Bleeding After Sinus Surgery
203-661-4231 Skip to main content 203-661-4231 Greenwich, CT. Vigorous mouth rinsing, spitting or touching the wound area following surgery should be avoided. We attempt to avoid the use of packing after sinus surgery, however about 10-20% of the time in order to ensure the best possible outcome after surgery we will use some form of packing. You no longer have to use any dressing after a couple of days. But your chances go up if you're older, you smoke, you're overweight, or you have diabetes or other medical issues. Bleeding Slight bleeding and redness in the saliva are common after sinus grafting surgery. Bleeding Often the most recurring complication, after a sinus lift procedure is performed, is the possible bleeding it may cause to the patient. When necessary, different kinds of nasal packing is used. cerebrospinal fluid (CSF) leak closure. Extraction with bone grafting: starting the day AFTER surgery. Some nasal packing is made to dissolve. kezirian immediately if any significant bleeding, change in vision, or eye pain develops after sinus surgery! Pain control Your pain may be significant for the first 7-10 days following surgery, but it should improve markedly by 10 days. My surgery went without any hitches, in fact the doctor told my friend that there was minimal bleeding. POSTOPERATIVE INSTRUCTIONS FOR ENDOSCOPIC SINUS SURGERY Endoscopic sinus surgery is performed under general anesthesia. After Sinus Lift. The pressure could cause internal bleeding (or something). Immediately after your surgery you may experience swelling in the area and bleeding from your mouth or nose. Listing a study does not mean it has been evaluated by the U. Vary rarely bleeding occurs after surgery that requires a visit to your surgeon and may involve placement of nasal packing to stop the bleeding. The complications of sinus surgery are listed below: Bleeding: Most common complication of sinus surgery is the bleeding that occurs during and after the surgery. Facial and sinus pressure. But an aneurysm is a silent threat to your health. After Sinus Lifting Now that your oral surgery is completed, follow these procedures to make yourself more comfortable, promote healing, and help prevent complications. What to expect after surgery: There may be packing in the nose to prevent bleeding. The technique may be limited to working inside the nose with a nasal endoscope, allowing your surgeon to clear blockages and obstructions with little damage to the surrounding tissue. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. After the sinus lift surgery is performed, you have to address a number of post-operation effects. FOR NASAL AND SINUS SURGERY (Septoplasty, Septoplasty and turbinectomy, endoscopic sinus surgery) Diet Patients who have received general anesthesia may experience some nausea and occasionally, vomiting. About the Sinus Surgery. Questions or concerns? Call us at Portland Office Phone Number 503-292-8824. The incision may bleed, but bleeding can also occur inside the body. I am wondering if my sinus was pierced - the dentist said the x-ray shows that the implant did not enter the sinus area. inhibitors (apixaban, dabigatran, rivaroxaban, or edoxaban). For example: Poor drainage of the affected sinus - the sinus drainage channel may become fully or partially blocked. What should I expect after my child has a sinus surgery? After Surgery: The surgeon may feel it is safe for the child to go home after the procedure, or may recommend that he/she be observed at the hospital for a period of time afterward. When you move or shift position you may have more bleeding. Most people can go back to work and most activities after 2 to 4 weeks. Bleeding following surgery may require the placement of packing and hospital admission. A certain amount of swelling, pain and bleeding is normal. I went back to the surgeon and he said this was normal. If you have a nose bleed, sit upright, and pinch the lower on-half of the nose together (the soft portion below the bone), for ten minutes by the clock. I was so scared that I had a perforated sinus but this ENT (as opposed to the idiot who had seen me previously and had done ineffective sinus surgery) told me it was a chronic sinus infection caused by blockage due to scar tissue. Sometimes the after effects of surgery are quite minimal, so not all these instructions may apply. It is done to treat long-term (chronic) sinus infections. During the second operation I was given 2 units of blood. But the level of flow that you notice with time should be ever diminishing. Other advantages over past sinus surgeries are that there is considerably lesser discomfort after the operation, the nasal packing is lesser, nose bleeding has been reduced, minimal recovery time is required, and there is a higher success rate with the conduction of the surgery. They are designed to answer practically every question that may arise regarding the "do's" and "don'ts" after surgery. The patient will need to breathe out of the mouth while packing is in place. Patients need to rest and relax after endoscopic sinus surgery. Pain Most patients will experience the equivalent of a severe head cold, including congestion, nasal discharge, and headache, for 1-2 weeks after the surgery. bleeding continues, call the doctor. Typically, the sinuses are almost healed three or four months after surgery. Irrigations will result in significant clots and debris being washed out of your sinus cavities. On occasion, nasal sponge packing is placed to minimize post-operative bleeding. With the aid of technology, surgery can be done to bring relief from a sinus infection. Nasal Drainage Immediately after surgery, you will have drainage from your nose. Nasal Packing after Rhinoplasty Surgery Dr. You no longer have to use any dressing after a couple of days. If over-the-counter painkillers are not sufficient, you may be given the option of using prescription painkillers. Ophthalmic complications after surgery for nasal and sinus polyposis surgery 220 RESULTS Case 1: G. The patient will need to breathe out of the mouth while packing is in place. You may experience severe bleeding after the surgery. During the procedure the surgeon can visualize sinuses with the assistance of the endoscope. This is usually 2 to 4, or 4 to 6 months after the implant surgery. A certain amount of bleeding is to be expected following surgery. It is normal to feel like you have a bad sinus infection after surgery due to the swelling from the surgery. I had fess surgery 10 days ago after 2. Nasal Drainage Immediately after surgery, you will have drainage from your nose. But the level of flow that you notice with time should be ever diminishing. Then he will need to see you to either test the healing torque of the implant, or for the second stage procedure to uncover the implant and place the healing abutment if your implant was placed as a two-stage treatment. The first night after surgery, elevate your head with extra pillows or sleep in a recliner. Richard Orlandi answers some common questions regarding recovery from sinus surgery and how you can speed your recovery. The salt-water nose spray will dissolve any blood or mucous left in your nose after surgery. Generally, treatment of posterior nosebleeds includes cautery and/or packing the nose. They may have a bleed in the brain, other serious injuries to the ear, or a concussion. Don't worry, this is normal. The surgeon discusses the postoperative plan with the parent after the procedure. Activities It is best to avoid strenuous activities for approximately two weeks following surgery. Change the gauze dressing as needed. Endoscopic sinus surgery is safe, however, there are uncommon risks associated with the procedure. If bleeding occurs, tilt your head back slightly and breathe gently through the nose. Avoid blowing nose aggressively for one week after the surgery; Avoid lifting heavy weights and strenuous exercises; Avoid airplane traveling for one week after the surgery; Nasal congestion for a week after surgery; Bleeding, pain, fatigue and discharge are common. Read home care instructions for after your bone grafting or sinus augmentation procedure provided by Mid-Maine Oral Surgery in Waterville. after surgery. This is called chemoradiation. Eat what you desire. This tends to disturb the blood clot and can prolong bleeding, open the wound and slow healing. Indications for endoscopic sinus surgery include: chronic or recurrent sinusitis despite appropriate medical treatment or previous surgical treatment. While the amount of risk varies surgery to surgery, all types of sinus drainage surgery typically share the same types of risks. Light bleeding or dripping from the nose may occur when leaning over for the first 3-4 days after surgery. Your doctor will give you instructions that you should read and follow. Smoking can result in delayed healing and sinus infection. Do not travel by airplane for at least 2 weeks. After surgery, your care may include nasal irrigation (e. Nasal Drainage Immediately after surgery, you will have drainage from your nose. WHAT TO EXPECT AFTER ENDOSCOPIC SINUS SURGERY 1. Nasal Drainage Right after surgery, you will have drainage from your nose. Patients should only eat a light diet during the sinus surgery recovery even when they are hungry. Bleeding: There will be minor bleeding from the nose, usually for 1-3 days. Bleeding following surgery could require placement of nasal packing and hospital admission. There might be excessive bleeding in certain cases. paranasal sinus mucocoeles. Frank bleeding, such as occurs with a bloody nose, is not typical of sinusitis. The following instructions are for the first week: Head elevation- Prop yourself up in bed or on the couch. When you're no longer too groggy from the anesthetic and have no unusual nausea or bleeding, you'll be discharged. Nasal bleeding was assessed on the first and seventh days after. Here are a few things to remember after surgery: -Don’t blow your nose for one week after surgery. Hiccups after sinus surgery Coughing after sinus surgery All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. This helps to slow nasal bleeding. • Sinus patients should begin using the Saline Nasal Rinse Kit (or saline nasal spray/mist, available over the. A certain amount of swelling, pain and bleeding is normal. We will not address the immediate post-operative complications as those should be satisfactorily addressed by the Otolaryngologist and can include such things as excessive bleeding, infection, perforation into. There might be excessive bleeding in certain cases. There will be a dressing under your nose to absorb drainage. Nasal packing is the insertion of sterile gauze-like material into the nasal passage to control bleeding. Your doctor can see the images on a monitor. Usually, the nose should not be touched and cleaned on the same day of the surgery. Bleeding is usually minor during endoscopic sinus surgery. After nasal reconstructive surgery you're going to feel under the weather. After Sinus Lift Greenwich CT, The Center for Oral & Facial Surgery of Greenwich, Oral Surgery Greenwich CT, Oral Surgeon Greenwich CT. We performed a cohort study of 40 patients who underwent ESS. PROBLEMS: If you develop a fever (above 101), sudden intense nasal pain or abnormal bleeding call the office. The web site includes a full list of services, comprehensive patient information and details about its 10 locations throughout Minnesota and Western Wisconsin. When this occurs, your surgeon may suction and clean your nose with a post-operative procedure called debridement. Delayed bleeding is usually a result of a vessel being exposed during the healing process. Here's what you can expect during the surgery and. And it was bleeding and oozing. Some bleeding is normal for 2 to 3 days after your operation. Infections after sinus elevation surgery can occur in two locations. POST OP GUIDELINES TO BE FOLLOWED AFTER NASAL/SINUS SURGERY A. AHIMA has no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this audio seminar, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this program. These complications are listed below. You can resume tooth brushing with toothpaste the next day after surgery as you are. Endoscopic sinus surgery is safe, however, there are uncommon risks associated with the procedure. Expect bleeding for the first 48 hours following surgery, change gauze pads as needed. I sat at the doctors office bleeding for about 40 minutes. SINUS PRECAUTIONS : It is very important that you DO NOT blow your nose for 1-2 weeks after surgery. Clinical Professor. Mouth-Sinus Communications. Take your prescribed medications and avoid any strenuous activities until cleared to do so by the surgeon. Avoid blowing nose aggressively for one week after the surgery; Avoid lifting heavy weights and strenuous exercises; Avoid airplane traveling for one week after the surgery; Nasal congestion for a week after surgery; Bleeding, pain, fatigue and discharge are common. The bleeding is less than it was at first. You have had a Sinus Lift Augmentation procedure in your upper jaw. Occasionally, heavy bleeding is encountered, and this may impair the surgeon’s ability to safely continue the operation. the first time i got it it freaked me out. Nasal packing is the insertion of sterile gauze-like material into the nasal passage to control bleeding. Post-operative Instructions for Intranasal (Septoplasty, Turbinectomy)/ Sinus Surgeries (FSS) The following instructions are based on experience with thousands of nasal operations. The information includes both reporting and. AU - Tan, Bruce Kuang-Huay. In fact, the nose needs special care hours after deviated septum surgery. Activity: Bed rest and light activity is the rule for the first 24 hours postoperatively. The technique may be limited to working inside the nose with a nasal endoscope, allowing your surgeon to clear blockages and obstructions with little damage to the surrounding tissue. The last visits are 2 to 3 weeks apart depending on how your nose heals. After Surgery Depending on the extent of the procedure, you may need what's called nasal packing. An ear, nose, and throat specialist (ENT) does the surgery. A build-up of mucus in the sinus. Functional endoscopic sinus surgery, also known as FESS or the FESS procedure, is a type of sinus surgery that corrects structural abnormalities within the nose that can lead to chronic sinusitis and related breathing problems. Most sinus surgery is performed as an overnight stay treatment with patients discharged the morning after surgery. I’ve seen quite a few patients experience this during their recovery. If the bleeding persists only when you release the pressure, repeat the cycle with the holding pressure and the cotton ball in place up to 3 times. These three tips can you help make the nasal reconstructive surgery recovery process easier to deal with. Do not be alarmed, because this is normal. Stop taking ALL natural products, herbal medicines, vitamins, and other supplements 7 days before your surgery. There will be a dressing under your nose to absorb drainage. Post Op Nasal / Sinus Surgery - overview, instructions, what we typically recommend to do and not to do Note: these instructions do not apply for nose jobs (rhinoplasty) these are our general. Richard Orlandi answers some common questions regarding recovery from sinus surgery and how you can speed your recovery. Hello, Welcome to ehealthforum and thanks for writing Yes, after the surgery any strenous activty including intercourse is to be avoided for a week to avoid any pressure in the sinuses as it can lead to bleeding. You may experience some bleeding from your nose. Many surgeons use cocaine during sinus surgery to minimize post-operative pain as well as minimize intra-operative bleeding. When secretions accumulate in a blocked off sinus, they may become infected with bacteria and result in a flare up of sinus symptoms. You may want to take a fibre supplement every day. Your dentist or oral surgeon may suggest that you add 1/2 teaspoon of salt to a cup of warm water each time you rinse. Make sure you bite down on it with some pressure. Controlled hypotension is an anaesthetic technique in which there is deliberate reduction of systemic blood pressure during anaesthesia. Infection: Patients are usually given a dose of antibiotics during surgery and a prescription for antibiotics after surgery to reduce this risk. nasal packs are used, they are usually removed the morning after surgery. Slight bleeding is expected for the next 48 hours. One more complication is related to anesthesia. Slight bleeding from the nose is not uncommon for several days after surgery. A light pack is left in the nose overnight to help with bleeding. Be sure to follow the instructions you’re given. This study aimed to determine the efficacy of Gelfoam packing on hemostasis and wound healing after FESS. Surgery of the nasal septum can rarely result in a permanent opening between the two nasal cavities. We will discuss what kinds of medications you can use to help relieve discomfort after your procedure. Medical Malpractice - Sinus surgery leaves pltf with double vision. Nasal Polyp Surgery Recovery. You need to purchase two over-the-. Sinus Surgery What to Expect After Sinus Surgery • Bleeding: It is normal to have some bloody discharge for the first 1-2 days after your procedure, especially after you irrigate your sinuses. – failure to resolve problems like sore throat, snoring, sleep apnea, ear infection, sinus infection, nasal drainage etc. In most cases. My surgery went without any hitches, in fact the doctor told my friend that there was minimal bleeding. Bleeding is a common complication in tonsillectomies occurring in 1 to 4% of all patients. After Sinus Surgery Diet. You can find out more about this surgery, and the post-surgical pain and its management, in this HealthHearty article. The eye or orbit can be injured during surgery, causing injury to the muscles or optic nerve. In about 2% of patients there is some bleeding after 6 or 8 days. The complications of sinus surgery are listed below: Bleeding: Most common complication of sinus surgery is the bleeding that occurs during and after the surgery. Some days may be more. The packing will likely be removed in a day or two. After surgery The first night. Usually, the nose should not be touched and cleaned on the same day of the surgery. Rest at home, avoiding physical activity. Functional endoscopic sinus surgery (FESS) has become the accepted standard approach and technique when surgical treatment of sinusitis is indicated. Surgery lasts 1 to 4 hours depending on the extent of surgery and the severity of sinus disease. The following information applies when upper jaw bone height or width have been lost. The fluid surrounding the brain. Baptist Downtown Southside Baptist South • It is not unusual to experience some nasal bleeding during the first several days after surgery. Gently blot the nose but do not vigorously blow the nose as this could blow the blood clot and graft out of the sinus. Please remember spitting and rinsing aggravates and stimulates bleeding. Endoscopic sinus surgery is designed to increase the amount of air flowing through the sinuses and allow mucus to drain properly out of the nose. meatus packing after endoscopic sinus surgery (ESS). If none of these tips stop the bleeding, please call your sinus surgeon or go to your nearest medical facility immediately. After Sinus Floor Bone Grafts You have had a Sinus Floor Bone Graft Augmentation procedure in your upper jaw. Balasubramanian M. It smelled just like the sodium hypochloride that the dentist used to flush my roots. Be as gentle as you can around the bone grafting area. Avoid extremely hot foods for the rest of the day and do NOT rinse out your mouth, as these will often prolong the bleeding. Your doctor should let you know all medications or supplements to avoid before the surgery that may lead to bleeding, such as aspirin and ibuprofen. Bleeding: It is normal to experience some bleeding during the first few days after surgery. During surgery, blood vessels are often cauterized to stop bleeding. It was reported that several hundred thousand surgeries were performed each year in the United States [ 1 ]. Vary rarely bleeding occurs after surgery that requires a visit to your surgeon and may involve placement of nasal packing to stop the bleeding. With the endoscope, the. after surgery. While many see surgery as a last resort, there’s an alternative. These complications are listed below. After any packing is removed, use saline (saltwater) nasal washes to help keep your nasal passages open and wash out mucus and bacteria. For questions, problems or refills, call the office at (425) 775-6651. It is performed using a small camera called an endoscope that enables the ENT doctor to complete the FESS surgery. As with all surgery, there is a chance of infection, but this can usually be easily handled with antibiotics, which can be prescribed by your surgeon where necessary. However, you should be prepared for the possibility of difficulty breathing through the nose for the first week after surgery. Patients should only eat a light diet during the sinus surgery recovery even when they are hungry. It is also best to avoid blowing the nose. In: Journal of Laryngology and Otology. Bleeding following surgery could require placement of nasal packing and hospital admission. Twelve years after surgery, 38 out of 47 patients (80. The next day after surgery, if the bleeding has stopped, begin warm saltwater rinses. However, if bleeding continues, you should contact your dentist. Patients may be instructed to avoid blowing their nose for about a week. The recovery process will depend on how extensive your surgery was; however, some patients start to feel better after about three to five days. Although most patients do not require nasal packing, a few patients will require a small nasal pack or tissue spacer to be removed after one week. If steady bleeding occurs after surgery, tilt your head back slightly and breathe through your nose gently. medicated rinse: swish with 1 teaspoon 2 x day until the doctor advises you to discontinue. Still the bleeding after sinus surgery is indeed the most frequent complication of all. After Sinus Lifting Now that your oral surgery is completed, follow these procedures to make yourself more comfortable, promote healing, and help prevent complications. Use of packing depends on. In FESS, your CSC surgeon will use small cameras and instruments to work carefully in the nose. blow the nose after irrigating, as mentioned above. What happens during sinus surgery?. Recovery may take about 3 to 5 days. Keeping the nose moist with antibiotic ointment and/or nasal salt water helps decrease complications and speed healing. These include nausea and vomiting, bleeding, infection and allergies to medicines or dressings used. Patients who continue to bleed after ESS are at risk of airway compromise from inhalation of blood clots or. What can I expect after my surgery? Most patients will experience significant improvement in their symptoms soon after sinus surgery. Your surgeon may place a temporary stent or a dissolvable implant if you have severe sinus infections and/or nasal polyps. POST OP GUIDELINES TO BE FOLLOWED AFTER NASAL/SINUS SURGERY A. Apply ice packs to the outside of your cheek(s) every 15-20 minutes for the first 24 hours. Try to avoid sneezing. Sometimes, this packing is dissolvable. ANTIBIOTICS: You will be sent home with an antibiotic prescription to limit bacterial overgrowth, or infection. A small amount is normal and may continue through the first week. It acts as a splint, keeping the septum and mucosal lining in place, and it reduces bleeding and possible internal scarring. Don’t blow your nose for at least a week after surgery. A gauze dressing will be place on your upper lip to absorb this drainage. The last advice that doctors will be recommending is for him to undergo a sinus surgery and recovery stage after. The surgeon removes diseased bone or mucosa (skin lining), polyps or cysts, rinses the open sinuses and sometimes takes cultures. In this surgery, even well experienced surgeon may meet complications from time to time. This should heal uneventfully if a few simple steps are followed. After any packing is removed, use saline (saltwater) nasal washes to help keep your nasal passages open and wash out mucus and bacteria. It is common to experience some bleeding after your procedure but it should resolve in a day or so. Many surgeons think that nasal packing is not mandatory in isolated sinus surgery and after a careful intraoperative hemostasis ,. Prevention and Management of Complications in Maxillary Sinus Surgery Esther Kim, MD, James A. A light pack is left in the nose overnight to help with bleeding. Septoplasty involves raising the lining of the nose off the septum on both sides with replacement of the lining against each other at the end of the procedure. Functional Endoscopic Sinus Surgery (FESS): FESS is a minimally invasive, mucosal-sparing surgical technique utilized to treat medically refractory CRS with or without polyps or recurrent acute rhinosinusitis. 1 Thirty million people in the United States, or 17. Cold packs maybe applied to the nose during the first 24 hours to 48 hours post surgery, to help in stopping the bleeding. Functional endoscopic sinus surgery, also known as FESS or the FESS procedure, is a type of sinus surgery that corrects structural abnormalities within the nose that can lead to chronic sinusitis and related breathing problems. Bleeding: It is normal to experience some bleeding during the first few days after surgery. Due to the close proximity of the sinus to your surgery site, it is important for you to follow these instructions:. I sat at the doctors office bleeding for about 40 minutes. You will wear an external nasal cast for approximately one week following the procedure. Sutures: depending on the type of surgery, you may have restorable or non-restorable stitches. This may be more likely with elevated blood pressure or if one blows the nose. Occasionally patients who have had a septoplasty or septorhinoplasty experience some numbness or tingling of the tip of the nose or front, upper, teeth. You are scheduled to have sinus surgery. During surgery, blood vessels are often cauterized to stop bleeding. What to Expect After Endoscopic Sinus Surgery: Bleeding: It is normal to have some bleeding after sinus surgery. After sinus surgery has taken place, nasal packing may be used. Resist the urge to peek after a few minutes to see if your nose has stopped bleeding. I will assume that you are not writing about nasal surgery, but a bloody nose after surgery somewhere else. You will be asked to do some things to get ready. The following information applies when grafting material has been placed into extraction sites to help preserve your jawbone in preparation for possible implant replacement of the extracted tooth. Avoid blowing nose aggressively for one week after the surgery; Avoid lifting heavy weights and strenuous exercises; Avoid airplane traveling for one week after the surgery; Nasal congestion for a week after surgery; Bleeding, pain, fatigue and discharge are common. Right after sinus surgery, because the nose has such a rich blood supply, we don't really want to get the heart pumping and the blood pressure up because it's going to cause the nose to bleed a little bit more. Bleeding during surgery varies, but rarely results in the need for blood product transfusion. SWELLING: Swelling is a normal occurrence after surgery and will not reach its maximum until 2-3 days after surgery. If there is bleeding during the operation you may wake up with a pack already inside your nose. I took a week off of work. These include: Bleeding – Blood loss occurs in every type of surgery, and bleeding is a common symptom after sinus surgery. For the first hour, keep firm pressure on the area of surgery by biting on the gauze sponge placed in your mouth at the office. You should. They may prescribe antibiotics, or tell you it takes time to heal and feel well again, as long as your not having any unusual bleeding there still may be pain and swelling month afterward. Before and after surgery, sinusitis should be managed by treating any allergies that might be present and, in some cases, treating the patient for acid reflux. Contact the American Sinus Institute. Start antibiotics the day after surgery and continue taking for the full 7 days. Don't let your head get below your heart. Endoscopic sinus surgery is designed to improve the drainage of the sinuses and to improve airflow through the nose. Short term Cataract Surgery problems and complications are those that we will define as occurring during or very soon after the actual surgical procedure-perhaps within the first 24 hours after surgery. Start with clear liquids after surgery then progress your diet as tolerated. This bleeding may continue throughout the first day. You can expect some bleeding from your nose for several days after the surgery and again after each office debridement. Stephanie Jo Herrera, M. Mild bleeding or discharge from the nasal passages during or after surgery is normal and will subside as a patient continues to heal. • Normally, you will be seen for a check-up 3-4 weeks after the operation. Slight bleeding or bloody mucous is expected for a few days as well. Bleeding: It is normal to experience some bleeding during the first few days after surgery. The side effects of a sinus rinse are typically minimal but should be discussed with a medical professional if they occur. For more details about postoperative care, please see the separate guide, "Postoperative Care Instructions. To control, prevent, and minimize bleeding after surgery: DO NOT SPIT OUT BLOOD OR SALIVA. Orbital complications of Endoscopic Sinus Surgery. In this surgery, even well experienced surgeon may meet complications from time to time. POST OP GUIDELINES TO BE FOLLOWED AFTER NASAL/SINUS SURGERY A. Sinus surgery is a traditional treatment option that clears blocked sinuses by placing an endoscopic instrument in the nose to examine the area and remove bone and tissue to enlarge it. Heart and lung problems occur only in patients who are already suffering from diseases of these two organs. Im getting suggestions from friends who are nurses and ones who have EDS and such to get tested for some things. Your doctor will give you instructions that you should read and follow. If bleeding is active during surgery, it can be controlled with nasal packing. What can I expect after surgery? Do not take aspirin, blood thinners, or anti-inflammatory medications (ie. A light pack is left in the nose overnight to help with bleeding. For the first hour, keep firm pressure on the area of surgery by biting on the gauze sponge placed in your mouth at the office. after surgery, to reduce these effects. Don't let your head get below your heart. The Paparella Ear Head & Neck Institute specializes in the expert treatment of problems with ears, nose, sinuses, throat and head. The endoscope is a 4-mm lighted tube that allows precise removal with minimizing tissue damage. Injury to other organs may also have occurred during. Bleeding: Most sinus surgery involves some degree of blood loss, which is generally well tolerated by the patient. You can expect to change the gauze frequently for the first 1 - 2 days. The primary risks of endoscopic sinus surgery include significant bleeding, recurrence of disease, and spinal fluid leaks. Stachler on post sinus surgery bleeding: Hello, your post op PND should be evaluated by your surgeon. (salt water) spray the day after surgery. Bleeding is bright red and continuous. If brisk bleeding continues despite use of Afrin CALL the OFFICE at 603-224-2353. It is common to experience some bleeding after your procedure but it should resolve in a day or so. Some nasal packing is made to dissolve. After Surgery.