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HomeAnswersOtolaryngology (E.N.T)fessI notice clear drainage from my nose after FESS. Is it due to chronic rhinitis?

What could be the reason for nose drainage after FESS?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At October 3, 2019
Reviewed AtJuly 28, 2023

Patient's Query

Hello doctor,

I had a FESS done before five months. Shortly after I noticed clear drainage from my nose. I had a pledget study done that confirm a bilateral CSF leak. Five weeks ago, I had sx to repair it, however in sx under intrathecal fluorescein, and the surgeon could not locate the leak. Nose still leaking and Beta 2 transferrin test came back negative. On Atrovent, for two days nose still drips, especially when bending over. Do I get a second opinion or assume it is caused by chronic rhinitis and start on a nasal spray that combines a steroid or antihistamine in it as my surgeon suggests? I never had any problems with a runny or drippy nose like this until after I had my sinus surgery.

Hello,

Welcome to icliniq.com.

CSF rhinorrhea is a known complication of extensive FESS (functional endoscopic sinus surgery). If a pledget had shown confirmed CSK leak, it sure needs to be investigated. Small leaks heal and recover by themselves however, if the leak persists longer, then it needs to be sealed by endoscopic surgery. In your case, any watery discharge from the nose should not be ignored. Especially if the release is more during bending, coughing, straining lifting weight etc. You may need an MRI, but I suggest meet an ENT endoscopic surgeon for further treatment. Sometimes this can get serious, so it is essential to meet your doctor.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mishra  Pransunchandra Akhileshchandra
Dr. Mishra Pransunchandra Akhileshchandra

Otolaryngology (E.N.T)

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