Perforated Cribriform Plate
This exhibit features six images highlighting a wrongful diagnosis of left ethmoid sinus disease and subsequent surgical malpractice. A pre-op CT rendition of the head shows the normal anatomy of the cribriform plate, and the left ethmoid sinuses without evidence of disease. Unnecessary endoscopic surgery was then performed to remove the ethmoid sinuses. During the procedure, the cribriform plate was punctured, leaving a defect in the floor of the cranium. An encephalocele formed as a result, herniating through the opening in the cribriform plate. Secondary surgery to eliminate the encephalocele was performed, patching the cribriform plate with graft and Gelfoam.