Skull base fractures with bleeding from the ears may be combined with cerebrospinal fluid ear leakage, and the vast majority of skull base fractures combined with ear leakage can be healed. The vast majority of skull base fractures are linear and very few are comminuted, and linear fractures generally heal better. When the fracture involves the rocky part of the temporal bone, blood and cerebrospinal fluid can flow out of the external auditory canal through the eardrum, creating an ear leak. Most ear leaks heal within 1 to 2 weeks of injury, and surgical repair may be considered for leaks that have not healed in more than a month. Closed skull base fractures usually require no special management. For skull base fracture combined with cerebrospinal fluid leakage, the patient should take a head-high bed rest and avoid sneezing and coughing. Meanwhile, anti-infection treatment should be given, and the specific treatment can be consulted with specialized physicians.