Post-Operative Symptoms of Nasal Nerve Resection Surgery - Otolaryngology

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After undergoing a nasal nerve resection surgery, it is common for patients to experience a variety of post-operative symptoms. These symptoms can include sensations of dryness, discomfort, and changes in tear production, as you have described. Let's break down your questions and concerns regarding your recovery process.

1. Post-operative Symptoms: The sensations of "wind" or "sourness" in your nose during the day, and the shift to dryness and discomfort in your eyes at night, can indeed be attributed to the healing process following your surgery. The nasal nerve resection may have affected the sensory nerves that innervate the nasal mucosa and tear glands. As the tissues heal, it is not uncommon to experience sensations that feel unusual or uncomfortable. The fact that chewing provides some relief suggests that the act of chewing may stimulate saliva production and indirectly affect the tear glands, providing temporary comfort.

2. Duration of Symptoms: Recovery from nasal nerve resection can vary significantly among individuals. Generally, the initial healing phase may take several weeks to a few months. Your surgeon's advice to be patient for about three months is reasonable, as many patients find that their symptoms gradually improve over this time. However, if symptoms persist or worsen, it is essential to follow up with your surgeon for further evaluation.

3. Tear Production and Dry Eye Risk: Regarding your concerns about tear production post-surgery, it is important to note that while some patients may experience a temporary decrease in tear production, many do not experience significant long-term changes. The extent of any reduction in tear volume can vary based on individual factors, including the specific nerves affected and the overall healing process. The risk of developing dry eye syndrome post-surgery is present but not guaranteed. It is advisable to monitor your symptoms closely and discuss any concerns about dry eyes with your healthcare provider. They may recommend artificial tears or other treatments to alleviate dryness if it becomes a persistent issue.

In summary, while the symptoms you are experiencing can be attributed to the healing process following your nasal nerve resection, it is crucial to maintain open communication with your healthcare provider. They can provide personalized advice based on your specific situation and help manage any ongoing symptoms. If you notice any significant changes or worsening of your condition, do not hesitate to seek medical attention. Recovery can be a gradual process, but with proper care and monitoring, many patients achieve satisfactory outcomes.