Septoplasty: Recovery, Treatment Options, and Allergy Management - Otolaryngology

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Septoplasty


Hello, doctor.
I am a junior student.
Last week, I underwent surgery for a deviated septum and also had laser treatment for inferior turbinate hypertrophy.
I would like to ask you a few questions:
1.
How long after the surgery can I start to sneeze? I am concerned that sneezing might harm the healing wounds inside my nose.
2.
After laser surgery, if the inferior turbinate continues to enlarge, is it more appropriate to manage it with medication or to consider another surgical intervention?
3.
If I have been using medication long-term to control nasal allergies and my symptoms recur after stopping the medication, would it be more appropriate to treat my nasal allergies surgically?
4.
Can medication temporarily reduce the size of the inferior turbinate?
5.
I previously had an allergy test at the hospital, and the results indicated dust mites.
What methods can I use in my daily life to avoid allergens and reduce the likelihood of nasal allergies, while also preventing the enlargement of the inferior turbinate?

Xiao Chen, 20~29 year old female. Ask Date: 2020/06/29

Dr. Ji Zhaoyun reply Otolaryngology


Hello, it is advisable to consult your original surgeon regarding postoperative care instructions.
Below are the postoperative care guidelines from our hospital for your reference:
*
Postoperative Care Instructions for Septoplasty, Hypertrophic Rhinitis, and Chronic Sinusitis:
1.
Avoid forceful nasal breathing or blowing for two weeks.
2.
Do not forcefully blow your nose; if you have nasal discharge, open your mouth and blow both sides simultaneously without pinching your nostrils.
3.
Avoid any trauma to the nose.
4.
Prevent catching a cold.
5.
Minimize visits to public places; if necessary, wear a mask.
6.
Avoid direct exposure to cold air; if you need to ride a motorcycle, wear a mask.
7.
Maintain a balanced diet.
8.
Continue follow-up outpatient treatment within one month after discharge.
9.
Seek immediate medical attention if you experience any of the following symptoms:
(1) Uncontrolled pain or discomfort.
(2) Fever.
(3) Nasal congestion.
(4) Nosebleeds.
(5) Difficulty breathing.
The ENT Department of Taichung Hospital, Ministry of Health and Welfare, cares about your well-being.
*
Regarding other questions:
4.
Can medication temporarily reduce the size of the inferior turbinate?
Answer: Generally, yes.
5.
I previously had allergy testing at the hospital, and the results indicated dust mites.
What methods can I use in daily life to avoid allergens and reduce the likelihood of nasal allergies, while also preventing the inferior turbinate from enlarging?
Answer: Wear a mask and frequently wash your bed linens.
Wishing you peace and health.

Reply Date: 2020/06/29

More Info


Hello! It's great to hear that you've undergone septoplasty and laser treatment for your nasal issues. Let's address your questions one by one, providing you with a comprehensive understanding of recovery, treatment options, and allergy management.

1. When can I use nasal sprays after surgery?
After septoplasty, it is generally recommended to wait at least 1-2 weeks before using nasal sprays, especially if they are medicated. This waiting period allows the surgical site to heal properly and minimizes the risk of disrupting the healing tissue. If you feel the need to use a saline spray, consult your surgeon first, as they may allow it sooner to help keep the nasal passages moist.

2. What if my inferior turbinate continues to enlarge after laser surgery?
If you notice that your inferior turbinate continues to enlarge after laser treatment, it’s essential to consult your ENT specialist. They may recommend a conservative approach with medications such as nasal corticosteroids to reduce inflammation. If the enlargement persists and significantly affects your breathing, a surgical intervention may be necessary. This could involve a more extensive procedure to reduce the size of the turbinate.

3. Is surgery a better option for chronic nasal allergies?
If you have been relying on medications to manage your nasal allergies and find that symptoms return upon discontinuation, surgery may be a viable option. Procedures like turbinate reduction or even functional endoscopic sinus surgery (FESS) can help improve airflow and reduce allergy symptoms. However, surgery should be considered after discussing all options with your healthcare provider, weighing the benefits and risks.

4. Can medications temporarily reduce the size of the inferior turbinate?
Yes, certain medications, particularly nasal corticosteroids, can help reduce the size of the inferior turbinate temporarily. These medications work by decreasing inflammation and swelling in the nasal passages, providing relief from nasal congestion. However, they do not provide a permanent solution, and their long-term use should be monitored by a healthcare professional.

5. How can I minimize exposure to dust mites and reduce allergy symptoms?
To minimize exposure to dust mites, consider the following strategies:
- Use allergen-proof covers on pillows and mattresses to reduce dust mite exposure.

- Wash bedding weekly in hot water (at least 130°F or 54°C) to kill dust mites.

- Maintain low humidity levels in your home (ideally between 30-50%) to inhibit dust mite growth.

- Vacuum regularly using a vacuum cleaner equipped with a HEPA filter.

- Consider removing carpets or rugs, as they can harbor dust mites.

- Keep your living space clean by dusting surfaces with a damp cloth and avoiding clutter where dust can accumulate.

In addition to these measures, regular use of prescribed allergy medications can help manage symptoms effectively. If you notice that your inferior turbinate continues to enlarge or if your allergy symptoms persist despite these measures, it’s crucial to follow up with your healthcare provider for further evaluation and management.

In summary, recovery from septoplasty and managing allergies involves a combination of patience, proper care, and proactive measures to minimize allergens in your environment. Always consult with your healthcare provider for personalized advice tailored to your specific situation. Wishing you a smooth recovery and relief from your symptoms!

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