I am a third yr nursing student. I would like to know why is it that when a patient as Base of Skull Fracture, he or she is unable to have OGT inserted? This was asked by my preceptor and I cant figure out the answer. Would it be because of the skull anatomy which includes the temporal, occipital, sphenoid and the ethmoid bone?
Dec 11, '12
by Esme12, ASN, BSN, RN Senior Moderator
Since you did not look at the article (which I suggest you do for it is very good.) I will explain.... for this mistake will kill someone!
The cribriform plate is the name given to a specific area of the human skull. It is part of the ethmoid bone, which is responsible for separating the brain from the nasal cavity. The cribriform plate attaches to a structure located on the frontal bone of the skull known as the ethmoidal notch. The roof of this structure also connects to the nasal cavities in the skull.
The cribriform plate is located directly posterior to the nares and is part of the ethmoid bone. It is very porous in nature and weaker than the surrounding portions of the ethmoid. It is easily fractured, and can be seen is association with basilar skull fractures. This is one source for rhinorrhea in patients with these fractures....the runny nose is actually CSF! (cerebral spinal fluid!)
So you insert the NGT into the brain.....an unintentional frontal lobotomy.
Last edit by Esme12 on Dec 11, '12