Post-Surgery Concerns: Ear Pressure and Risks After Septoplasty

Hello, I had a septoplasty surgery a few days ago?

Hello, I had a septoplasty three days ago and have self-paid packing in my nose.
Now, when I swallow saliva, I feel like my eardrum is being sucked in, and sometimes the suction sensation increases, causing temporary ear fullness.
I would like to know if this prolonged condition could lead to the formation of a cholesteatoma in the eardrum or cause other damage.
If so, what can be done to prevent it? I'm a bit worried since my next follow-up appointment is still 8 or 9 days away.
Thank you.

Gou Gou, 20~29 year old female. Ask Date: 2021/11/19

Dr. Li Jiaxuan reply Otolaryngology

If the nasal packing is dissolvable, there is no need to worry as it will improve on its own after dissolving.
If it is not dissolvable, please return to the clinic for the physician to make adjustments.
Wishing you a safe recovery.

Reply Date: 2021/11/19

More Info

After undergoing a septoplasty, it's not uncommon to experience various symptoms, including ear pressure and discomfort. The sensation of your eardrum being "sucked" or feeling pressure when swallowing can be attributed to the Eustachian tube's function. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. After nasal surgery, swelling or changes in the nasal passages can affect the Eustachian tube's ability to function properly, leading to sensations of fullness or pressure in the ears.

Regarding your concern about the formation of a cholesteatoma, it's important to clarify that cholesteatomas are typically associated with chronic ear infections or prolonged negative pressure in the middle ear, which can lead to the accumulation of skin cells and other debris. The temporary sensations you are experiencing are unlikely to lead to a cholesteatoma, especially if they resolve as your healing progresses. However, if you experience persistent ear pain, hearing loss, or any unusual discharge, it would be prudent to consult your ENT specialist sooner than your scheduled follow-up.

To alleviate some of the discomfort, you can try the following:
1. Yawning or Swallowing: These actions can help open the Eustachian tubes and equalize pressure in the ears. Chewing gum or sucking on candy can also stimulate swallowing.

2. Nasal Saline Irrigation: If your doctor has recommended it, using a saline nasal spray or rinse can help keep your nasal passages moist and clear, potentially reducing pressure on the Eustachian tubes.

3. Avoiding Sudden Pressure Changes: Try to avoid activities that may cause sudden changes in pressure, such as flying or diving, until you feel more comfortable.

4. Warm Compress: Applying a warm compress to the ears may help relieve discomfort.

5. Follow-Up Care: Since you have a follow-up appointment in about a week, it’s essential to monitor your symptoms and communicate any changes to your doctor. If your symptoms worsen or you develop new symptoms, don’t hesitate to reach out to your healthcare provider for advice.

In summary, while the sensations you're experiencing can be concerning, they are often part of the healing process following nasal surgery. Keeping an open line of communication with your healthcare provider and following their recommendations will be key to ensuring a smooth recovery. If you have any further questions or if your symptoms change, please consult your ENT specialist for personalized advice and care.

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