THE MANAGEMENT OF MASSIVE PNEUMOCEPHALUS AND CEREBROSPINAL-FLUID RHINORRHEA AS A CONSEQUENCE OF BIOPSY IN A PATIENT WITH INVERTED PAPILLOMA

Nasal polypectomy is a common ENT operation. Cerehrospinal fluid (CSF) rhinorrhoea and pneumocephalus are rare complications. We present a p atient who developed both these complications after biopsy of nasal po lyps which subsequently proved to be;In inverted papilloma. He had a d efect in the ethmoid roof, which was repaired. Whilst endoscopic repai r of CSF leak is increasing in popularity, in this patient because of his pathology and difficulty of access a more traditional lateral rhin otomy approach was made with a successful outcome. An overview of the management of these complications is presented.