Post-Surgery Nasal Packing and Anesthetic Spray: A Patient's Experience - Otolaryngology

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Postoperative nasal packing and anesthetic spray?


Hello Doctor,
I underwent nasal polyp removal surgery and septoplasty in the United States, which took about an hour and a half and did not require hospitalization.
After returning home, I felt very tired and slept for three days.
During this time, I experienced slight nasal congestion on the right side, while the left side had no issues at all.
I even felt like I could breathe in a large amount of oxygen through my nose (which was incredibly moving).

Three days after the surgery, during my follow-up appointment, the nurse first sprayed a local anesthetic inside my nose.
After a few minutes, the doctor removed the nasal packing.
When the packing was taken out, I saw a material that resembled transparent soft plastic, very similar to cartilage, with a spring-like front and a long, flat back.
The doctor then helped to suction out the blood clots.
During this process, I felt no pain due to the anesthetic and actually wished the doctor would take a bit longer to ensure everything was thoroughly cleaned out.

In Taiwan, I found that most information about this surgery indicates the use of absorbent packing, where patients cannot breathe through their noses for the first two days, leading to throat pain.
The removal of the packing and blood clots is reportedly very painful.
I feel very fortunate that I did not experience any of these issues and found the procedure to be relatively easy.
However, the doctor mentioned that a recovery period of six weeks is still necessary, during which I need to be cautious.
I would like to inquire whether hospitals in Taiwan can import and use these two items from the United States: the cartilage-like nasal packing and the local anesthetic spray.
There are many similar patients in Taiwan, and I believe that having such medical devices available could benefit more patients.
Even if nasal polyps recur and surgery is needed again, it would be less of a struggle.

Thank you very much for taking the time to read my question.
Wishing you all the best!

Aya, 30~39 year old female. Ask Date: 2017/04/16

Dr. Zheng Jueyi reply Otolaryngology


Hello, thank you for your sharing.
Currently, there are various surgical materials available for nasal surgeries in Taiwan.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/16

More Info


Post-surgery experiences can vary significantly between patients and across different healthcare systems. Your account of undergoing nasal polyp removal and septoplasty in the United States highlights some key aspects of postoperative care that can greatly influence patient comfort and recovery.
Firstly, the use of nasal packing and anesthetic sprays is a common practice in nasal surgeries. The nasal packing you described, which resembled a soft, cartilage-like material, is designed to support the nasal passages and control bleeding post-surgery. In many cases, this type of packing is more comfortable and less traumatic than traditional gauze packing, which can lead to significant discomfort and complications, such as difficulty breathing through the nose and throat pain. The anesthetic spray used prior to removing the packing is a valuable tool that can minimize pain and anxiety during this process, as you experienced.
In contrast, the traditional use of gauze packing in some regions, such as Taiwan, can lead to a more painful experience during removal, as patients often report significant discomfort and complications. The differences in postoperative care practices can be attributed to various factors, including the availability of advanced medical materials and techniques, as well as the training and preferences of the surgical teams.
Regarding your inquiry about the potential for Taiwanese hospitals to import and utilize similar medical devices, it is indeed possible. The introduction of advanced nasal packing materials and anesthetic sprays could greatly enhance patient comfort and outcomes. However, this would require regulatory approval from health authorities in Taiwan, as well as collaboration with medical device manufacturers. The benefits of such innovations could be substantial, particularly for patients undergoing similar procedures who may otherwise face a more challenging recovery.

The recovery period you mentioned, with a recommendation of six weeks, is standard for nasal surgeries. During this time, it is crucial to follow your surgeon's postoperative care instructions, which may include avoiding strenuous activities, managing nasal congestion, and attending follow-up appointments. These measures are essential to ensure proper healing and to minimize the risk of complications, such as infection or excessive scarring.

In terms of your overall experience, it is important to recognize that each patient's recovery journey is unique. Factors such as individual health status, the extent of the surgery, and adherence to postoperative care can all influence recovery outcomes. If you have concerns about your recovery or the materials used during your surgery, it is advisable to discuss these with your healthcare provider. They can provide personalized guidance and address any specific questions you may have.

In conclusion, your experience underscores the importance of patient comfort in surgical procedures and the potential benefits of adopting advanced medical technologies in postoperative care. By advocating for the use of effective materials and techniques, healthcare systems can improve patient outcomes and satisfaction. If you believe that similar innovations could benefit patients in Taiwan, consider discussing this with healthcare professionals and stakeholders in the medical community to explore potential avenues for change. Thank you for sharing your experience, and I wish you a smooth and speedy recovery!

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