Post-Nasal Surgery: Yellow-Green Mucus and Sinus Issues - Otolaryngology

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Post-nasal surgery, particularly involving procedures like turbinate reduction, septoplasty, and nerve ablation, can lead to a variety of symptoms, including persistent yellow-green mucus. This symptom can be indicative of several underlying issues, including sinusitis, which is an inflammation of the sinus cavities that can occur after surgery or as a result of chronic nasal conditions.

The presence of yellow-green mucus is often associated with infection, particularly bacterial sinusitis. However, it can also occur in cases of viral infections or even allergic rhinitis. In your case, the fact that you have experienced these symptoms for several years, particularly after colds, suggests a chronic condition that may not be fully resolved by the surgical interventions you have undergone. The surgery may have alleviated some structural issues, such as nasal obstruction and facial swelling, but it does not necessarily eliminate the underlying causes of mucus production or sinus inflammation.

The yellow-green color of the mucus typically indicates the presence of white blood cells, which are part of the body’s immune response to infection. The thick, sticky nature of the mucus can also be a sign of inflammation in the nasal passages or sinuses. The fact that you are experiencing post-nasal drip and the sensation of mucus accumulation in the throat further supports the possibility of ongoing sinus issues.

Regarding your question about returning to your original surgeon, it is advisable to do so, especially if you feel that your symptoms have not improved or have worsened. Your original surgeon will have the most comprehensive understanding of your surgical history and can provide insights into whether your current symptoms are related to the surgery or if they indicate a new or ongoing issue, such as sinusitis. It is also important to bring any new symptoms or concerns to their attention, including the lump near your right ear, which could be a lymph node that has been reactive due to chronic inflammation or infection.

The lump you described, which has been present for several years and is movable and smooth, is likely a benign lymph node. However, it is essential to monitor any changes in size, tenderness, or associated symptoms, as these could warrant further evaluation. While it may not be directly related to your nasal symptoms, chronic inflammation in the nasal passages can sometimes lead to reactive lymphadenopathy in nearby areas.

In summary, your ongoing symptoms of yellow-green mucus, nasal congestion, and the presence of a lymph node should be evaluated by an ear, nose, and throat (ENT) specialist. They may recommend imaging studies, such as a CT scan of the sinuses, to assess for any signs of sinusitis or other complications. Additionally, they may suggest treatments ranging from nasal saline irrigation to antibiotics or other medications to manage inflammation and infection. It is crucial to address these symptoms promptly to prevent potential complications and improve your quality of life.