Medical Questions? Ask a Doctor Online!
Yes - although rare, a CSF leak is a possible complication after an endoscopic sinus surgery.
It is common to have some runny nose after surgery, but 12 days out is too long for you to ignore it
I would place a call to the on call surgeon. They can do a simple test on the fluid to determine if it is CSF or not
Could this go away on its own? Could this possibly be leftover from irrigation use? I realized its not 12, but 10. Ive had family tell me this is normal. I had my surgery on the 6th.
It could be from the irrigation and may resolve on its own. As you do not have fever or neck stiffness, I do not think you need to do anything urgently, but I would call the surgeon tomorrow if it is not better
The simple test you mentioned, could this be done at my ent's office or primary care doctor office and would the results be given back in a reasonable manner? I read that it could take up to a week or two to hear back.
Also what is the name of the test mentioned above?
no, the test is very simple and should be able to be done in the office and you get the results very quickly...
you can see the pattern of the fluid on a piece of filter paper (double ring sign) or just test the fluid from glucose and protein...
if these values are consistent with CSF, then you have an answer...
The test that may take longer to know is the Beta 2 transferrin, but even this test should be back within 1 day
could i possibly use gauze from left over surgery and drip onto it to see the double ring? or is there other material I could use?
no...you would need to have the special filter paper
Do you have any other questions I can answer for you?
So you feel this isnt an urgent matter? My ent said for me to see him monday if it persists. Only thing is the ER on the weekends and a trip there can cost an arm and a leg
I think Monday would be fine as long as you don't have fever or stiff neck. But if this is still doing bad tomorrow...then I would call the surgeon...perhaps he will see you in his office and save you an ER visit
Just to inform you, I did call him this morning expressing my concern. Thats when he said for me to come in monday if it persisted but i just wanted to get a 2nd opinion from a medical professional when family that had this surgery told me it is normal.
I think his recommendations are good