Sinus Surgery Concerns: Post-Op Care and Complications Explained

Sinusitis and Surgical Issues

Hello Doctor, I had an endoscopic surgery three years ago performed by the then director at the hospital.
I would like to ask about the follow-up visit to remove something from my nose (I can't remember if it was a gauze strip or something else).
When it is removed, do both sides need to be addressed, or is it sufficient to remove it from just one side? I recall that after the surgery, the doctor only removed the foreign object from the left side, and nothing was taken from the right side.
Recently, I have been experiencing pain in both cheeks, which also radiates to my upper and lower back teeth.
Could this indicate a recurrence? Thank you.
^^

cute12, 20~29 year old female. Ask Date: 2008/08/08

Dr. Hu Kexin reply Otolaryngology

Hello, your condition may require a clinical examination to understand better.
We welcome you to return for a follow-up appointment with ENT specialist Dr.
Hu Ke-xin.

Reply Date: 2008/08/08

More Info

Sinus surgery, particularly endoscopic sinus surgery, is a procedure aimed at treating chronic sinusitis and other sinus-related issues. It involves the removal of blockages, polyps, or diseased tissue from the sinus cavities to improve drainage and function. Post-operative care and understanding potential complications are crucial for recovery and long-term health.

Post-Operative Care
After sinus surgery, patients are often advised to follow specific care instructions to ensure proper healing and minimize complications. Here are some common post-operative care recommendations:
1. Nasal Hygiene: It is essential to keep the nasal passages clear. Patients are usually instructed to use saline nasal sprays or rinses to help keep the sinuses moist and to facilitate healing. This can also help in clearing out any residual blood or mucus.

2. Avoiding Irritants: Patients should avoid exposure to smoke, strong odors, and allergens, as these can irritate the nasal passages and sinuses, potentially leading to complications.

3. Rest and Recovery: Adequate rest is vital for recovery. Patients should avoid strenuous activities, heavy lifting, or bending over for a few weeks post-surgery to prevent increased pressure in the sinuses.

4. Follow-Up Appointments: Regular follow-up visits with the surgeon are crucial. During these visits, the doctor may remove any packing or gauze that was placed in the nasal cavities during surgery. The frequency and necessity of these visits depend on the individual case and the extent of the surgery.

Complications and Concerns
While sinus surgery is generally safe, there are potential complications that patients should be aware of:
1. Infection: As with any surgical procedure, there is a risk of infection. Symptoms may include fever, increased pain, swelling, or discharge that is not clear or is foul-smelling.

2. Persistent Symptoms: Some patients may experience ongoing symptoms such as nasal congestion, facial pain, or pressure even after surgery. This could indicate that the surgery did not fully resolve the underlying issue or that there is a recurrence of the condition.

3. Nasal Obstruction: Sometimes, patients may feel a sensation of obstruction or pressure in the nasal passages post-surgery. This could be due to swelling, scarring, or the presence of residual tissue.

4. Facial Pain: Pain in the cheeks, teeth, or forehead can occur after surgery. If this pain persists or is severe, it is essential to consult with the surgeon, as it may indicate complications such as sinus infection or other issues.

Addressing Your Concerns
Regarding your specific questions about post-operative care and the removal of packing or gauze, it is common for surgeons to place packing in one or both nasal cavities during surgery. The removal of this packing is typically done during follow-up visits. If you only had packing removed from one side, it is essential to clarify with your surgeon whether the other side also requires packing removal.
As for the facial pain and discomfort you are experiencing, it is crucial to consult your surgeon. While it could be a sign of normal post-operative healing, it may also indicate a recurrence of your sinus issues or another complication. Your surgeon can perform an examination, possibly using imaging studies, to determine the cause of your symptoms and recommend appropriate treatment.

Communication with Your Doctor
Effective communication with your healthcare provider is vital. If you have concerns or questions, consider writing them down before your appointment. This way, you can ensure that all your issues are addressed during your visit. Don't hesitate to express your worries about symptoms or recovery; your doctor is there to help you navigate your post-operative care.

In summary, while sinus surgery can provide significant relief from chronic sinus issues, it is essential to follow post-operative care instructions and maintain open communication with your healthcare provider to ensure a smooth recovery and address any complications that may arise.

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