The intervention was carried out by the executive director of the university hospital and head of the Department of Ear, Nose and Throat Diseases of the Medical University – Plovdiv, Prof. Dr. Karen Jambazov.
The patient underwent modern minimally invasive endoscopic endonasal reconstruction through the nose with a complex technique. Before that, the 36-year-old man’s problem was identified with highly specialized research – high-resolution computed tomography, magnetic resonance imaging and intraoperative diagnostics with the application of fluorescein intrathecally for detailed diagnosis of the defect, a standard for diagnostics in European countries and around the world. In the course of preoperative diagnostics, bone and dural defects with different localization were established.
The case began a year ago, when the patient was found unconscious by relatives. Examinations revealed a severe infection of the meninges of bacterial origin. After treatment at the Infectious Diseases Clinic of St. George Medical Center EAD Plovdiv, the patient was referred for additional diagnostics at the ENT Clinic.
The man was diagnosed by dr.
The cause was a severe brain injury received 8 years ago that led to a long stay in the intensive care unit and with early post-traumatic rhinoliquorrhea, which was treated conservatively. About 1 year ago, when a watery fluid started leaking from the left side of the nasal cavity, he visited an ENT specialist. He was treated with medication, but without any effect. Unfortunately, the condition remained undiagnosed until the complication occurred, the ENT clinic commented.
Thanks to Prof. Jambazov’s team and the extremely precise surgical intervention through the nose with a complex endoscopic technique, the patient is already recovering successfully.
The young man is now significantly better, and the risk of complications associated with brain infection of rhinogenic origin has been eliminated.
