Friday, April 19, 2024

Recovery Time For Sinus Surgery

What To Do And What To Avoid

WHAT TO EXPECT AFTER NASAL SURGERY | First Week of Post-Sinus (Septoplasty) Operation Recovery!

When you get home from the surgical facility, you should go to bed and keep your head elevated on a couple of pillows, which will reduce swelling.

You can also reduce swelling, pain and edema by placing an ice-pack on your nasal bridge and other swollen areas of your face.

During the first few days of recovery you can get out of bed to go to the bathroom, but you should not strain with bowel movements as doing so may lead to bleeding around the surgical site. If you experience constipation you can take a gentle laxative or stool softener.

Following surgery it is very important that you keep your nose free from crusts as much as possible. Your surgeon will give you instructions to follow but some of this may have to be performed by the surgeon.

Avoid blowing your nose for around one week after surgery. As your sinuses recovery their ability to drain properly, you can begin to blow out some of the mucus, but be sure to follow your surgeons instructions.

Before surgery, make sure to purchase gauze pads which will be used to absorb blood during your recovery. You will likely need to use the dressings for a few days, changing them hourly for the first 24 hours. Make sure to avoid taking nonsteroidal anti-inflammatory medications as well as aspirin and medications that contain aspirin until your surgeon tells you it is OK, because these medications can exacerbate bleeding and get in the way of clotting at the surgical site.

Common Side Effects And Best Practices For Recovery

Youll most likely have some nasal dripping or mucus that is bloody this is normal. But you will need to avoid blowing your nose for 4 to 7 days after surgery. Blowing could disrupt the delicate sinuses as they heal.

Your doctor might insert nasal packs at the site of the surgery and remove them in the days afterwards. Your doctor will ask you to schedule a few postoperative appointments. They can clear your nasal passages safely and carefully.

What Are The General Instructions And Follow

In many cases, packs or nasal packing are placed in the nose to control postoperative bleeding. The surgeon will tell the patient when to return to the office to have these packs removed. Patients may need to call the office to schedule this postoperative appointment. Please arrange for someone to drive the patient to and from the office for this first visit in case any complications develop. Patients should eat a light meal before coming and avoid taking excessive pain medications. In addition, most patients will also have several subsequent office visits scheduled to assess healing, remove crusts, and ensure a speedy recovery. These visits are very important as the surgeon may use the endoscope to clean up the sinuses and perform further debridement if necessary. This post-operative surveillance by the surgeon is very crucial in the individual’s long-term success with the surgery.

After the packing has been removed, individuals may breathe through their nose, but should not blow or sneeze through it for 7 to 10 days to reduce the chance of bleeding. If a person must sneeze, they should try to sneeze through an open mouth. Many surgeons tell patients to expect some light blood-tinged drainage from the nose for several days. If the bleeding becomes excessive, apply an ice pack and rest quietly with the head elevated while applying mild to moderate pressure to the nose. If bleeding continues, call the doctor’s office.

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Changes To Your Daily Routine

There are a few slight changes to your everyday routine and activities that you should always keep in mind when going through sinus surgery recovery.

If your nasal bones were broken, and you wear eyeglasses or sunglasses, opt for contacts for the first six weeks after surgery. Or, if reading at home, you can attach a piece of tape from the bridge of your eyeglasses to the top of your forehead, so that your frames are not touching your nose. You may look a bit silly, but keeping objects from weighing down on your nose will ensure faster healing and beautiful results!

Take a break from physical activity and exercise while the delicate nasal tissues are healing.

Also, take care not to lift heavy objects or bend over frequently. Ask a friend to help you unload groceries from your car and resist the urge to suddenly add a bit of feng shui to your bedroom. Keep strenuous activity to an absolute minimum, so you avoid bumping or hitting your nose accidentally. Look upward or horizontal when watching television or on the computer.

If you have an appointment at the hair salon, make sure to tell your stylist that you cannot use the salon hair dryer the first week following surgery. Hand-held hair dryers are permissible only.

Try also to stay away from chewy foods, and eat soft, cold or warm foods instead.

Tip: After sinus surgery, it is important to avoid physical contact sports or strenuous exercise. This means no ballet, team sports, yoga class or aerobics.

Who Can Benefit From Sinus Surgery

Dr. David Williams

Patients who might benefit from surgery include those whose:

  • Symptoms continue to come back after adherence to nonsurgical treatments.
  • Nasal polyps dont go away with medication.
  • Structural problems, such as a deviated septum, cant be resolved with nonsurgical treatment.

All patients who are considering surgery get a pre-operative CT scan. The sinuses in the front and back of the head are situated close to delicate structures such as the brain, nerves, blood vessels, and your eyes.

CT imaging helps us create a precise, effective surgical plan that avoids those structures while adequately addressing your problem areas, creating more open sinus drainage passageways, and disturbing as little unaffected tissue as possible.

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What Does The Operation Involve

The operation is usually performed under a general anaesthetic but a local anaesthetic can be used. The operation usually takes 1 to 2 hours.

Endoscopic sinus surgery is performed through your nostrils and does not result in any facial scars or change to the outside shape of your nose.

Your surgeon will use a small telescope to examine your nasal passages. They will use instruments to remove any polyps and to widen the passages from your sinuses into your nose.

Modern Sinus Surgery: Chronic Sinusitis And Nasal Polyp Relief With Less Pain Shorter Recovery

If you are experiencing a medical emergency, please call 911 or seek care at an emergency room.

Every year, hundreds of patients visit our otolaryngology providers to find relief from disruptive chronic sinusitis symptoms, such as:

  • Facial pain and pressure
  • Severe congestion
  • Snoring or sleep apnea

For approximately 90% of patients, non-invasive treatments such as nasal sprays and medication provide substantial relief. However, for the remaining 10%, these frontline treatments might not be enough and sinus surgery might be appropriate.

Thankfully, antiquated practices such as open surgery and stripping the sinus lining are no longer the standard of care.

Modern sinus surgeons know that extra sinus tissue typically is not the . Rather, the culprits often are inflammation, irritation, structural defects, or nasal polyps. These are grapelike growths that dangle inside the sinuses, obstructing normal air and mucus flow.

When surgery is the best choice, innovations in imaging technology and surgical techniques help MedStar Health sinus surgeons provide precise procedures. With proper maintenance, minimally invasive sinus surgery can provide lasting results with less pain, scarring, and downtime for recovery.

Approximately 10% of people with chronic sinus issues may benefit from sinus surgery. Find out whos eligible and how todays procedures reduce pain, complications, and recovery time:

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Sinus Surgery Recovery Time

The recovery time is usually about three to five days. The patient should not indulge in any activity which causes the heart rate or blood pressure to increase such as running and weight lifting. The surgeon will list the activities which should be avoided and also the time by when they can be resumed. Patients should take lots of rest and restrict physical activity.

When to Call Your Doctor After Surgery

During the time of recovery, you should inform the doctor in case of the following:

  • You have a fever of 101 °F or higher
  • There is continuous clear and watery discharge during the first week after surgery
  • There are sudden changes in your vision or swelling in your eyes
  • Stiffness in your neck or severe headache, increased swelling accompanied by redness
  • If the pain does not reduce by medicine or if medicine causes nausea

Sinus Surgery Recovery Week 2 Instructions & Tips

Doctors LIE! Post-Op Recovery…*10 Days After Sinus Surgery*

Week two of your post-op recovery is not much different from the first week, although you will notice that your swelling has been drastically reduced and that you are feeling less and less congested as the days go by.

If you notice increased bleeding from the nose, spray oxymetazoline into the nostrils and pinch them together.

Tip: If you experience any problems as your healing progresses after surgery with our office, or have any questions or concerns, feel free to call us at 980-2600 and someone will assist you immediately.

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What Happens During The Sinus Surgery Procedure

In the operating room, the anesthesiologist will usually use a mixture of gas and an intravenous medication to put the patient to sleep and to maintain anesthesia at a safe and comfortable level. During the procedure, the patient will be continuously monitored. The surgical team is prepared for any emergency.

In addition to the surgeon and the anesthesiologist, there will be a nurse and a surgical technician in the room. The whole procedure usually takes several hours. The surgeon will come to the waiting room to talk with any family or friends once the patient is safely in the recovery room.

Is Sinus Surgery Worth It

Persistent sinus pain and stuffiness arent life-threatening medical conditions but they can affect your quality of life. Minimally invasive sinus surgery such as FESS and balloon sinuplasty often cures sinus issues. Talk to a healthcare provider if youre weighing the risk and benefits of sinus surgery. Theyll review your medical history, your current sinus situation and your medical history before making a recommendation.

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What Is Endoscopic Sinus Surgery

Endoscopic sinus surgery is a procedure to remove blockages in the sinuses. Doctors may also refer to it as functional endoscopic sinus surgery.

During this procedure, your doctor will use an endoscope, a thin camera rod with a light at the end, to better see the sinuses.

Theyll also typically insert special surgical equipment through the nostrils during the procedure. This allows for the opening of your natural drainage pathways, removing any blockage.

Doctors may use endoscopic sinus surgery to address:

Goals of endoscopic sinus surgery can include:

  • reducing the frequency and intensity of sinus infections
  • increasing the amount of airflow through the nose
  • improving the sense of smell
  • delivering medication and nasal rinses to the sinus cavities

Doctors generally recommend functional endoscopic sinus surgery when there are significant physical problems to address. In cases where a doctor is just hoping to facilitate drainage, they may do a balloon sinuplasty to enlarge a blocked sinus passage.

Doctors may suggest a balloon sinuplasty because they can typically perform it in their office, while functional endoscopic sinus surgery is generally an outpatient surgery. The recovery time for a balloon sinuplasty is also usually shorter.

Not all doctors recommend balloon sinuplasty, though, because they may not believe its an adequate surgical option. Its also not appropriate when the doctor needs to remove tissue.

What Happens After Sinus Surgery

Sinus Lift Procedure

If you received general anesthesia, youll rest in a recovery room while your anesthesia wears off. If you had local anesthesia, youll be able to go home right away. Before you leave, your provider will give you information about taking care of yourself as you recover. Your provider may prescribe pain medication to help with the mild or moderate pain you may have for a week or so after your surgery. They may also prescribe antibiotics to help prevent infection.

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Purpose Of Sinus Surgery

The sinuses are an interconnected network of hollow cavities in the skull that are situated in the cheeks , between the eyes , between the eyebrows , and in the forehead .

Sinus surgery is typically indicated when conservative treatment optionsincluding lifestyle changes like smoking cessation and the appropriate treatment of allergies have been exhausted.

Among the common indications for sinus surgery are:

  • Refractory chronic sinusitis

Sinus surgery can also be used to biopsy masses for evaluation in the lab or for certain procedures involving the eye socket, including optic nerve decompression, orbital decompression, and dacryocystorhinostomy .

What Is Sinus Surgery

Healthcare providers use this surgery to treat chronic sinusitis, remove polyps from your sinuses and treat other conditions. Most people have sinus surgery because they have severe sinus problems that medication hasnt helped. Sinus surgery may involve removing infected sinus tissue, bone or polyps. There are several types of sinus surgeries designed to be less invasive so you can recover quickly.

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What Natural Home Remedies Should You Use After Sinus Surgery

It is important for all patients with chronic sinus disease to understand that they have a chronic illness. Successful sinus surgery will only help control the complications and discomfort of chronic sinus disease. The following three areas of prevention should always be remembered:

  • Maximize moisture. Patients should always remember to maximize moisture in their noses. Keeping sinuses moist makes mucus thinner, allowing the sinuses to drain better. This drainage in turn helps prevent infection. Use a humidifier, drink plenty of water, avoid drying substances such as alcohol and caffeine, try to avoid smoke, which dries out sinus linings, and uses plenty of saline irrigation.
  • Avoid allergy particles . People may want to wear a mask when they clean or are exposed to dust. Sit in the non-smoking sections of restaurants. Avoid exposure to pollens during peak season and keep an air-conditioner on during allergy season.
  • Prevent colds. Avoid exposure to colds and flu whenever possible obtain a yearly flu vaccination.
  • Nasal Irrigation After Sinus Surgery

    What is the recovery time post Functional Endoscopic Sinus Surgery? – Dr. Gaurav Medikeri S

    Nasal irrigation after sinus surgery is important to prevent infection and remove mucus and debris in the sinuses. Your doctor may prescribe medications to use in the nasal irrigation system.

    There are several types of systems such as bulbs, neti pots, squeeze bottles and syringes. To irrigate the sinuses using one of these systems, typically about 8 ounces of a salt and water solution is rinsed through the nose repeatedly to flush out debris. As you irrigate your sinuses, lean forward to allow the solution to drain out of your nose and mouth. Continue nasal irrigation as recommended by your care team.

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    What Happens During These Surgeries

    Healthcare providers do functional endoscopic sinus surgery and balloon sinuplasty by inserting surgical tools into your nose. Caldwell Luc surgery involves going through your mouth to reach a sinus cavity and open a passage between that sinus and your nose.

    Functional endoscopic sinus surgery

    FESS is the standard procedure to treat serious sinus conditions. Heres an overview of the process:

    • Your healthcare provider puts decongestant medication in your nose.
    • They do a follow-up nasal endoscopy.
    • They inject a numbing solution into your nose.
    • Using the endoscope, they gently enter your nose. They insert surgical tools alongside the endoscope to use the endoscope to remove bone, diseased tissue or polyps that may be blocking your sinuses.
    • They may also use a small rotating burr to scrape out tissue.
    • Finally, your healthcare provider may pack your nose with material to absorb any blood or discharge.

    Balloon sinuplasty

    This is an alternative to FESS. Heres information about this process:

    • Your healthcare provider will inject local anesthetic into the tissue lining your nose.
    • Theyll insert a catheter into your nose, using an endoscope to guide the catheter.
    • Then, theyll use the catheter to place a small balloon in your sinuses.
    • Theyll slowly inflate the balloon to unblock your sinuses.
    • Theyll remove the balloon.

    Caldwell Luc surgery

    Frontline Medical Treatments Typically Work Well

    MedStar Health sinus experts blend the benefits of medicine and surgical intervention. These frontline treatments, alone or in combination, provide adequate relief for most patients:

    • Antibiotics for sinus diseases: If bacteria are to blame for your chronic sinus woes, courses of antibiotics might help relieve the bulk of your congestion and pain.
    • Medicated sinus sprays: Medicated allergy sprays such as topical corticosteroids or antihistamines are safe to use long-term. However, the medication only works on areas it can touch. If polyps or other obstructions are blocking your sinuses, you might not get the full benefit.
    • Oral or injectable medications: Steroid medications taken by mouth or injections can help reduce inflammation if other methods dont work. Prednisone, for example, can help dissolve polyps and temporarily reduce sinus irritation. Long-term steroid use is not recommended due to side effects such as weakened bones or developing cataracts.
    • Nasal saline rinses: High volume saline irrigations can bathe the sinuses, cleaning the sinuses and nasal passages out while keeping them moist, which helps to reduce inflammation. These systems also help clear particles such as pollen out of your nasal passages, reducing irritation.

    Please note: Surgery is not a cure-all. Even with even the most severe sinus problems, surgery is a complement to long-term maintenance with medical therapy.

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    What Happens Before This Procedure

    Your healthcare provider will do a pre-operation screening to be sure youre able to have the surgery. They may prescribe medications that prevent infection or swelling. Every persons situation is different, but most healthcare providers recommend the following:

    • If you smoke, please try to stop smoking at least three weeks before your surgery. Smoking can make your sinus symptoms worse. Ask your healthcare provider for advice or resources to help with this.
    • Dont take aspirin for at least seven days before your surgery. Even small amounts of aspirin can increase how much you bleed during and after your surgery.
    • If your surgery involves general anesthesia, dont eat or drink anything after midnight the day of your surgery.
    • You wont be able to drive for 24 hours after your surgery, so plan to have someone available to help you get home.
    • Your healthcare provider will administer general anesthesia just before your surgery begins.

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