Kumar Irugu1Hitesh Verma2Senior Resident (ACAD), Department of Ear, Nose and Throat, AIIMS, Delhi, India.Assistant Professor, Department of Ear, Nose and Throat, AIIMS, Delhi, India.Assistant Professor, Department of Ear, Nose and Throat, AIIMS, Delhi, India.Frontal sinus Cerebrospinal Fluid (CSF) leak is relatively uncommon. Surgical treatment is indicated when conservative management fails. Here we present a case report of 19-year-old male who presented with delayed CSF rhinorrhea after trauma with one episode of meningitis. On evaluation, frontal sinus posterior vault leak was seen. The repair was done by osteoplastic flap raising approach. Follow-up clinico-radiological assessment showed no evidence of leak or defect. Although endoscopic approach is used most commonly now-a-days, defect in posterior vault may not be adequately dealt especially if defect is laterally or superiorly located as seen in this case. This case is reported to highlight the indication of open approach in endoscopic era.https://jcdr.net/articles/PDF/12998/41648_CE[Ra1]_F(KM)_PF1(AG_SHU)_PFA(OM)_PB(AG_SL)_PN(SL).pdfcerebrospinal fluidfrontal sinusposterior vault
spellingShingle Rishikesh Thakur
David Victor Kumar Irugu
Hitesh Verma
Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
Journal of Clinical and Diagnostic Research
cerebrospinal fluid
frontal sinus
posterior vault
title Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
title_full Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
title_fullStr Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
title_full_unstemmed Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
title_short Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
title_sort osteoplastic flap approach for posterior table leak a case report
topic cerebrospinal fluid
frontal sinus
posterior vault
url https://jcdr.net/articles/PDF/12998/41648_CE[Ra1]_F(KM)_PF1(AG_SHU)_PFA(OM)_PB(AG_SL)_PN(SL).pdf
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