ENT Videos & books
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Intrathecal fluorescein with endoscopic
visualization is useful in diagnosis of?
Anonymous Quiz
8%
A.Deviated nasal septum
32%
B.Multiple ethmoidal polyps
16%
C.Rhinitis Medicamentosa
43%
D.CSF Rhinorrhoea
4
ENT Videos & books
Intrathecal fluorescein with endoscopic
visualization is useful in diagnosis of?
Correct Answer - D
Ans. is 'd' i.e., CSF Rhinorrhoea [ Ref: Logan Turner 10(
h
/e p.
28, Dhingra 5
th
/e p. 179]
Detection of site of CSF leak in CSF Rhinorrhoea
1. HRCT : - HRCT with or without godolinium is the most helpful study
for identifying the site of leak, i.e., investigation of choice.
2. MRI : - MRI with heavy T2 weighted image may highlight CSF
sufficiently to show the leak.
3. CT cisternography : - CT scan after injection of contrast dye is
effective in patients with an active leak.
4. Radioisotope cisternography : - Radioisotope injected intrathecally
and measured.
5. Fluorescin dye : - Intrathecal fluorescin with endoscopic
visualization.
5
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6
ENT Videos & books
The artery which leads to bleeding in
Woodruff's area is?
Correct Answer - B
Ans. is 'b' i.e., Sphenopalatine artery [Ref Scott Brown 7
h
/e Vol-
2p. 1597; Dhingra 5
th
/e p. 190]
Woodruff's area : ?
It is situated under the posterior end of inferior turbinate.
Sphenopalatine artery anastomoses with posterior pharyngeal artery
here. Posterior epistaxis occurs in this area.
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