Which of the following is the most common site of traumatic CSF Rhinorrhea
Correct Answer: Sphenoid sinus
Description: CSF from anterior cranial fossa reaches the nose (i) cribriform plate, (ii) roof of ethmoid air cells or (iii) frontal sinus. CSF from middle cranial fossa follows injuries to sphenoid sinus. In fractures of temporal bone, CSF reaches the middle ear and then escapes through the eustachian tube into the nose (CSF otorhinorrhoea)Anterior skull base leaks are more common than middle or posterior leaks, due to the firm adherence of the dura to the anterior basilar skull. The most common sites of CSF rhinorrhea following accidental trauma are the sphenoid sinus (30%), frontal sinus (30%), and ethmoid/cribriform (23%) (*Please note how close the percentages are, so can vary author to author)Dhingra 6e pg: 163
Category:
ENT
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