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Paradoxical rhinorrhea

1. Paradoxical rhinorrhea is rhinorrhea from the naris contralateral to the site of CSF leakage which can occur with displaced fractures of the midline structures, the crista galli and vomer, or in the setting of mucocele formation obstructing the ipsilateral naris. 2. Paradoxical rhinorrhea/OTORHINORRHEA also could be seen after temporal bone fractures when the fluid leak from tearing of the temporal dura and travels down to the nasopharynx through the eustachian tube. TYMPANIC MEMBRANE MUST BE INTACT