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cf leak
A month ago I was diagnosed with a pituary tumor.  However, when I was recovering in ICU the neurosurgeon came to me and told me that I was misdiagnosed.  I did not have a tumor but defective brain tissue.  Somehow this was not revealed by the CT or MRI scan. The surgeon correct the brain tissue and inputted a lumbar drain.  After the surgery, I have had several terrible headaches, while recovering at home.  I thought I had caught a cold and went to my primary physician.  I was had a nasal drip from my right nostril and my right ear was clogged or had a full feeling with slight pain.  I was given azithromycin which did not clear up the problem.  I returned to the doctor stating how my nose was still dripping and at night my pillow would be quite damp/moist from the drainage.  Finally, they contacted the neurosurgeon for assistance and I was told to go straight to the emergency room.  They test the fluid that was leaking from my nose and told me it was cf fluid.  I was admitted to the hospital and the doctor stated that I need a shunt inserted immediately. I was told would redirect the fluid into my stomach area.  It has now been five days since the surgery and I am still leaking from my nose, and I can feel the fluid down the back of my thoat.   It has slowed up a little.  The surgeon has me signed up for a follow up visit with in two weeks.  At this time he said if I am still leaking he will need to "pack my nose".  Is there any other procedure other than going back through my nasal cavaity?
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Hi,
Frontal anterior fossa craniotomy is an alternative method for leak correction (Intracranial approach). There are few other approaches (Extra-Cranial repair) like use of an anterior osteoplastic flap through a bicoronal or eyebrow incision, external ethmoidectomy, transethmoidal sphenoidotomy, transseptal sphenoidotomy, and the transantral approach. Endoscopic techniques are also available.
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