Post-Operative Symptoms After Nasal Wing Nerve Resection

Correct information on postoperative symptoms following alar nerve resection surgery?

I am involved in divine communication, efficiency research, and causal experiments.
On November 2nd, I underwent a nasal wing nerve resection surgery at Tzu Chi Hospital in Taichung.
I would like to write a report to share accurate information about postoperative symptoms with my friends and family via LINE and Facebook for reference.
Currently, there is an interesting phenomenon where it seems like my nose and eyes have a sort of unspoken agreement to take turns experiencing discomfort.
During the day, I feel a sensation of wind and acidity when inhaling through my nose.
After nightfall, from 10 PM until breakfast, the focus of discomfort shifts to my eyes, which feel dry and painful.
Chewing helps alleviate some of the discomfort.
I asked the surgeon whether the tear gland nerves and nasal mucosa have not healed yet.
He nodded somewhat awkwardly but optimistically reassured me, saying not to worry, as it will recover in three months without affecting tear production.
I would like to consult with a medical expert for accurate statistical information regarding the following: 1) Is the sensation of wind, acidity, dryness, and pain mentioned above due to the minimally invasive incision not having healed yet? 2) How long does one typically need to endure these symptoms before they resolve? 3) After complete recovery, what percentage reduction in tear production can be expected? What is the likelihood of developing dry eye syndrome? Wishing you good luck and good fortune.

Huang Long, 60~69 year old female. Ask Date: 2022/01/21

Dr. Li Jiaxuan reply Otolaryngology

There will be an adjustment period when transitioning from increased secretion to decreased secretion, typically lasting 3 to 6 months.
However, decreased secretion can also cause discomfort due to dry and cold weather.
During this transitional period, artificial lubricants or ointments can be used to help with adaptation.
Since you are older, your mucous membranes may be more prone to dryness.
Therefore, the physician likely did not completely sever the nerves.
You may want to ask him how much nerve function was preserved for better clarity.
Wishing you well.

Reply Date: 2022/01/21

More Info

After undergoing a nasal wing nerve resection, it is common to experience a variety of post-operative symptoms. Your observations about the alternating sensations between your nose and eyes are intriguing and can be attributed to the complex interactions between the nasal and ocular systems. Let's address your questions systematically.

1. Post-Operative Symptoms: The sensations of dryness and discomfort in your nose during the day, followed by eye dryness and pain at night, can indeed be linked to the healing process of the surgical site. The nasal wing nerve, which is involved in the sensory innervation of the nasal mucosa, may take time to heal after surgery. The "wind" sensation you describe could be due to the sensitivity of the nasal mucosa as it recovers from the trauma of the procedure. Additionally, the dryness and discomfort in your eyes could be a result of altered tear production or distribution, as the nerves that control tear secretion may also be affected during the surgery.

2. Duration of Symptoms: Recovery times can vary significantly among individuals. Generally, it can take several weeks to a few months for the nerves and tissues to heal fully. Your surgeon's advice to be patient for about three months is reasonable, as many patients report gradual improvement in symptoms over this period. It's essential to follow up with your surgeon if symptoms persist or worsen, as they can provide tailored advice based on your specific situation.

3. Tear Production and Dry Eye Risk: Regarding your concern about tear production, it is possible that some patients may experience a decrease in tear volume following nerve-related surgeries. However, many patients find that their tear production normalizes as healing progresses. The extent of any potential reduction in tear volume can vary, and while some may experience mild dry eye symptoms, others may not notice significant changes. The risk of developing dry eye syndrome post-surgery can depend on various factors, including pre-existing conditions, the extent of the surgery, and individual healing responses.
In summary, the symptoms you are experiencing are likely related to the healing process following your nasal wing nerve resection. It is crucial to maintain open communication with your healthcare provider, who can monitor your recovery and address any concerns you may have. If symptoms persist beyond the expected recovery period, further evaluation may be necessary to rule out complications or additional underlying conditions.
In the meantime, consider using artificial tears or saline nasal sprays to alleviate dryness, and ensure you stay well-hydrated. Gentle eye exercises and warm compresses may also help relieve discomfort in your eyes. Always consult your surgeon or a healthcare professional before starting any new treatment or therapy. Wishing you a smooth recovery and improved health!

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