Frontal sinus CSF leak: current management

Current practice in the management of frontal sinus fractures.

Fractures of the frontal sinus are seen predominantly, although not exclusively, in young men and are usually the result of road traffic accidents or falls. These types of injury may present to either ENT, Maxillofacial, Plastic or Neurosurgery teams, and understanding of a clear management protocol is desirable for each of the specialties. The optimal management of these injuries is becoming m...

A Unified Management for Spontaneous CSF Leak

Background: Spontaneous CSF leak represents less frequent cause of CSF leak, but cases are more difficult to control, with the highest failure rate and recurrence despite adequate repair. The problems in these cases might be related to an underlying undiagnosed associated intracranial hypertension. Recognition and long-term treatment of elevated ICP is therefore critical to the successful manag...

Frontal Sinus Patency after Extended Frontal Sinusotomy Type III

Introduction: The surgical management of chronic frontal sinus disorders remains a challenge for rhinologists. The aim of this study was to evaluate the result of Draf III in a series of patients who underwent this procedure.   Materials and Methods: Twenty patients were included in this study. Demographic data, history of prior surgery, asthma,  aspirin sensitivity and Lund–Mackay score were r...

A vaginal CSF leak.

A 26-year-old woman presented to her gynecologist with persistent clear vaginal fluid loss for 2 months, accompanied by symptoms of headache and vertigo. Subsequently, she developed tenesmus. Surgical exploration revealed a duplicated anus and a presacral mass draining clear fluid containing white particles. In the following hours the patient developed a fulminant meningitis. Imaging (figure) r...

Contemporary Management of Frontal Sinus Injuries and Frontal Bone Fractures