Cerebrospinal fluid rhinorrhoea after nasal packing for epistaxis: case report

J Laryngol Otol. 2012 Apr;126(4):421-3. doi: 10.1017/S0022215112000187. Epub 2012 Feb 24.


Objective: We report a case of traumatic cerebrospinal fluid rhinorrhoea following nasal packing with a Rapid Rhino inflatable balloon pack, as treatment for epistaxis.

Method: Case report and review of the literature regarding this complication.

Results: A thorough literature search was performed using PubMed. To our best knowledge, there have been no previous reports of cerebrospinal fluid rhinorrhoea following nasal packing. In our case, cerebrospinal fluid leakage occurred due to fracture of the middle turbinate at its superior skull base insertion. The cerebrospinal fluid leak resolved spontaneously without the need for surgical intervention.

Conclusion: This case report highlights not only the need for an appreciation of sinonasal anatomy and the potential risks associated with nasal packing, but also the need for adequate training in the use of commercially available nasal packs by medical practitioners attending patients with epistaxis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Air Pressure
  • Cerebrospinal Fluid Rhinorrhea / diagnostic imaging
  • Cerebrospinal Fluid Rhinorrhea / etiology*
  • Clinical Competence
  • Epistaxis / therapy*
  • Female
  • Hemostatic Techniques / adverse effects*
  • Humans
  • Middle Aged
  • Pain / etiology
  • Radiography
  • Skull Fractures / etiology*
  • Tampons, Surgical / adverse effects*
  • Turbinates / injuries*