Saturday, April 6, 2024

Sinusitis Surgery Before And After

After Surgery And Recovery

Endoscopic Sinus Surgery: Ten Reasons to NOT have Sinus Surgery

Depending on your work, Dr. Mourad typically recommends taking a minimum of 3 days off before returning to work. He also discourages his patients from any heavy lifting. If you wear glasses, you may require some alterations if applicable. Dr. Mourad will provide you with pain medications, ointments, nasal sprays, all to help maximize your results. Dr. Mourad will then see you in visitations two weeks later, and then one month after that. Dr. Mourad enjoys the continued visitation of his patients and will see them in follow up for many years thereafter.

Recovery From Nose & Sinus Surgery

There are many different operations that are performed on the nose and sinuses, however the recovery from these procedures often follows a similar course. Procedures that this advice sheet is intended for include:

FESS an operation to widen the narrow drainage channels of the sinuses. This type of surgery is performed using a telescope that is inserted into the nose. It is usually performed to improve symptoms due to acute or chronic sinus infections

an operation to straighten the middle partition of the nose. This is usually done to improve breathing through the nose.

Reduction of turbinates this procedure involves reducing the size of the turbinates. The turbinates are natural swellings inside the nose that can contribute to a blocked nasal airway.

Balloon sinuplasty this involves inserting a deflated balloon through the narrow channels that drain the sinuses. The balloon is then gently inflated to widen the drainage channels. It is performed to improve the ventilation of the sinuses and treat sinus problems. It is sometimes performed as part of FESS.

Nasal polypectomy this is an operation to remove nasal polyps. It is often performed using telescopes in conjunction with FESS.

What To Avoid After Endoscopic Sinus Surgery:

  • Nose Blowing and Straining: You should avoid straining, heavy lifting and nose blowing for at least 10 days after surgery. Straining or nose blowing soon after surgery may cause bleeding. You can resume 50% of your regular exercise regimen at 1 week after surgery and your normal routine 2 weeks after surgery.
  • Aspirin or Non-steroidal Anti-inflammatory medications: Aspirin and NSAIDs such as Motrin, Advil, and Aleve should be stopped 2 weeks prior to surgery. Aspirin and NSAIDs such may cause bleeding and should be avoided for 2 weeks after surgery.
  • Steroid Nasal Sprays: If you were taking nasal steroid sprays prior to surgery you should avoid using these for at least 2 weeks after sinus surgery to allow the lining of the nose and sinuses to heal. Your doctor will tell you when it is safe to restart this medicine.

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Ready For Your Balloon Sinuplasty Transformationor Wondering If It Might Be Right For You

To start enjoying the benefits of a balloon sinus surgery, call the Ohio Sinus Institute for a consultation.

We offer many services, in addition to Balloon Sinuplasty, to help patients with persistent sinus problems finally achieve relief. With our experience, leading-edge technologies and dedication to personalized care, together we can help find the solution that works for you. Give us a call today!


If I Have A Headache Do I Have A Sinus Infection

Turbinate Reduction, Septoplasty (With images)

Most headaches are unrelated to the sinuses. Although, sinus infections can cause headaches. Sinusitis headaches are usually accompanied by facial congestion, fatigue, and discolored nasal discharge. There are situations where the only sign of a sinus infection can be a headache. In these situations, a sinus CAT scan may be needed to look for obstruction or inflammation of the sinuses.

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How Can You Reduce Your Chances Of Problems After Sinus Surgery

Theres no way to completely eliminate the possibility of problems after sinus surgery, but many post-operative issues can be avoided by a skilled, experienced surgeon. Dr. Cecil Yeung is a top sinus specialist with more than 20 years of experience in diagnosing and treating the underlying causes of chronic sinusitis. In fact, he pioneered the use of functional endoscopic sinus surgery in the Houston area and has been recognized by his peers, hospitals, and professional societies for his high level of innovation and skill.

He has performed more than 4,000 sinus surgeries and has an average re-do rate of less than 1% far less than the national average of 30%. In fact, Dr. Yeung has directly taught FESS techniques to many other doctors in the area.

In addition to his technical skill, Dr. Yeung provides compassionate care combined with the convenience of offering everything from your initial consultation to your surgical procedure under one roof.

If youre having sinus problems such as chronic sinusitis, make an appointment with Dr. Yeung today. Hell help diagnose the underlying cause of your issues and develop a treatment plan to help you get the relief you deserve.

What To Expect On The Day Of Surgery

On the morning of your surgery, shower thoroughly but avoid putting any lotion, moisturizer, or makeup on your face.

An hour or two before the surgery, you will need to spray your nasal spray in each nostril as per the instructions on the product label. Each dose lasts for around 12 hours.

Once you are checked-in to the hospital or surgical center and have signed the consent forms, you are led to the back to undress and change into a hospital gown.

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How To Call Your Surgeon

If it is urgent due to bleeding or difficulty breathing, call 911 or go directly to the closest emergency room without calling ahead.

If it is not urgent, please try to call the Rhinology office during clinic hours of 9 am to 5 pm, Monday-Friday. If you need to speak with someone after 5 pm or on a weekend, call the Rhinology office and the answering service will contact the doctor on-call to call you back.

What Happens Before This Procedure

Endoscopic Sinus Surgery – MAA ENT Hospitals

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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What To Do After Sinus Surgery

Its important to follow all of your doctors instructions after your sinus surgery to expedite healing and ensure a full recovery. Here are a few things we recommend:

  • Start taking pain medication immediately. Most patients can control their pain with Tylenol. Dont use blood-thinning pain medications like aspirin because these increase your risk of increased bleeding. Your doctor will prescribe other prescription medications, if needed.
  • Start using a saline rinse the day after surgery. We will provide a saline rinse that you should use at least four times a day . These irrigations will help rinse blood and mucus out of your nose and alleviate congestion.
  • Use a saline nasal spray throughout the day. This will help keep your nose moist, as moisture is vital for healing. Use 2-3 sprays in each nostril every 1-2 hours throughout the day.
  • Rest! Avoid vigorous activities and allow yourself plenty of time to recuperate.
  • Take time off of work. We recommend planning for at least 4-5 days away from work. While your bleeding should subside quickly, you may still feel fatigued for a longer period of time.
  • Elevate your head. Use extra pillows at night and sit with your head held high. This will reduce swelling and bleeding post-surgery.
  • Use an ice pack. To help with swelling and pain, you can use an ice or cold pack on your nose for 10 to 20 minutes at a time.

The After Of Balloon Sinuplasty Before & After Transformations

Like with any procedure, its natural to want to know if balloon sinuplasty has any downfalls, particularly right after the procedure. Are there complications after balloon sinuplasty? What are the common balloon sinuplasty problems?

We are happy to report that balloon sinuplasty complications are rather minimal. Should you experience discomfort after balloon sinuplasty it is typically treatable with simple OTC anti-inflammatory medication. It is also natural for there to be a very small amount of bleeding after the procedure.

However, the benefits of balloon sinuplasty far outweigh these temporary inconveniences.

After balloon sinuplasty, patients tell us they experience a reduction in sinus-related issues, including a reduction in sinus headaches, congestion, and the occurrence of frequent sinusitis. Patients also tell us that, after balloon sinuplasty, they can breathe easier than they have in years.

Now you might be wondering, How long do the effects of balloon sinuplasty last?

While the treatment is still relatively new, the majority of our patients report long-term relief from sinus problems after completing a balloon sinuplasty procedure. In other words, the positive impact of balloon sinuplasty before and after transformations can last for a long time.

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What Happens After Functional Endoscopic Sinus Surgery

Youll spend some time in a recovery room so your healthcare provider can monitor your condition. You wont be able to drive after surgery, so youll need someone to take you home and stay with you that first night. Your healthcare provider will tell you what to expect after surgery. Heres some general information:

  • Avoid blowing your nose for at least seven days. If you need to sneeze, keep your mouth open or sneeze into your sleeve or a tissue.
  • When you sneeze, you may blow out bloody discharge or mucus. This may go on for a few weeks while your sinuses heal.
  • Take a break from strenuous activity for the next 10 days.
  • Your healthcare provider may recommend you rinse your nose and sinuses with saline.

Restrictions During Postoperative Recovery Period

Turbinate Reduction, Septoplasty

For the first week following surgery you should not blow your nose. In addition, you should not bend, strain, or lift more than 20 lbs. during the first week. Light walking and regular household activities are acceptable anytime after surgery. You may resume exercise at 50% intensity after one week and at full intensity after two weeks. You should plan on taking one week off from work and ideally have a half-day planned for your first day back.

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Balloon Sinuplasty: What Is It

Balloon Sinuplasty is a minimally invasive office procedure. It involves inserting a small balloon through the nose and into the infected sinus. Once in place, the tiny balloon is inflated and gently opens the blockage. It is designed to physically open the sinus cavity and clean out any infection.

The procedure is intended to gently and precisely restructure the anatomy of your sinuses, widen the airways, and overcome inflammation, so you can finally address sinusitis in a lasting manner. This also eases symptoms of sinusitis without requiring patients to undergo traditional, more invasive sinus surgery.

Patients And Study Design

The patient population of this 12-year prospective cohort study covers 47 patients, 18 years or older, with CRSwNP diagnosed based on history, clinical examination, nasal endoscopy and CT scan, following the current EPOS guidelines . All patients underwent extended ESS for nasal polyposis at the department of Otorhinolaryngology of the Ghent University, Belgium, between 1998 and 2000. The description of the surgical technique can be found in this articles Additional file .

Before surgery, all patients underwent skin prick testing for common aero-allergens to diagnose allergic sensitization . The presence of asthma was investigated by a lung physician and the diagnosis of aspirin intolerance was primarily based on the clinical picture, namely the presence of asthma, nausea, erythema or other complaints shortly after ingestion of aspirin or NSAIDs. The exclusion criteria were pregnancy, cystic fibrosis, primary ciliary dysfunction, Kartagener syndrome, parasitic infection, and fungal infections.

In the scope of this study, three visits at the ENT-department were organized: pre-operatively, approximately 6 and 12 years after initial surgery.

The ethics committee of Ghent University Hospital approved the study and all patients provided written informed consent before participation in the study.

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Medication Use Is An Important Cornerstone Of Treatment

The use of medication did not significantly differ between the 3 moments of contact, although asthma medication use tended to be higher during follow-up . In 2006 64.0% of patients and in 2012 52.6% of patients used intranasal corticosteroids as an ongoing treatment, compared to 57.9% pre-operatively. Additionally, 5 patients received during the 12-year follow-up period monoclonal antibodies in double blind randomized controlled trials . Four of these patients demonstrated a clinical response to the treatment, and four patients required surgery after termination of treatment. The KaplanMeier curves were generated for revision surgery and revision surgery plus biologics but did not show any difference.

Purpose Of Sinus Surgery

Sinus Surgery | Nici’s Story

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 .

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When Should You Call For Help

anytime you think you may need emergency care. For example, call if:

  • You passed out .
  • You have severe trouble breathing.

or seek immediate medical care if:

  • You have changes in your vision or lots of sudden swelling around your eyes.
  • You have constant clear, watery discharge from your nose.
  • You bleed through the bandage more quickly than what you’ve been told is normal.
  • You have a new or worse fever.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You have pain that does not get better after you take pain medicine.
  • You do not get better as expected.

Preparation For Sinus Surgery

You will meet with Dr. Mourad where he usually spends an hour going over everything related to your surgery. He will evaluate and make sure that he can specifically tailor a custom care plan to your exact needs. During the consultation, Dr. Mourad will determine the exact nature of your complaints and the exact causes. He may prescribe medications that will assist in your complaints. Once a tailored plan is made, Dr. Mourad and his staff will take you through all the necessary information needed to make sure that your surgery happens without issue. We take care of the details so that you can have the most enjoyable experience.

Dr. Mourad views treating his patients to be nothing short of a privilege and an honor and enjoys taking the time to get to know his patients and fully understand their issues. Dr. Mourads office provides a boutique experience that takes you out of the mindset of being at the doctors office. It is a warm, comfortable environment, providing a bespoke experience.

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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

When Would I Need Functional Endoscopic Sinus Surgery

Turbinate Reduction, Septoplasty

Your healthcare provider may recommend FESS if you have chronic sinus inflammation or a chronic sinus infection that doesnt improve with medical treatments, such as antibiotics and medications to manage allergies.

You develop sinusitis when the tissue that lines your sinuses begins to swell, trapping mucus that typically flows through your sinuses and out through your nose. The trapped fluid can grow bacteria that can cause infections. Healthcare providers may also recommend surgery if you have nasal polyps.

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On The Road To Sinus Relief

Recovery from sinus surgery depends on your health and which procedure you have, but most people need to be away from work or school for several days. And you may need several weeks to heal completely. Be sure to talk to your doctor, so you understand how best to care for yourself after surgery. The good news is that youre officially on the road to lasting sinus relief.

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