Packing and Aftercare

Whatever graft is used, it is normally supported by fat or oxidized cellulose; some surgeons use an antiseptic pack to support this. An overnight stay in hospital is a c

Sinus Scan Diagram

Fig. 15.19 a Line diagram of fascia underlay/overlay covered by a free mucosal graft. b Defect in the roof of the right ethmoid sinuses. c CT scan of the defect in the roof of the right ethmoid sinuses with pneumocephalus. d Postoperative appearance after repair of the CSF leak at 2 years.

Fig. 15.19 a Line diagram of fascia underlay/overlay covered by a free mucosal graft. b Defect in the roof of the right ethmoid sinuses. c CT scan of the defect in the roof of the right ethmoid sinuses with pneumocephalus. d Postoperative appearance after repair of the CSF leak at 2 years.

required following the procedure and the only morbidity experienced by the patient is if a nasal pack is left in situ. A broad-spectrum antibiotic such as co-amoxiclav is given for 10 days postoperatively. We do not routinely use lumbar drains following transnasal endoscopic repair of CSF leaks. The patients are advised to avoid straining, to sneeze with their mouth open, and not to stifle sneezes, so as to avoid any abrupt increases in intranasal pressure, for one month following repair. £Jyr» 15

Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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