Basal liquorrhea: an otorhinolaryngologist‘s view
https://doi.org/10.51922/2074-5044.2021.4.106
Abstract
Disruption of the integrity of the liquor space (regardless of the cause) and liquorrhea as a consequence have a high risk of pyo-inflammatory intracranial complications in the patient: the incidence of nasal liquorrhea intracranial complications reaches 25–35%. The risk at liquorrhea lasting more than 3 months increases up to 60%, and the development of intracranial complications in a patient in 78.8% of cases was observed more than once. The mortality rate from intracranial complications against the background of basal liquorrhea can be up to 50%. At the same time the incidence of basal liquorrhea, including delayed (a few months or years after injury) is increasing as well as the prevalence of injuries with damage to the skull base including iatrogenic kind is increasing too. Therefore, early diagnosis of liquorrhea is important. An otorhinolaryngologist in his practice may encounter any type of basal liquorrhea: nasal liquorrhea, otoliquorrhea and even orbital liquorrhea. These article based on a literature review and provid recommendations for the primary diagnosis of by head-neck specialists including otorhinolaryngologists.
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Review
For citations:
Radzionava V.I. Basal liquorrhea: an otorhinolaryngologist‘s view. Military Medicine. 2021;(4):106-111. (In Russ.) https://doi.org/10.51922/2074-5044.2021.4.106
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