Post-Surgery Care for Nasal Polyp Removal: What to Expect - Otolaryngology

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After nasal polyp surgery


Hello Dr.
Cheng, I recently underwent surgery to remove nasal polyps and have been very careful in my post-operative care.
However, I accidentally sneezed and expelled the self-paid hemostatic cotton.
At that moment, there was no nosebleed.
Is this a concern? Since my follow-up appointment is still over a week away, I am a bit worried and wanted to ask.
Thank you...

Xiao Zhi, 20~29 year old female. Ask Date: 2021/12/21

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is no obvious nosebleed, you may observe yourself first.
However, if the nosebleed persists, it is recommended to return for a check-up and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/12/21

More Info


After undergoing nasal polyp removal surgery, it is essential to understand the post-operative care and what to expect during the recovery process. Your concern about sneezing and expelling the absorbable packing material is valid, and I will address that along with general post-surgery care tips.

Firstly, it is not uncommon for patients to experience some discomfort and changes in nasal function after surgery. The nasal passages may feel congested, and you might notice increased mucus production as your body heals. Sneezing, while a natural reflex, can sometimes lead to complications if done too forcefully shortly after surgery. However, if you did not experience any bleeding after sneezing, it is a positive sign. The packing material is often used to control bleeding and support the healing process, but if it has been expelled without any immediate adverse effects, it may not be a cause for alarm. Nonetheless, it is crucial to monitor your symptoms closely.

Here are some general guidelines for post-operative care after nasal polyp removal:
1. Avoid Forceful Sneezing or Coughing: While sneezing is a natural reflex, try to do so gently. If you feel the urge to sneeze, it may help to keep your mouth open to reduce pressure in the nasal passages.

2. Nasal Hygiene: Keeping your nasal passages clean is vital. Use saline nasal sprays or rinses as recommended by your doctor. This helps to keep the area moist and can aid in the healing process.

3. Avoid Strenuous Activities: For at least a week post-surgery, avoid heavy lifting, vigorous exercise, or any activity that could increase blood pressure in the head and lead to bleeding.

4. Follow-Up Appointments: Attend all scheduled follow-up appointments with your ENT specialist. They will assess your healing progress and may need to remove any remaining packing or debris from your nasal passages.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) can help. However, avoid aspirin as it can increase bleeding.

6. Watch for Complications: Be vigilant for signs of complications, such as excessive bleeding, severe pain, fever, or changes in vision. If you experience any of these symptoms, contact your healthcare provider immediately.

7. Hydration and Humidity: Staying well-hydrated and using a humidifier can help keep your nasal passages moist, which is beneficial for recovery.

8. Dietary Considerations: Soft foods may be easier to manage if you experience any discomfort while eating. Avoid spicy or hot foods that may irritate your nasal passages.

In summary, while sneezing and expelling packing material can be concerning, if you are not experiencing any bleeding or severe discomfort, it may not be a significant issue. However, it is always best to err on the side of caution and consult with your ENT specialist during your next appointment or sooner if you have any concerns. They can provide personalized advice based on your specific situation and ensure that your recovery is on track. Remember, healing takes time, and following your doctor's recommendations is key to a successful recovery.

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