Get E-Book on COVID-19

Q. After my sinus surgery, I experience a thin liquid dripping from my right nostril. Is it CSF leak?

Answered by
Dr. Shyam Kalyan N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 27, 2019

Hello doctor,

I had sinus surgery about four months ago, to correct a severely deviated septum and to reduce the turbinates on both sides. I also had surgery previously on my face to reconstruct an impacted orbital bone and maxillary sinus on the left side of my face. Following the surgery, on my sinuses and septum, I had a clear thin liquid that would drip from only my right nostril when I would bend down or bend over to get something. It was a very thin liquid and I assumed it was just fluid draining from the surgery and that it was normal. Since then the draining has continued to happen when I bend over. I was never told by my ENT that a CSF leak was a potential complication that could occur with this surgery but after researching this symptom I have found out otherwise. I have a follow up scheduled with my ENT doctor but that is not for another month and a half. Is there a potential that it could be a CSF leak? Could it be still recovering from the surgery? Should I look to see if I can see someone sooner than a month and a half?

Dr. Shyam Kalyan N

Allergy Specialist Otolaryngology (E.N.T)
#

Hello,

Welcome to icliniq.com.

With a septal correction and turbinate reduction surgery the chances of causing a CSF (cerebrospinal fluid) leak as complications are remote because CSF leak occurs when you disrupt the skull base and in the surgeries you mentioned we do not touch the skull base. However, you have mentioned in one place that it is sinus surgery. Sinus surgery does have CSF leak as one of the dreaded complications. Could you pull out the exact details of your surgery and let us know? If possible can you upload the preoperative sinus CT scan films and report for us to check.

Before we panic, get the fluid collected in a clean sterile container and check for sugar and beta transferrin. These two tests will help us know whether the fluid is nasal discharge or CSF. If it is CSF indeed then you need to immediately get it corrected. CSF leak denotes there are potential leak and opening in the base of the skull and that any infection or bacteria can easily pass on the nose to the brain.


Was this answer helpful?

 | 

Related Questions:
There is pain on the palate. Do I have Eagle syndrome?
I have bloody nose and pain in nose due to injury. Is it due to fracture?
What are the treatment options for chronic sinusitis?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


When is sinus surgery indicated?

Query: Hi doctor, I snore and wake up tired daily. Sometimes, my nose is runny all day. I have attached my CT report for your reference. I just wanted to know if surgery necessary. Will it benefit me? Please explain.  Read Full »

I notice clear drainage from my nose after FESS. Is it due to chronic rhinitis?

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 ...  Read Full »

Also Read


Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.