Post-Operative Pain and Care Issues After Minimally Invasive Turbinate Surgery - Otolaryngology

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Postoperative Pain and Care Issues After Minimally Invasive Surgery for Inferior Turbinate Reduction


Hello, doctor! I underwent a minimally invasive surgery with a powered rotary knife for turbinate hypertrophy the day before yesterday.
After my follow-up visit yesterday, my nose is still temporarily packed with gauze and hemostatic cotton, but today I suddenly started experiencing swelling and pain on one side of the wound (though the bleeding has significantly decreased).
The pain is intense enough that it feels like my eyes and gums are also hurting.
I've already finished the pain medication prescribed by the hospital (Dafalgan), so I would like to know if I can take Tylenol or Eve instead? Additionally, I usually experience post-nasal drip and have a habit of coughing up phlegm.
Can I continue to cough up phlegm as usual? I tend to cough up a lot of blood from my nasal cavity...
Thank you in advance for your response, doctor!

Anbo, 30~39 year old female. Ask Date: 2021/11/06

Dr. Ji Zhaoyun reply Otolaryngology


Hello, if it is confirmed that only a powered turbine resection of the inferior turbinate will be performed and hemostatic packing is still in place, the risk of significant bleeding is quite low.
It is recommended to take all prescribed medications on time, which typically include not only pain relievers but also antibiotics.
While acetaminophen can be taken additionally, if symptoms persist severely, it is advisable to return for a follow-up appointment sooner.
Applying ice postoperatively can help reduce bleeding, and it is important to cough up phlegm gently without exerting too much force.

Reply Date: 2021/11/06

More Info


Post-operative pain and care after minimally invasive turbinate surgery can be a common concern for many patients. It is important to understand that while minimally invasive procedures generally result in less pain compared to traditional surgeries, some discomfort is still expected during the recovery period.

In your case, experiencing pain two days post-surgery is not unusual. The pain you describe, particularly if it feels like it radiates to your eyes and gums, could be attributed to several factors. After turbinate surgery, the nasal passages can be swollen, and the surrounding tissues may also be inflamed, leading to referred pain in nearby areas. This is a common phenomenon due to the interconnected nature of the head and neck anatomy.

Regarding your question about pain management, it is generally acceptable to take over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) after surgery, provided you do not have any contraindications to these medications. However, it is crucial to follow the dosing instructions on the package and to ensure that you are not exceeding the recommended daily limits. If you have any underlying health conditions or are taking other medications, it is advisable to consult with your healthcare provider before taking additional pain relief medications.

As for your concern about post-nasal drip and coughing, it is important to be cautious. After nasal surgery, the tissues are sensitive, and excessive coughing or clearing of the throat can lead to increased irritation and potential bleeding. If you find that you need to cough, try to do so gently. It is also advisable to avoid any activities that could increase pressure in your nasal passages, such as heavy lifting or straining.

In terms of your recovery, it is essential to keep the surgical area clean and to follow any specific post-operative care instructions provided by your surgeon. This may include using saline nasal sprays to keep the nasal passages moist and to help with healing. If you notice any signs of infection, such as increased redness, swelling, or discharge from the surgical site, or if the pain worsens rather than improves, you should contact your healthcare provider immediately.

Lastly, while it is common to experience some discomfort during the healing process, if the pain becomes severe or is accompanied by other concerning symptoms, such as significant bleeding or difficulty breathing, it is crucial to seek medical attention promptly. Your healthcare provider can assess your condition and determine if any further intervention is necessary.

In summary, post-operative pain after minimally invasive turbinate surgery can be expected, and managing it with appropriate pain relief is important. Be mindful of your activities, especially regarding coughing and nasal care, and do not hesitate to reach out to your healthcare provider if you have any concerns about your recovery. Your health and comfort are paramount, and staying in communication with your medical team will help ensure a smooth healing process.

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