Septal Surgery Post-Op Instructions
Septal surgery is normally performed on an outpatient basis using either general anesthesia or local anesthesia with IV sedation.
Immediately Following Surgery:
The following should be observed for one week after surgery:
- Do not blow the nose.
- Sniff gently to clear the secretions.
- If sneezing occurs, keep the mouth open during the sneeze to avoid pressure inside the nose.
- Minimize bending or stooping and avoid heavy lifting (more than 25 pounds).
- Keep the head elevated by using extra pillows or sleep in a recliner.
- Minimize touching and wiping the nose.
- Do not rub the nose.
Severe pain is unusual after a nasal procedure. If nasal packing is used, headache may occur. Tylenol with codeine is generally ordered for pain. No medication with aspirin nor aspirin is to be taken two weeks before or after surgery.
Prescribed antibiotics should be taken as directed. Decongestants, such as Sudafed, may be taken. Ayr or Ocean nasal spray may be used to prevent nasal crusting.
Low-grade fever - up to 100 degrees - for one or two days post-op is usual, particularly for patients who do not drink enough fluids.
Minimal bleeding occurs on the day of surgery. Nasal dressings may be changed as frequently as needed. Should a patient experience a large amount of bleeding after discharge, the Clinic or the physician on call should be contacted, or the patient should go directly to the emergency room.
Any food may be eaten after surgery, but a soft diet is recommended because excessive chewing may increase discomfort or cause bleeding around the incision just inside the nose.
Alcoholic beverages should be avoided for one week after surgery.
Work may be resumed in one week, unless the work is physically demanding or accomplished in extreme temperatures, in which case the patient may then require two weeks of sick leave.
Activities that are likely to result in injury to the nose - such as sports - should be avoided for one month.
If packing is used, a post-op clinic appointment for pack removal may be needed one or two days after surgery.
Nasal splints may need to be removed one week after surgery.
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