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REPAIR OF DEFECTS IN ETHMOID AND FRONTAL SINUSES RESULTING IN CEREBROSPINAL RHINORRHEA

REPAIR OF DEFECTS IN ETHMOID AND FRONTAL SINUSES RESULTING IN CEREBROSPINAL RHINORRHEA Abstract THE PURPOSE of this contribution is to call attention to the etiologic factors responsible for the spontaneous development of cerebrospinal rhinorrhea and the methods employed in closing defects in the cribriform plate of the ethmoid bone which were congenital in origin or the result of bullet wounds and to review the results of our surgical experiences in treating cerebrospinal rhinorrhea. CAUSATION Cerebrospinal rhinorrhea may result from a number of causes, the most common of which is skull fracture that extends through the posterior wall of the frontal sinus (fig. 1) or the cribriform plate of the ethmoid bone, with accompanying tears of the dura and arachnoid.1 The first evidence of rhinorrhea associated with fracture of the skull is the occurrence of a watery, bloody discharge from the nose. In most instances, in our experience, the lesions heal, with spontaneous remission of the rhinorrhea. Persistent rhinorrhea or its delayed occurrence References 1. Brody, B. S.: J. Mt. Sinai Hosp. 5:444, 1938. 2. Gupta, N.: Indian M. Gaz. 71:264, 1936. 3. Fox, N.: Cure in Case of Cerebrospinal Rhinorrhea , Arch. Otolaryng. 17:85 ( (Jan.) ) 1933.Crossref 4. Friedberg, S. A., and Galloway, T. C.: Ann. Otol., Rhin. & Laryng. 47:792, 1938. 5. Teachenor, F. R.: Intracranial Complications of Fracture of Skull Involving Frontal Sinus , J. A. M. A. 88:987 ( (March 26) ) 1927. 6. Dandy, W. E.: Pneumocephalus , Arch. Surg. 12:949 ( (May) ) 1926. 7. Cairns, H.: J. Laryng. & Otol. 52:589, 1937. 8. Munro, D.: New England J. Med. 213:893, 1935. 9. Coleman, C. C.: Fracture of Skull Involving Paranasal Sinuses and Mastoids , J. A. M. A. 109:1613 ( (Nov. 13) ) 1937. 10. Adson, A. W.: Proc. Staff Meet., Mayo Clin. 16:385, 1941. 11. Ann. Surg. 114:697, 1941. 12. Peet, M. M.: New York State J. Med. 28:555, 1928 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

REPAIR OF DEFECTS IN ETHMOID AND FRONTAL SINUSES RESULTING IN CEREBROSPINAL RHINORRHEA

ADSON, ALFRED W.; UIHLEIN, ALFRED
Archives of Surgery , Volume 58 (5) – May 1, 1949
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1949.01240030633006
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PURPOSE of this contribution is to call attention to the etiologic factors responsible for the spontaneous development of cerebrospinal rhinorrhea and the methods employed in closing defects in the cribriform plate of the ethmoid bone which were congenital in origin or the result of bullet wounds and to review the results of our surgical experiences in treating cerebrospinal rhinorrhea. CAUSATION Cerebrospinal rhinorrhea may result from a number of causes, the most common of which is skull fracture that extends through the posterior wall of the frontal sinus (fig. 1) or the cribriform plate of the ethmoid bone, with accompanying tears of the dura and arachnoid.1 The first evidence of rhinorrhea associated with fracture of the skull is the occurrence of a watery, bloody discharge from the nose. In most instances, in our experience, the lesions heal, with spontaneous remission of the rhinorrhea. Persistent rhinorrhea or its delayed occurrence References 1. Brody, B. S.: J. Mt. Sinai Hosp. 5:444, 1938. 2. Gupta, N.: Indian M. Gaz. 71:264, 1936. 3. Fox, N.: Cure in Case of Cerebrospinal Rhinorrhea , Arch. Otolaryng. 17:85 ( (Jan.) ) 1933.Crossref 4. Friedberg, S. A., and Galloway, T. C.: Ann. Otol., Rhin. & Laryng. 47:792, 1938. 5. Teachenor, F. R.: Intracranial Complications of Fracture of Skull Involving Frontal Sinus , J. A. M. A. 88:987 ( (March 26) ) 1927. 6. Dandy, W. E.: Pneumocephalus , Arch. Surg. 12:949 ( (May) ) 1926. 7. Cairns, H.: J. Laryng. & Otol. 52:589, 1937. 8. Munro, D.: New England J. Med. 213:893, 1935. 9. Coleman, C. C.: Fracture of Skull Involving Paranasal Sinuses and Mastoids , J. A. M. A. 109:1613 ( (Nov. 13) ) 1937. 10. Adson, A. W.: Proc. Staff Meet., Mayo Clin. 16:385, 1941. 11. Ann. Surg. 114:697, 1941. 12. Peet, M. M.: New York State J. Med. 28:555, 1928

Journal

Archives of Surgery – American Medical Association

Published: May 1, 1949

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