Endoscopic Sinus Surgery
There are four groups of sinuses:
- Frontal sinuses (in the forehead)
- Ethmoid sinuses (between the eyes)
- Maxillary sinuses (cheekbone area)
- Sphenoid sinuses (behind the eyes)
What can you expect after the surgery?
The Endoscopic sinus surgery is highly successful at improving the symptoms of nasal blockage, runny nose and for certain facial pain while it is not aimed at improving the sense of smell; there may be some noticeable improvement. Polyps could reoccur after the surgery, however the medication prescribed may help to prevent or reduce the rate of recurrence. After 5 years there is an 80% chance of being free of polyps. Even after successful surgery, a patient will be prone to bouts of sinus trouble more than the average person, but frequency is usually less than before surgery. Such recurrences can be brought under control medically (rather than surgically) using various antibiotics, sprays/drops, decongestants or anti-inflammatory steroid.Complications after endoscopic sinus surgery
- Bleeding - a small amount of “spotting” of blood on your handkerchief after the operation is normal. Occasionally a nosebleed could occur in the first week
- Infection - about 1% of patients develop infection and may require antibiotic treatment
- Very rarely:
- Changes in vision due to damage of the eye
- Leak of cerebrospinal fluid due to close proximity of the base of the brain
These complications are extremely rare, but must be mentioned.
In the Hospital - first six hours
- You may wake up with some packing in your nose to stop any bleeding. This should be left alone and will be removed by your doctor when appropriate.
- Do not blow your nose for 7 days
- If you experience any pain, please call the nurse and the pain can easily be managed by regular painkiller
At home in the first week
- You may get a blood stain / pinkish discharge for a few days. The bleeding gets less and less as the days go by, but there may still be a little "spotting" on your handkerchief even up to a few weeks after the surgery. This is common.
- Avoid all moderate and heavy physical activity, including sport for ten days after the operation. Avoid bending down to pick things up, especially heavy weights. Active sport should not be commenced for two weeks after the surgery, and even then, it should be increased gradually
- It is normal for the nose to be feel blocked for several days and up to two weeks after the surgery, as the swelling settles.
- You must irrigate your nose frequently “douching” at least 3 times a day with the saline solution provided to clear away scabs and crusting which occurs after the operation.
- Avoid smoky and dusty atmospheres if possible, as this may irritate the nasal lining.
- Avoid very hot baths and showers.
- If you take aspirin, please discuss this with Dr. Levente, as you may need to avoid taking it, since it could potentially increase the risk of nasal bleeding.
- It is advised not to drive for 48 hours, because of the effects of the general anesthetic.
“I wish to offer my extreme gratitude to Dr. Levente for dramatically improving my quality of life. Not only did he sort out my long standing issues with my sinuses but the good work he did for me has enabled me to go scuba diving again after a long lay off. I am eternaly grateful.
Book your appointment with us!
Have a nose problem? Write us and we can help!Book now