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MANAGEMENT OF POST TRAUMATIC CSF FISTULAE AT DHQ HOSPITAL MIRPUR AJK

Dr. Syed Asim Altaf Andrabi, Dr Hamza Jamil, Dr Muhammad Basit

It is prospective study of 30 cases of posttraumatic CSF fistula who needed neurosurgical repair. The study was conducted in the neurosurgery and ENT Units of Dhq Hospital Mirpur (during 6 months) from Sep 2018 to Feb 2019.Twenty six (86.6%) patients were male and four (13.3%) patients were female with age range from 4 years from 45 years with mean age 25.Twenty five (83.33%) cases were of road traffic accident,4(13.3%) cases had physical assault while 1 (3.3%) patient received fire arm injury.Six (20%) had CSF otorrhoea, wherease all the rest of 24(80%) cases had rhinorrhea. All 30 cases got their routine X-ray skull and CT Scan done whereas MRI was done in 2(3.3%) cases only. 27(90%) patients grafting was carried out to repair fistula. In 3 cases Bonewax and Spongeston was used for repair defect. Surgical mortality was nill in this study. From this study it is concluded that traumatic CSF fistulae, CSF rhinorrhea is the commonest presentation. Dural graft is necessary in majority of cases for repair of CSF fistula. Percranium, temporalis fascia and fascia lata are best material for graft in our setup. Key Words: CSF fistulae, Post traumatic Complications, Repair of dural defects.

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