Nasal Issues: Surgery for Polyps and Deviated Septum - Otolaryngology

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Regarding nasal issues..?


Hello Dr.
Wu: I have nasal allergies, and I also have a deviated septum along with nasal polyps.
If I only treat the nasal polyps, will I need to be hospitalized? How many days will I need to stay? Additionally, if I undergo surgery to correct the deviated septum, how many days will I need to be hospitalized? I look forward to your reply, thank you!

Cai, 30~39 year old female. Ask Date: 2001/01/19

Dr. Wu Yuxin reply Otolaryngology


Mr.
Tsai: A deviated septum combined with nasal polyps can cause a certain degree of nasal obstruction.
Typically, both conditions are addressed together, as the treatment for polyps and the septum requires a hospital stay of three to four days post-surgery.
Follow-up outpatient treatment is needed for about two weeks, with approximately four to five visits, after which full recovery can be expected.

Reply Date: 2001/01/19

More Info


When dealing with nasal issues such as nasal polyps and a deviated septum, it's essential to understand the nature of these conditions and the surgical options available. Nasal polyps are soft, painless growths that develop on the lining of your nasal passages or sinuses due to chronic inflammation, often associated with conditions like asthma, allergies, or recurring infections. A deviated septum, on the other hand, occurs when the cartilage and bone that divide the nasal cavity are off-center or crooked, which can lead to breathing difficulties and nasal congestion.


Surgical Options
1. Polypectomy: This is a surgical procedure specifically aimed at removing nasal polyps. It is typically performed as an outpatient procedure, meaning you won't need to stay in the hospital overnight. The surgery can be done using endoscopic techniques, which involve inserting a thin, flexible tube with a camera into the nasal passages. Recovery time is generally quick, and most patients can return to normal activities within a few days.

2. Septoplasty: This surgery corrects a deviated septum. Like polypectomy, septoplasty is often performed on an outpatient basis. The procedure involves repositioning or removing the bone and cartilage that are causing the obstruction. Patients usually experience some swelling and discomfort post-surgery, but the recovery period is relatively short, typically allowing a return to normal activities within a week or two.


Hospital Stay
For both procedures, the need for hospitalization is minimal. Most patients can go home the same day after the surgery. However, if complications arise or if the patient has other health concerns, a short hospital stay may be required.

Postoperative Care
After surgery, it's crucial to follow your doctor's postoperative care instructions. This may include:
- Nasal irrigation: Using saline solutions to keep the nasal passages moist and clear.

- Avoiding strenuous activities: This helps prevent bleeding and promotes healing.

- Medications: Your doctor may prescribe pain relief medications or recommend over-the-counter options to manage discomfort.


Conclusion
If you are considering surgery for nasal polyps and a deviated septum, it is essential to consult with an ENT specialist who can evaluate your specific condition and recommend the best course of action. They will provide guidance on the expected outcomes, recovery times, and any potential risks associated with the procedures.
In summary, both polypectomy and septoplasty are generally outpatient procedures, allowing for a quick return to daily life. Understanding your condition and the surgical options available can significantly improve your quality of life, especially if you are suffering from chronic nasal congestion and related symptoms.

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