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What Causes Nasal Discharge After Surgery For Head Injury?
Question: Hi Doctor,
I meet with accident on 2013 April and had surgery for Head Injury. Also i had CSF Rhinorrhoea for left noise for nasal discharge. I didn’t have nasal discharge for one year. But after year discharge started in left noise and discharge is more than last time. I had attached my medical report for my surgery last year. Kindly let me know how what is work around to stop this discharge.
I meet with accident on 2013 April and had surgery for Head Injury. Also i had CSF Rhinorrhoea for left noise for nasal discharge. I didn’t have nasal discharge for one year. But after year discharge started in left noise and discharge is more than last time. I had attached my medical report for my surgery last year. Kindly let me know how what is work around to stop this discharge.
Brief Answer:
CT with contrast, MRI
Detailed Answer:
Hi,
I have gone through your question and understand your concerns.
As per your reports, you had successful surgery (frontal craniotomy + CSF leak closed with temporalis fascia) for a year. In my opinion, present leak could be from the same site or different site.
You need to undergo CT with contrast or MRI again to relocate the fistula (csf leak).
Depending on the site, size of fistula one can decide the treatment modality.
Do not worry, this time you do not require major surgery, can be managed by endoscopic surgery to close the fistula.
I advise you to continue antibiotics to prevent meningitis (common in csf rhinorrohea patients) kindly do the investigations.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
CT with contrast, MRI
Detailed Answer:
Hi,
I have gone through your question and understand your concerns.
As per your reports, you had successful surgery (frontal craniotomy + CSF leak closed with temporalis fascia) for a year. In my opinion, present leak could be from the same site or different site.
You need to undergo CT with contrast or MRI again to relocate the fistula (csf leak).
Depending on the site, size of fistula one can decide the treatment modality.
Do not worry, this time you do not require major surgery, can be managed by endoscopic surgery to close the fistula.
I advise you to continue antibiotics to prevent meningitis (common in csf rhinorrohea patients) kindly do the investigations.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Thank you for your answer.
I have few query regarding from your answers.
1) what could be the reason for my problem recurring after one year?
2) I am not taking any antibiotics now and it is been for more than one year I have stopped the any medications.
3) if I need surgery to fix the problem, how many days rest required after the surgey?
I have few query regarding from your answers.
1) what could be the reason for my problem recurring after one year?
2) I am not taking any antibiotics now and it is been for more than one year I have stopped the any medications.
3) if I need surgery to fix the problem, how many days rest required after the surgey?
Brief Answer:
CT with contrast and MRI
Detailed Answer:
Hi,
Thanks for considering my answer and for your follow up.
Solutions for your queries.
A.Reasons for recurrence - 1. Raised intracranial pressure happens in obese people or some times iatrogenic. 2. Fistula should be closed with bone graft supported with the muscle.
B. You need to take antibiotics, direct communication out side environment (nose to to brain) can lead to brain coverings infection leading to meningitis.
C. Around 7-10 days of post operative period.
Kindly go ahead for the investigations..
I hope my answers will help you, all the best. take care.
CT with contrast and MRI
Detailed Answer:
Hi,
Thanks for considering my answer and for your follow up.
Solutions for your queries.
A.Reasons for recurrence - 1. Raised intracranial pressure happens in obese people or some times iatrogenic. 2. Fistula should be closed with bone graft supported with the muscle.
B. You need to take antibiotics, direct communication out side environment (nose to to brain) can lead to brain coverings infection leading to meningitis.
C. Around 7-10 days of post operative period.
Kindly go ahead for the investigations..
I hope my answers will help you, all the best. take care.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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