cribriform plate: (1) Cribriform fascia; fascia cribrosa [NA6]. [Medline]. 2011 Jul 26. The ethmoid fracture can produce bone fragments that penetrate the cribriform plate. If you log out, you will be required to enter your username and password the next time you visit. 18 (6):441-448. HYPOSMIA OR ANOSMIA Hyposmia or anosmia is due to olfactory nerve damage from fracture of the cribriform plate. This is a common and serious complication of nasal trauma. Fortunately, this complication is rare. Recreational Activity and Facial Trauma Among Older Adults. Vol 1: 459. Bedside glucose test strips do not accurately identify CSF rhinorrhea and are not recommended. Treatment may include reduction, stabilization through internal packing, and splinting. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly93d3cubWVkc2NhcGUuY29tL2Fuc3dlcnMvODQ4MjktMTE1OTIzL3doYXQtYXJlLXRoZS1zaWducy1hbmQtc3ltcHRvbXMtb2YtZnJhY3R1cmUtb2YtdGhlLWNyaWJyaWZvcm0tcGxhdGUtaW4tcGF0aWVudHMtd2l0aC1uYXNhbC1mcmFjdHVyZXM=. Reduction is usually deferred for 3 to 5 days after injury to allow swelling to subside but should take place within 2 weeks of the injury, before bony callus formation. Symptoms and Signs Facial trauma resulting in epistaxis may indicate a nasal fracture. Fortunately, this complication is rare. We do not control or have responsibility for the content of any third-party site. In certain cases, the Cerebrospinal fluid leak does not … There, the sclera is a thin sieve-like membrane through which pass fibres of the optic nerve. fracture of cribriform plate results in CSF rhinorrhea. [Medline]. [Medline]. Rhinology. 2018 Dec 1. Ophthal Plast Reconstr Surg. [Medline]. When evaluating the lamina papyracea, it is important to comment on remote medial orbital wall fractures, as well as the presence of Haller cells or uncinate process deviation. Frontal sinus fractures may be open or closed and displaced or nondisplaced. Samuel J Haraldson, MD  reception of most sensory input. Andrew L Sherman, MD, MS Associate Professor of Clinical Rehabilitation Medicine, Vice Chairman, Chief of Spine and Musculoskeletal Services, Program Director, SCI Fellowship and PMR Residency Programs, Department of Rehabilitation Medicine, University of Miami, Leonard A Miller School of Medicine [Medline]. Bremke M, Wiegand S, Sesterhenn AM, et al. The cribriform plate is located directly posterior to the nares and is part of the ethmoid bone. Shirani G, Kalantar Motamedi MH, Ashuri A, Eshkevari PS. Cribriform plate fracture may cause a cerebrospinal fluid (CSF) leak, with increased risk of meningitis or brain abscess. CSF rhinorrhea appears as clear drainage but may be mixed with blood, making it difficult to identify. 2013 Aug. 65:304-7. 2009 Jul-Aug. 25(4):303-5. Aesthet Surg J. A retrospective analysis of facial fracture etiologies. 1986 Feb. 19(1):73-85. JAMA Facial Plast Surg. After craniotomy the brain is retracted and the site of the defect is identified. Female boxing in Italy: 2002-2007 report. Antibiotic prophylaxis effective against staphylococci is required for the duration of nasal packing to decrease the risk of toxic shock syndrome. Swenson DM, Yard EE, Collins CL, Fields SK, Comstock RD. It is easily fractured, and can be seen is association with basilar skull fractures. 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