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ENT Trauma of Nose and Face 2608653f

CSF Rhinorrhea occurs d/t of:

A
Roof of orbit
B
Cribiform plate of ethmoidal bone
C
Frontal sinus
D
Sphenoid bone
High-Yield Explanation
Ans. is 'b' i.e. Cribriform plate of ethmoid bone Commonest area of causing CSF Rhinorrhea - cribriform plate of ethmoid bone as it is extremely thin.Other possible areas of causing CSF RhinorrheaFrontal sinus (Posterior wall)floor of the anterior cranial fossa.Difference between CSF Rhinorrhea & allergic or vasomotor rhinitisCSF contains glucose which can be demonstrated by chemical tests.CSF when collected into a test tube and allowed to stand, it remains clear in contradistinction to nasal discharge that leaves a sediment because of mucus and other proteins.Nasal discharge stiffens the handkerchief and CSF dries soft in it.Treatment:Prophylactic antibiotics & X-ray *If more than 2 wks then correct it surgically.

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