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Cerebrospinal Fluid Leak Following Nasal Packing for Epistaxis.

Abstract

Anterior epistaxis is commonly treated with Merocel nasal packing insertion. A 63-year-old male patient showed a cerebrospinal fluid rhinorrhea and pneumocephalus immediately after insertion of a Merocel tampon used for spontaneous right anterior epistaxis. He later developed fever and headache. This clinical report is to highlight how the nasal merocel should be positioned by specialized personnel and to describe how to manage this type of complication.

Authors+Show Affiliations

Ear Nose and Throat Section, ARNAS Fatebenefratelli Hospital, Palermo. Department of Adult and Development Age Human Pathology "Gaetano Barresi," Unit of Otorhinolaryngology, University of Messina, Messina, Italy.Ear Nose and Throat Section, ARNAS Fatebenefratelli Hospital, Palermo.Department of Adult and Development Age Human Pathology "Gaetano Barresi," Unit of Otorhinolaryngology, University of Messina, Messina, Italy.Department of Adult and Development Age Human Pathology "Gaetano Barresi," Unit of Otorhinolaryngology, University of Messina, Messina, Italy.Ear Nose and Throat Section, ARNAS Fatebenefratelli Hospital, Palermo.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31261322

Citation

Sireci, Federico, et al. "Cerebrospinal Fluid Leak Following Nasal Packing for Epistaxis." The Journal of Craniofacial Surgery, 2019.
Sireci F, Immordino V, Galletti F, et al. Cerebrospinal Fluid Leak Following Nasal Packing for Epistaxis. J Craniofac Surg. 2019.
Sireci, F., Immordino, V., Galletti, F., Galletti, B., & Sbacchi, C. (2019). Cerebrospinal Fluid Leak Following Nasal Packing for Epistaxis. The Journal of Craniofacial Surgery, doi:10.1097/SCS.0000000000005681.
Sireci F, et al. Cerebrospinal Fluid Leak Following Nasal Packing for Epistaxis. J Craniofac Surg. 2019 Jun 28; PubMed PMID: 31261322.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cerebrospinal Fluid Leak Following Nasal Packing for Epistaxis. AU - Sireci,Federico, AU - Immordino,Vincenzo, AU - Galletti,Francesco, AU - Galletti,Bruno, AU - Sbacchi,Claudio, Y1 - 2019/06/28/ PY - 2019/7/2/entrez PY - 2019/7/2/pubmed PY - 2019/7/2/medline JF - The Journal of craniofacial surgery JO - J Craniofac Surg N2 - Anterior epistaxis is commonly treated with Merocel nasal packing insertion. A 63-year-old male patient showed a cerebrospinal fluid rhinorrhea and pneumocephalus immediately after insertion of a Merocel tampon used for spontaneous right anterior epistaxis. He later developed fever and headache. This clinical report is to highlight how the nasal merocel should be positioned by specialized personnel and to describe how to manage this type of complication. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/31261322/Cerebrospinal_Fluid_Leak_Following_Nasal_Packing_for_Epistaxis L2 - http://dx.doi.org/10.1097/SCS.0000000000005681 DB - PRIME DP - Unbound Medicine ER -