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SIGNS & SYMPTOMS OF CHRONIC SINUSITIS
- Facial Headaches
- Facial Pressure / Pain
- Allergies and Hayfever
- Repetitive Sinus infections
- Nasal Congestion / Obstruction
- Yellow / Green discharge from
nose - Chronic or Intermittent
- Decrease in Smell
- Decrease in Taste
- Trouble Flying in Airplane /
- Post Nasal Drip, Drainage
- Chronic Cough / Bronchitis
ENDOSCOPIC SINUS SURGERY
Endoscopic Sinus Surgery is a
delicate technique using very
fine, lighted, fiberoptic telescopes
inserted in the nose / sinuses,
while directing instruments to
open up sinuses and remove
polyps. Visualization of the
diseased sinuses is performed
through the endoscope and
sinuses are cleaned out, opened
up and polyps removed. In many
instances a deviated septum is
also corrected at the same time
and enlarged turbinates are made
surgically smaller to improve
airflow through the nose. All
incisions are placed inside the
Endoscopic sinus surgery is usually performed as an outpatient procedure in our inoffice,
Medicare Certified Surgery Center. Board Certified Physician Anesthesiologists
from Swedish Medical Center perform the anesthesia. Surgery normally takes an hour
to perform and patients then go to the recovery area for about an hour. Once
medically stable, they are discharged to a responsible caregiver.
Non-structural cartilage or bone may
be removed to reshape and straighten
The tiny forcepts are inserted next to
the endoscope to remove the polyps
and open windows into the sinuses for
Bony partitions of ethmoid sinuses are
removed to create a passage for mucus
to drain. Polyps are also removed.
CT of Normal Sinuses
CT of Diseased Sinuses—Polyps
The following instructions are based on experience with many similar procedures
and are designed to answer questions that may arise regarding post-operative care.
Please follow the instructions—those who do generally have the smoothest postoperative recovery. Do not hesitate to call us should you have additional questions.
THE DAY OF SURGERY
- Wash your hair and face well, brush your teeth and remove all cosmetics.
- Do not apply lotion to your face.
- Do not wear contact lenses the day of surgery.
- Do not eat or drink anything after midnight the night prior to your surgery.
- Wear a shirt that is button or zip front, comfortable pants and flat, slip-on shoes.
- Please leave valuables and jewelry at home and arrive on time.
- Follow the preparation instructions given to you at your pre-op visit and be
sure to bring your prescribed medications with you to your surgery.
- Please bring the phone numbers of where you will be staying after the surgery,
as well as the name and phone number of your caregiver.
WHAT TO EXPECT AFTER SURGERY
Headache, pain and nasal congestion are common after nasal / sinus surgery.
Typically patients cannot breathe out of their nose for the first week. There is NO
packing placed inside the nose or sinuses. All incisions are placed inside the nose.
There is usually no swelling or bruising on the outside of the nose unless a
Rhinoplasty is performed at the same time.
Patients are seen back in the office approximately 7 days after surgery. Sinus
debridements / clean-outs are performed at the first and second week after the
surgery. This is done to remove blood, mucus and crusts that build up in the sinuses
to allow maximum healing.
Do not participate in any activity that will raise your blood pressure or pulse for
two weeks following surgery.
Stay upright as much as possible.Avoid bending over or lifting heavy objects for
one week. Sleep with your head elevated at a 30 degree angle for 3-5 days.
Take pain medication as prescribed. It is OK to substitute Tylenol if the pain
medication is too strong or causes nausea. It is important to stay well hydrated after
Constipation is a common side effect of pain medications. Take a mild laxative.
Avoid straining with bowel movements.
Swelling usually peaks the second or third day after surgery.
Avoid hitting, bumping or excessive touching of the surgical area.
Do not apply ice to the surgical area.
You will be given gauze bandages to place under your nose to absorb drainage.
You may be changing this dressing every hour the first day; this is normal.
bleeding and drainage should diminish by the following morning.
Do not blow your nose for two weeks following surgery.
If you need to sneeze, do so with an open mouth.
You may have an external nasal splint.This will remain until your first postoperative
appointment. Please keep it dry.
You may shower the day after surgery.
Avoid contact sports or activities such as skiing for two weeks.
No aspirin, Ibuprofen,Vitamin E or herbal supplements 2 weeks before and
2 weeks after your surgery.
CALL THE OFFICE
If you have any questions or problems such as nausea, rapid swelling or redness
of the operative area, rash / itching or fever above 102 degrees, call the office
immediately. Also call if you are unable to urinate, are experiencing severe headache,
stiff neck or excessive drainage from the surgical area (saturating five gauze pads
per hour for a period of at least two hours).
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MAPS & DIRECTIONS