Sinus Surgery (Patient Instructions) Symptoms, Causes, Treatment - When should I notify the doctor of any postsurgery complications? on MedicineNet

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February 10, 2012

Sinus Surgery (cont.)

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When should I notify the doctor (surgeon) of any postsurgery complications?

  • A sudden increase in the amount of bleeding from the nose unrelieved by pressure, ice, and head elevation.

  • A fever greater than 101.5 F (38.6 C) that persists despite increasing the amount of fluid intake and acetaminophen (Tylenol) use.

  • Persistent sharp pain or headache which is not relieved by the prescribed pain medication.

  • Increased swelling or redness of the nose or eyes.

  • Drainage of a thin, clear fluid in large quantities from usually only one side of the nose. This would be different from the clear, thicker mucus drainage normally produced by the nose.

Self-care and prevention following sinus surgery

It is important for all patients with chronic sinus disease to understand that they have a chronic illness. Successful sinus surgery will only help control the complications and discomfort of chronic sinus disease. The following three areas of prevention should always be remembered:

  1. Maximize Moisture. Patients should always remember to maximize moisture in their nose. Keeping sinuses moist makes mucus thinner, allowing the sinuses to drain better. This drainage in turn helps prevent infection. Use a humidifier, drink plenty of water, avoid drying substances such as alcohol and caffeine, try to avoid smoke which dries out sinus linings, and use plenty of saline irrigation.

  2. Avoid Allergy Particles (Allergens). People may want to wear a mask when they clean or are exposed to dust. Sit in the non-smoking sections of restaurants. Avoid exposure to pollens during peak season, and keep an air-conditioner on during allergy season.

  3. Prevent Colds. Avoid exposure to colds and flu whenever possible; obtain a yearly flu vaccination.

REFERENCE: Welch KC, Stankiewicz JA. A contemporary review of endoscopic sinus surgery: techniques, tools, and outcomes. Laryngoscope. 2009 Nov;119 (11):2258-68.


Last Editorial Review: 2/28/2011


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