Spontaneous cerebrospinal fluid rhinorrhoea and its association with body mass index (BMI)

Authors

  • Tan Yee Wen School of Medicine, Perdana University-Royal College of Surgeons Ireland, 43400, Serdang, Selangor, Malaysia
  • Balwant Singh Gendeh Department of Otorhinolaryngology-Head Neck Surgery, The National University of Malaysia Medical Centre, 56000, Kuala Lumpur Malaysia
  • Rohana Ali O’Connell Husain Department of Otorhinolaryngology, Royal College of Surgeons in Ireland, Smurfit Building, Beaumont Hospital, Beaumont, Dublin 9, Ireland
  • Salina Husain Associate Professor, Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, JalanYaacob Latif, Bandar TunRazak, 56000 Cheras, Kuala Lumpur, Malaysia
  • Kamalan Jeevaratnam School of Medicine, Perdana University-Royal College of Surgeons Ireland, 43400, Serdang, Selangor, Malaysia And Faculty of Health and Medical Sciences, Duke of Kent Building, University of Surrey, Guildford, Surrey, GU2 7AL, United Kingdom

DOI:

https://doi.org/10.3329/bjms.v18i2.40703

Keywords:

spontaneous cerebrospinal fluid rhinorrhoea; BMI, intrathecal fluorescein; Bath plug technique; middle turbinate grafts; nasoseptal flaps.

Abstract

Objective: The purpose of this study is to review the correlation of spontaneous cerebrospinal fluid rhinorrhoea (CSFR) and Body Mass Index (BMI) and describe the demographics, the surgical techniques and outcomes.

Materials and methods: We performed a retrospective review of clinical data of twenty patients diagnosed with spontaneous CSFR and treated at the Malaysian National University Medical Centre from 1997 to 2015.

Result and Discussion: A total of 20 patients were selected in this research (19 females,1male). The mean age was 45.5 years with nineteen females and one male patient. The mean BMI was 33.1kg/m2.Majority of patients with spontaneous leaks are females in their forties. The bath plug technique, onlay of middle turbinate grafts, nasoseptal flaps and mucoperiosteal grafts techniques were used and three patients reported recurrences.

Conclusion: Spontaneous CSFR is more common in women in their 40s with BMI>25. The most common sites of leaks are the cribriform plate followed by the sphenoid sinus. Spontaneous CSFR cases are strongly related with increased BMI.

Bangladesh Journal of Medical Science Vol.18(2) 2019 p.322-328

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Published

2019-03-25

How to Cite

Wen, T. Y., Gendeh, B. S., Husain, R. A. O., Husain, S., & Jeevaratnam, K. (2019). Spontaneous cerebrospinal fluid rhinorrhoea and its association with body mass index (BMI). Bangladesh Journal of Medical Science, 18(2), 322–328. https://doi.org/10.3329/bjms.v18i2.40703

Issue

Vol. 18 No. 2 (2019)

Section

Original Articles

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