HOSPITAL STAY This procedures will usually require an overnight stay. If the procedure is early in the day, and the patient is quite comfortable without significant bleeding, discharge on the same day is possible. A postoperative overnight bed will always be booked in case it is required.
HOSPITAL STAY: Sinus surgery in children and adults is usually done as an out-patient and does not require an overnight hospital stay. On occasion, a patient may need to stay overnight.
Sinus surgery is one that can be done under general or local anesthesia, and usually patients are fine to go home the same day. “In most cases, [nasal] packing is not needed, or absorbable packing can be used so you do not need to come back for packing removal after surgery.
Most patients feel well enough to go home the day of surgery. You will most likely go home without nasal packing. After Surgery: You can expect mild bleeding for 1-2 days after surgery and a general sense of fatigue for 1-2 weeks after surgery.
Your nose may be sore and will bleed. You may feel "stuffed up" like you have a bad head cold. This will last for several days after surgery. The tip of your nose and your upper lip and gums may be numb.
Black eyes after nasal surgery are just one of those shocking outcomes that are difficult to avoid. Not every rhinoplasty patient will develop one or two black eyes, however, most do. It's something a patient has to factor into their recovery equation. So, be prepared for some post-surgical bruising.
Light walking and regular household activities are acceptable anytime after surgery. You may resume exercise at 50% intensity after one week and at full intensity after two weeks.
Activity: Minimize your activities with only light activity for the first week following surgery. Listen to your body! If you feel tired over the first few days, you should rest.No nose blowing, stooping, straining or heavy lifting of more than two bags of groceries. Sneeze with your mouth open.
The operation usually takes 1 to 2 hours. Endoscopic sinus surgery is performed through your nostrils and does not result in any facial scars or change to the outside shape of your nose. Your surgeon will use a small telescope (endoscope) to examine your nasal passages.
Orbital involvement in endoscopic sinus surgery occurs in 0.5%64 to 3% of all procedures, and represents 16% to 50% of all complications. Most common risks encountered in endoscopic sinus surgery include bleeding, infection, injury to the eye and its adnexa, cerebrospinal fluid leak, anosmia etc.
Endoscopic sinus surgery, sometimes called functional endoscopic sinus surgery (FESS) is a minimally invasive procedure to treat problems in the sinuses.
In general, sinus surgeries aren't serious surgeries with significant complications.
Bathing may be resumed three days postoperatively but if there is splint or cast it must not get wet. The day after surgery a soft normal diet may be resumed. It is extremely important that the inside of your nose is moist and humidified after nasal surgery to prevent crusting and recurrent symptoms.
If you're at the hospital, you can be asleep with anesthesia. In the doctor's office, you'll be awake with local anesthesia. When appropriate, your ENT may combine traditional endoscopic sinus surgery with ballooning of certain sinuses to have the best of both techniques.
An IV will be started and you will go to sleep once in the OR by medicine given through the vein. A breathing tube will then be placed through the mouth. During surgery the patient will be kept completely asleep by breathing gas through this tube under the supervision of an anesthesiologist.
What to Wear. You will need to change into a hospital gown for endoscopic sinus surgery, so wear something you are able to get into and out of easily. Avoid bringing any valuables with you, including jewelry and watches.
Before Surgery
In addition, you should avoid taking the following medications for at least fourteen days prior to surgery: aspirin, ibuprofen (Motrin/Advil), naproxen (Aleve), other non-steroidal anti-inflammatories (NSAIDS), vitamin E (multivitamin is OK), gingko biloba, garlic (tablets), and ginseng.
Keeping your head elevated as much as possible (including sleeping on 3 pillows or in a chair for the first few days after surgery) is one way to reduce bleeding. If you have notable bleeding, you can use Afrin® nasal spray (2 sprays each nostril every 4 hours, no more than 3 times).
You may resume exercise at 50% intensity after one week, and full intensity at two weeks. You may drive the day after surgery if you are not requiring opioid medication. You should plan to take one week off from work and ideally have a half-day planned for your first day back.
Other risks: Other uncommon risks of surgery include alteration of sense of smell or taste; persistence and/or worsening of sinus symptoms and facial pain; change in the resonance or quality of the voice; and swelling or bruising of the area around the eye.
Empty nose syndrome (ENS) is a phenomenon that some people experience after nasal surgery. It can cause breathing difficulties, headaches, nosebleeds and nasal dryness.
for a few days following surgery. Avoid nuts, rice, seeds, etc. Refrain from acidic foods, for example, orange juice, tomato sauce, etc. Avoid chewing over surgical areas and chew cautiously over surgical areas for 7-14 days until after you have been ok'd by the surgeon at your scheduled follow-up appointment.