Advances in the management of CSF rhinorrhoea

Abstract

Cerebrospinal fluid fistulae are under-diagnosed, difficult to locate and often clinically silent. They are potentially lethal and carry a long-term cumulative risk of meningitis. They should be fully investigated and treated aggressively. Current endoscopic techniques combined with intrathecal fluorescein dye enable most defects to be located and sealed with minimal morbidity.