How Soon After Sinus Surgery Can You Fly Safely? - Otolaryngology

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How long after bilateral sinus surgery can one fly?


Hello,
I underwent bilateral endoscopic sinus surgery on August 1, and the pathology report indicated that I have fungal sinusitis.
I have been discharged and am currently taking the antifungal medication Icomein (100mg).
The surgery involved the use of absorbable hemostatic gauze.
I have two questions:
1.
My attending physician mentioned that my weakened immune system contributed to this condition.
However, could it be possible that my time abroad without appropriate medical treatment led to the progression from occasional blood-tinged mucus to persistent thick yellow nasal discharge with significant blood?
2.
Can I take a long-haul flight back to my work abroad in just over three weeks? Is there a risk of vascular rupture and significant blood loss during the flight that could pose a life-threatening situation?
Thank you for taking the time to respond.

Best regards,
Da San

Da San, 30~39 year old female. Ask Date: 2018/08/09

Dr. Li Jiaxuan reply Otolaryngology


1.
Fungi thrive in humid and warm environments, but generally, healthy adults should be able to resist them.
Your suspicion is plausible.
2.
I recommend that you return to your original surgeon's clinic for an evaluation.
They can assess the extent of your sinus surgery, the degree of wound healing, whether there are any prominent blood vessels, and the implications of flying on short or long-haul flights, as these factors may lead to different conclusions.
Wishing you safety and good health.

Reply Date: 2018/08/09

More Info


After undergoing sinus surgery, particularly for a condition like fungal sinusitis, it's essential to consider several factors before flying. Generally, the timeline for flying after sinus surgery can vary based on individual recovery, the extent of the surgery, and any underlying health conditions.
In your case, since you had bilateral sinus surgery on August 1st and are currently on antifungal medication, it is crucial to assess your recovery progress. Typically, most patients are advised to wait at least 2 to 4 weeks post-surgery before flying. This waiting period allows for adequate healing of the nasal passages and sinuses, reducing the risk of complications such as barotrauma, which can occur due to changes in cabin pressure during flights.
Regarding your specific concerns:
1. Underlying Health Conditions: Your doctor mentioned that your weakened immune system contributed to your condition. It’s important to ensure that your immune system is functioning well before traveling. If you have any ongoing symptoms, such as significant nasal congestion, persistent bleeding, or any signs of infection, it would be wise to consult your healthcare provider before making travel plans.
2. Risk of Complications During Flight: The concern about blood vessels rupturing and causing significant bleeding during a flight is valid, especially after sinus surgery. However, this risk is generally low if you are healing properly. The use of absorbable hemostatic materials during your surgery should aid in minimizing bleeding. Nonetheless, if you experience any unusual symptoms, such as severe headaches, excessive bleeding, or changes in vision, you should seek medical attention immediately.

In summary, if you are feeling well and have no significant symptoms, flying three weeks post-surgery may be feasible. However, it is crucial to have a follow-up appointment with your surgeon or ENT specialist to evaluate your recovery and get personalized advice. They can provide you with the best guidance based on your specific situation, including whether it is safe for you to travel and any precautions you should take while flying.

Additionally, consider the following tips for flying after sinus surgery:
- Stay Hydrated: Drink plenty of water before and during the flight to keep your mucous membranes moist.

- Use Saline Nasal Spray: This can help keep your nasal passages hydrated and reduce discomfort.

- Avoid Sudden Pressure Changes: If possible, try to avoid activities that can cause sudden pressure changes in your sinuses, such as deep diving or rapid altitude changes.

- Follow Medication Instructions: Continue taking any prescribed medications, including antifungals, as directed by your doctor.

Ultimately, your health and safety should be the priority, so ensure you are fully prepared and cleared by your healthcare provider before embarking on your journey. Safe travels!

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