Sinus Surgery, Septoplasty, and Turbinate Reduction: A Patient’s Journey

1. What Are Sinuses, Septum, and Turbinates?

• Sinuses: Air-filled spaces in the skull that produce mucus to keep the nasal passages moist and trap dust and germs.

• Septum: The wall of cartilage and bone that separates the two nostrils.

• Turbinates: Small structures inside the nose that warm, humidify, and filter the air you breathe.

2. Why Are These Surgeries Needed?

These procedures are often performed together to address:

• Chronic Sinus Infections: Repeated infections that do not improve with medication.

• Deviated Septum: A crooked septum that causes breathing difficulties or nasal blockages.

• Enlarged Turbinates: Swollen turbinates that obstruct airflow and cause nasal congestion.

• Other Conditions: Such as nasal polyps, allergies, or snoring.

3. What Problems Can These Conditions Cause?

• Difficulty breathing through the nose.

• Recurrent sinus infections.

• Nasal congestion or blockage.

• Facial pain or pressure.

• Snoring or sleep disturbances.

4. Why Has Surgery Been Recommended?

Your doctor may recommend surgery if:

• Medications like antibiotics, nasal sprays, or antihistamines have not been effective.

• Breathing difficulties or nasal obstruction affect your daily life.

• Sinus infections are recurrent or chronic.

• Structural issues, such as a deviated septum or nasal polyps, need correction.

5. Before the Operation: Instructions

• Fasting: No food for 8 hours before surgery and no water for 2 hours before surgery.

• Medications: Inform your doctor about any blood thinners, aspirin, or anti-inflammatory drugs you are taking. These may need to be stopped 1 week before surgery.

• Smoking and Alcohol: Avoid smoking and alcohol as they can delay healing.

• Comfort: Wear loose, comfortable clothing to the hospital.

6. What Does the Operation Involve?

• Sinus Surgery: The surgeon removes blockages, polyps, or diseased tissue in the sinuses using endoscopic techniques.

• Septoplasty: The septum is straightened to improve airflow.

• Turbinate Reduction: Enlarged turbinates are reduced in size to open nasal passages.

• The surgery is performed under general anesthesia and usually takes 1-3 hours.

7. What Happens After the Operation?

• You will wake up in a recovery room and be monitored for a few hours.

• Nasal packing or splints will be placed to support healing and control bleeding.

• The patients can go home the same day.

• Next day to remove the nasal pack.

• Nasal splint to be removed after 8 days / or as per Doctor Instructions.

8. What Symptoms Should I Expect After Surgery?

• Nasal Congestion: Due to swelling or packing, which will improve over time.

• Mild Bleeding: A small amount of blood or discharge from the nose is normal.

• Pain or Pressure: Mild discomfort around the nose and sinuses.

• Bruising or Swelling: Around the nose or eyes is common and will fade in a few days.

• Reduced Sense of Smell: Temporary and improves as healing progresses.

9. What Are the Risks of Surgery?

While generally safe, potential risks include:

• Bleeding: Rare but possible.

• Infection: Follow wound care instructions to prevent this.

• Scarring: Minimal and typically internal.

• Changes in Smell or Taste: Temporary in most cases.

10. After Surgery: Instructions

• Rest and Recovery: Avoid strenuous activities and heavy lifting for at least 6 weeks.

• Head Position: Keep your head elevated while sleeping to reduce swelling.

• Avoid hot showers for the first few days to prevent increased swelling or bleeding.

• Use lukewarm water and avoid letting water directly hit your face.

• Stay indoors and avoid hot, humid environments for the first few weeks.

• Protect your nose from direct sunlight to prevent swelling.

• Medications: Take prescribed painkillers and antibiotics as directed.

Warning Signs: Seek immediate medical attention if you experience:

• Heavy bleeding.

• High fever or signs of infection.

• Difficulty breathing.

Quick Tips for Adults

Follow all post-operative instructions carefully for a smooth recovery.

Use ice packs to reduce swelling and discomfort around the nose and eyes.

Attend all follow-up appointments to ensure proper healing.

Be patient; full recovery may take several weeks.

If you have any questions, don’t hesitate to contact Ms. Karima on 0504668116.