A Rare Complication of Septoplasty: Tension Pneumocephalus Without Rhinorrhea

作者:Guvenc Gonul; Eren Erdem*; Arslanoglu Secil; Yuceer Nurullah
来源:Journal of Craniofacial Surgery, 2014, 25(4): E360-E361.
DOI:10.1097/SCS.0000000000000804

摘要

This paper describes a tension pneumocephalus without cerebrospinal fluid leak, a rare complication of septoplasty. We present a case of tension pneumocephalus without cerebrospinal fluid leak 1 month after a septoplasty operation. Although endoscopic sinus surgery can be utilized for repair of the defect, intracranially displaced ethmoid bone fragment makes an open approach more feasible. His postoperative course was uneventful and postoperative CT scan revealed no signs of pneumocephalus. Absence of cerebrospinal fluid leak made this case unique in presentation and caused a delay in diagnosis. Severe headache after septoplasty should alert the surgeon to investigate possible intracranial complications.

  • 出版日期2014-7