Is Post-Surgery Nasal Discharge Normal After Septoplasty? - Otolaryngology

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Deviated septum and resection of the superior turbinate?


As mentioned, I had surgery before the Lunar New Year.
The attending physician indicated that the wound on the right side is larger, and now the right side of my nose has been slightly runny for a while.
Is this considered normal, or should I schedule a follow-up appointment?

Yang, 20~29 year old female. Ask Date: 2016/04/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: Nasal discharge is more likely related to a cold and is generally not significantly associated with surgery.
If the symptoms do not improve, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/13

More Info


Post-surgery nasal discharge can be a common occurrence following a septoplasty, especially in the initial weeks after the procedure. Septoplasty is a surgical procedure aimed at correcting a deviated septum, which can improve airflow and alleviate symptoms associated with nasal obstruction. It is important to understand that the healing process can vary from person to person, and some degree of nasal discharge can be expected as part of the recovery.

In your case, since you mentioned that the discharge is primarily from the right side where the incision was larger, this could be a normal part of the healing process. After surgery, the nasal tissues can become inflamed and produce mucus as they heal. This mucus may contain blood or appear discolored, especially in the early stages post-operation. It is also not uncommon for patients to experience some degree of crusting or scabbing inside the nasal passages as the tissues heal.

However, it is crucial to monitor the characteristics of the discharge. If the nasal discharge is clear and gradually decreasing, it is likely a normal part of recovery. On the other hand, if you notice any of the following symptoms, it would be advisable to seek a follow-up appointment with your surgeon:
1. Increased Discharge: If the amount of discharge increases significantly or becomes thick and purulent (yellow or green), this could indicate an infection.

2. Foul Odor: A foul smell accompanying the discharge may suggest an infection or necrosis of tissue.

3. Severe Pain or Discomfort: While some discomfort is expected post-surgery, severe pain that does not improve with over-the-counter pain relief may warrant further evaluation.

4. Fever: A fever could indicate an infection and should be addressed promptly.

5. Changes in Breathing: If you experience significant difficulty breathing through your nose, this could indicate swelling or blockage that may need medical attention.

In general, it is advisable to maintain open communication with your healthcare provider. If you have any concerns about your recovery, including the nature of your nasal discharge, it is always better to err on the side of caution and consult your surgeon. They can provide a thorough examination and determine if any further intervention is necessary.

In addition to monitoring your symptoms, there are some self-care measures you can take to promote healing and comfort:
- Saline Nasal Sprays: Using saline sprays can help keep the nasal passages moist and may assist in clearing out any crusting or discharge.

- Avoiding Irritants: Stay away from smoke, strong odors, and allergens that could irritate your nasal passages.

- Gentle Nasal Hygiene: If you need to blow your nose, do so gently to avoid putting pressure on the healing tissues.

- Follow-Up Appointments: Attend all scheduled follow-up appointments to ensure your recovery is on track.

In conclusion, while some nasal discharge after septoplasty can be normal, it is essential to monitor your symptoms closely. If you have any doubts or if your symptoms change, do not hesitate to reach out to your healthcare provider for guidance. Your health and comfort during the recovery process are paramount, and your surgeon is the best resource for addressing any concerns you may have.

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