Hi and thanks for the query, Susan.
CSF (Cerebrospinal fluid) aka brain fluid leakage can occur after a nasal reconstruction especially one which followed cancer extirpation. This is not a grave complication however, needs to be fixed as CSF leakage can cause headaches and vertigo and neurological symptoms. It depends on the amount of fluid leaking from the cribriform plate area.
This complication occurs when the cribriform plate (a thin bone wall that divides the nose from the frontal area of the brain) gets damaged during surgery.
Small holes in the wall can seal themselves over a course of 3 to 6 months. However, larger holes or more persistent leakage causes the hole to become permanent.
The solution is surgical. The galeal (fascia in the scalp) flap can be used to plug in the hole and that fixes the problem. The surgery is not a very long one but is done by a Neurosurgeon or a Plastic surgeon under general anesthesia. About 2 days post operative sat y is required in the hospital. A Lumbar puncture is often done at the time of surgery or after it to relieve any extra pressure of the CSF in the brain so that there is no pressure on the patch of fascia used to plug the hole.
However, before all this is done, a visit to the Neurosurgeon is warranted. The clear fluid leaking from the nose needs to be sent for an analysis.
This analysis will confirm if this is CSF or sinus drainage. The next step is to get a CT scan of the brain done to identify the hole and the size.
Surgery follows all this.
Hope this helps.
Please do leave a positive rating for the service by clicking on the stars on top of the screen.
Even after you have rated the answer I will be happy to assist with any follow up queries you have.