泪囊鼻腔吻合术致脑积液鼻漏1例报告

本例泪囊鼻腔吻合术导致脑脊液鼻漏是鼻腔泪囊吻合术罕见的并发证,究其原因,主要是术中在做骨窗用咬kerrison骨钳咬骨时因筛骨筛板骨板薄并与硬脑膜紧密相连,过度拉扯,造成硬脑膜纤维损伤,术后两天发生脑脊液鼻漏.本例提示临床医生,泪囊鼻腔吻合术导致脑脊液鼻漏最常发生在筛窦处,有鼻、眶外伤史者在手术前应该行CT扫描,有鼻根部外伤史者应该特别了解内眦韧带上方筛板的情况,在做骨窗用咬kerrison骨钳咬骨时要挤压和轻柔的动作,而不能有不适当的拉扯.

The tear pouch nasal cavity anastomosis sends the brain to accumulate the fluid nose to leak an example to report

This example tear pouch nasal cavity anastomosis causes the cerebrospinal fluid nose to leak is the nasal cavity tear pouch anastomosis rare concurrent card, investigates its reason, because mainly is in the technique when makes the bone window with to nip the kerrison rongeur nips the bone the lamina cribrosa ossis ethmoidalis bone board thin and with the dura mater close connected, pulls excessively, creates the dura mater textile fiber damage, the technique latter two days has the eerebrospinal fluid nose to leak. This example prompt dinidan, the tear pouch nasal cavity anastomosis causes the cerebrospinal fluid nose to leak most often occurs in the sinus ethmoidalis place, has the nose,eye socket flesh wound Shi Zhe in front of the surgery should the line of CT scanning,has the nose root flesh wound history to be supposed in to understand specially canthus above the ligament the lamina cribrosa situation, when makes the bone window with to nip the kerrison rongeur nips the bone must extrude and the gentle movement, but cannot have not not suitably pulls.