An inter-dicisplinary team approach offers the patient the bent chance of successful outcome. The appropriate treatment choice depends on several factors including the severally and extend of injury the aetiology
An inter-dicisplinary team approach offers the patient the bent chance of successful outcome. The appropriate treatment choice depends on several factors including the severally and extend of injury the aetiology
Intrathecal dyes combined with endoscopic techniques Historically used dyes are: methylene blue Indigo carmine Radioactive labelled markers Messerklinger combined intrathecal fluoreceins in mixed c 10 ml of CFS from a
Nuclear machine studies Indication: inactive intermittent, small/questionable CFS leak Leaks not revealed by CT cysternography. Detect presence rather than precise localization. Radio isotopes introduced in CSF by Lumbar Puncture /suboccipital
The clinical finding of CSF rhinorrhoea represents only the site of existing CSF but not the origin of the fistula. Accurate definition of the leakage site is undoubtedly the must
Beta 2 transferrin : sensitivity 100% , specification 95% Beta 2 transfer is produced by neuraminidase activity within CNS. Therefore it is only present in : CSF Perilymph Aqueous humor
Spontaneous CSF rhinorrhoea occurs in patients without antecedent cause and they are termed if no aetiology leading to it could be identified. However recent evidence has led us to realize
Abnormal communication b/w the subarachnoid space and the tympanomastoid nasal cavity. The cause of CSF rhinorrhoea was established by ommaya et al (1968) as: [table id=33 /] [table id=34 /]
This wall is of most significance to the otorhinolaryngologist because of its proximity to the para nasal sinuses. . It is composed of : The frontal process of maxilla The lacrimal
It compose of removal of entire medial wall from the level of the ethimodal vessels inferiorly and across the floor as far as the infraorbital nerve and lateral to this
Insertion of lester-Jones tube(ceramic): Jones tubes are small tubes that create a new channel for draining the tears. They create a bypass route of tear drainage when the normal tear