Danger of cerebrospinal fluid leakage due to complications after sinus surgery

A cerebrospinal fluid leak is a condition that occurs when cerebrospinal fluid leaks through a hole in the dura mater or skull and flows out through the ear, back of the throat, or through the nose. The hole or tear can be caused by head trauma and brain or sinus surgery.

Doctors perform laparoscopic surgery on patients

A typical case of cerebrospinal fluid leakage through the nose was admitted to Patient Nguyen Van T, 63 years old (Phuong Khoan, Song Lo, Vinh Phuc ). The patient was brought to the Central Ear, Nose and Throat Hospital with a fever, clear nasal discharge and symptoms of meningitis.

Through medical history, the patient's family said: After sinus surgery at a medical facility, the patient had abnormal symptoms such as high fever, severe headache, infected nose and continuous runny nose. The doctor here diagnosed the patient with meningitis. After that, the family transferred the patient to the Central Ear, Nose and Throat Hospital.

According to resident doctor Nguyen Toan Thang - Emergency Department, Central Ear, Nose and Throat Hospital, who directly treated the patient, endoscopic sinus surgery is very popular nowadays due to its outstanding advantages in terms of effectiveness and safety, but risks can still occur. Possible complications include: cerebrospinal fluid leakage, perforation of the skull base, meningitis, brain damage, tearing, double vision, loss of vision, etc. Patient T had a cerebrospinal fluid leakage after sinus surgery. This is a rare case and requires immediate surgery to patch the fistula to prevent communication between the nose and

After consultation and with the family's consent, the surgical team performed endoscopic surgery to repair the patient's skull base with autologous materials and biological glue, using a three-dimensional spatial positioning surgical system - the most modern surgical system today.

Resident doctor Nguyen Toan Thang added: A cerebrospinal fluid leak that causes communication between the cerebrospinal fluid cavity and the nasal cavity is a favorable condition for bacteria to invade and cause meningitis, a serious infectious disease with a high risk of death. In addition to congenital causes, cerebrospinal fluid leaks can occur after trauma or surgery. In congenital cases, symptoms often appear spontaneously such as: runny nose, stuffy nose or meningitis. In other cases, secondary symptoms appear such as: fever, nausea, chills, runny nose, neurological symptoms such as drowsiness, behavioral and psychological changes and a history of recurrent meningitis...

Doctor Thang recommends that if you experience the above signs, especially when meningitis recurs many times, you should go to a specialized, reputable medical facility with modern equipment and a team of highly qualified doctors to find the cause and treat it promptly, avoiding unfortunate complications.

Q.FLOWER

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