HOME CARE INSTRUCTIONS POST ENDOSCOPIC SINUS SURGERY WITH OR WITHOUT SEPTOPLAST AND TURBINOPLASTY
- Do not blow nose after surgery. A full feeling in the nose is normal due to absorbable packing that is often used to control bleeding.
- Begin irrigating both sides of your nose with warm salt water, three times a day, on the day after surgery. Use a rubber bulb or baby bulb syringe available at most drug stores. Purchase one gallon of distilled water. Add to that 5-tsp salt. Shake bottle to dissolve. Fill clean cup with mixture and heat to lukewarm in microwave or place the entire bottle under tap water long enough to warm mixture and heat to lukewarm. Fill syringe and squirt gently into each nostril. Irrigate each side of the nose once or twice. Sit in chair in front of a sink with head bent slightly forward, irrigate gently, direct stream straight back and let the solution run out of the nostrils. Irrigation is most important during the first month but may be continued longer.
- Avoid sneezing. If it cannot be avoided, sneeze with mouth open.
- Keep head elevated about 30 degrees for the first week after surgery. This will reduce swelling
- Arrange to have extra humidity in the home. This will prevent a sore throat and promote comfort. Keep humidity at 30% or greater if possible.
- No lifting beyond 5-10 pounds for the first week after surgery. Then, you may increase lifting gradually. After approximately 14 days, restrictions are usually lifted.
- No heavy exercise until your physician gives you approval. As with lifting restrictions, exercise restrictions are usually lifted after 14-21 days.
- Do not strain. If constipation is a problem, use a laxative or stool softener.
- Do not bend over or hang your head down for the first two to three weeks. Bend at the knees.
- Call our office if, bleeding occurs and cannot be stopped, fever greater than 102 degrees develops and does not reduce with Tylenol or your pain medication, or if pain increases rather than decreases after the first four days.
- If bleeding occurs:
Sit upright with head slightly forward. Spray nostrils with Afrin if you have it. Pinch nostrils for fifteen minutes, time with a clock. Release grip and check for bleeding, repeat first steps if bleeding continues. If bleeding continues, go to the nearest emergency department. Continue to lean forward and pinch nose.
It is normal to feel very tired during the first week, or longer, following surgery. Get plenty of rest and drink lots of fluids. Patients who have had endoscopic sinus surgery should take a minimum of one week off of work.
If the nasal septum has been straightened soft plastic splints are placed against each side of the septum and sewn in. These will be removed 5 to 10 days after surgery. You will be given an appointment to see an associate in our office 7 to 10 days after surgery. Follow-up appointments are then scheduled every 2-3 weeks for endoscopic cleanings and exams. This is done to ensure healing. Do not miss these very important appointments.