The Management of Post-Traumatic Rhinorrhea: Experience at CHU Ibn Rochd Casablanca (2018–2022)

In this study conducted at the Ibn Rochd University Hospital in Casablanca, the management of post-traumatic rhinorrhea was evaluated over five years. The results showed that this condition was relatively rare, affecting around 7.73% of patients with craniofacial trauma. Patients were predominantly young men, and road traffic accidents were the leading cause of trauma. Rhinorrhea characteristics included anterior localization, bilaterality in over half of cases, and immediate onset in most situations. Patients were generally hemodynamically stable and hospitalized for less than a week. Treatments included medical approaches such as acetazolamide (DIAMOX) administration, antibiotic prophylaxis, and surgical interventions to close the osteomeningeal breach in some patients. Overall results were favorable, with a positive evolution observed in 64.28% of patients. Only one case of meningitis was reported. This study highlights the effectiveness of a multidisciplinary approach to the management of post-traumatic rhinorrhea, underlining the importance of early assessment and appropriate management. Further research is needed to deepen understanding of this condition and improve long-term outcomes for patients.