Case Report

Cerebrospinal fluid rhinorrhea: A single center experience

Volume: 4 Number: 3 December 25, 2021
European Journal of Rhinology and Allergy Cover
European Journal of Rhinology and Allergy
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Cerebrospinal fluid rhinorrhea: A single center experience

Abstract

The aim of this study is to examine the surgical methods and results according to the defect diameter and location, together with clinical and radiological findings in patients diagnosed with rhinorrhea in our clinic. Six patients diagnosed with rhinorrhea between March 2015 and August 2020 in the Department of Otorhinolaryngology and Head and Neck Surgery were evaluated retrospectively. Demographic features, clinical findings, imaging findings, and surgical treatment methods were analyzed. The age range is between 32 and 60 years, the mean age of the patients is 48.6. All six patients had a complaint of nasal discharge, which increased with leaning forward. Two patients had spontaneous rhinorrhea (2/6), two patients had traffic accident history accompanied by head trauma (2/6), in the history of other two patients included previous nasal surgery (2/6). The initial diagnosis of rhinorrhea was confirmed by studying b-2 transferrin in the samples collected from the nasal discharges of all patients. Brain magnetic resonance imaging and paranasal sinus computed tomography imaging were performed in all patients to identify the defect site. The defect site was in the lamina cribrosa in three patients (3/6; 7.4, 2, and 3 mm), in two patients, the defect site was in the sphenoid sinus lateral recess (2/6; 3.6 and 2.6 mm), and in one patient, the defect site was in posterosuperior wall of the sphenoid sinus (1/6; 3 mm). All patients underwent surgery with the endonasal endoscopic method. Surgical treatment is necessary to prevent life-threatening complications in patients with rhinorrhea. In suspected cases of rhinorrhea, the diagnosis of rhinorrhea is confirmed, and various surgical materials and methods are applied according to the defect location and size. As a surgical treatment method, endonasal endoscopic approaches have largely replaced transcranial approaches in recent years due to its high success rate and low morbidity profile.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Case Report

Authors

İbrahim Ömer Gürlek This is me
0000-0002-7917-8412
Türkiye

Esra Aydın Sudabatmaz This is me
0000-0003-3906-432X
Türkiye

Aycan Bölük Gülsever This is me
0000-0002-3741-1693
Türkiye

Publication Date

December 25, 2021

Submission Date

August 11, 2021

Acceptance Date

September 23, 2021

Published in Issue

Year 2021 Volume: 4 Number: 3

DOI

https://doi.org/10.5152/ejra.2021.21031

IZ

https://izlik.org/JA75FY87YM

Cite

RIS / Bibtex
APA
Gürlek, İ. Ö., Aydın Sudabatmaz, E., Gülüstan, F., Bölük Gülsever, A., Yegül, D., Sayın, İ., & Yazıcı, Z. M. (2021). Cerebrospinal fluid rhinorrhea: A single center experience. European Journal of Rhinology and Allergy, 4(3), 94-98. https://doi.org/10.5152/ejra.2021.21031
AMA
1.Gürlek İÖ, Aydın Sudabatmaz E, Gülüstan F, et al. Cerebrospinal fluid rhinorrhea: A single center experience. Eur J Rhinol Allergy. 2021;4(3):94-98. doi:10.5152/ejra.2021.21031
Chicago
Gürlek, İbrahim Ömer, Esra Aydın Sudabatmaz, Filiz Gülüstan, et al. 2021. “Cerebrospinal Fluid Rhinorrhea: A Single Center Experience”. European Journal of Rhinology and Allergy 4 (3): 94-98. https://doi.org/10.5152/ejra.2021.21031.
EndNote
Gürlek İÖ, Aydın Sudabatmaz E, Gülüstan F, Bölük Gülsever A, Yegül D, Sayın İ, Yazıcı ZM (December 1, 2021) Cerebrospinal fluid rhinorrhea: A single center experience. European Journal of Rhinology and Allergy 4 3 94–98.
IEEE
[1]İ. Ö. Gürlek et al., “Cerebrospinal fluid rhinorrhea: A single center experience”, Eur J Rhinol Allergy, vol. 4, no. 3, pp. 94–98, Dec. 2021, doi: 10.5152/ejra.2021.21031.
ISNAD
Gürlek, İbrahim Ömer - Aydın Sudabatmaz, Esra - Gülüstan, Filiz - Bölük Gülsever, Aycan - Yegül, Duygu - Sayın, İbrahim - Yazıcı, Zahide Mine. “Cerebrospinal Fluid Rhinorrhea: A Single Center Experience”. European Journal of Rhinology and Allergy 4/3 (December 1, 2021): 94-98. https://doi.org/10.5152/ejra.2021.21031.
JAMA
1.Gürlek İÖ, Aydın Sudabatmaz E, Gülüstan F, Bölük Gülsever A, Yegül D, Sayın İ, Yazıcı ZM. Cerebrospinal fluid rhinorrhea: A single center experience. Eur J Rhinol Allergy. 2021;4:94–98.
MLA
Gürlek, İbrahim Ömer, et al. “Cerebrospinal Fluid Rhinorrhea: A Single Center Experience”. European Journal of Rhinology and Allergy, vol. 4, no. 3, Dec. 2021, pp. 94-98, doi:10.5152/ejra.2021.21031.
Vancouver
1.İbrahim Ömer Gürlek, Esra Aydın Sudabatmaz, Filiz Gülüstan, Aycan Bölük Gülsever, Duygu Yegül, İbrahim Sayın, Zahide Mine Yazıcı. Cerebrospinal fluid rhinorrhea: A single center experience. Eur J Rhinol Allergy. 2021 Dec. 1;4(3):94-8. doi:10.5152/ejra.2021.21031

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