Septoplasty and turbinectomy

SEPTOPLASTY/TURBINECTOMY POSTOPERATIVE INSTRUCTIONS:

Overview:
Septoplasty – This is a procedure performed exclusively on the internal structure of the nose called the septum. The septum divides the nose into two separate compartments. In most patients, the septum is not a perfectly straight line. The cartilage becomes becomes deviated to one side or S shaped (deviated to both sides), restricting airflow
through the nasal passageways. A septoplasty is performed to straighten the cartilage of the septum so that the patient’s nasal breathing will be improved. All incisions are made on the inside of the nose and, since the external bones are not fractured, there is generally no swelling or “black eyes” after the surgery.

Turbinectomy – A turbinectomy is a reduction in the size of the turbinates. These structures warm and humidify the air we breathe. Sometimes (in addition to a deviated nasal septum), the turbinates enlarge and occupy too much space along the patient’s airway. The enlargement of this structure can interfere with nasal breathing and sinus
drainage.

A combination of septoplasty and turbinectomy surgery is an outpatient procedure
routinely performed under general anesthesia.

What to Expect:
– Patients will experience additional nasal congestion following the procedure until the first postoperative appointment (5-7 days later) – do not blow tour nose! Do not use any nasal decongestants in either a pill or nasal spay form unless cleared by the physician.
– Septal Splints are sutured into the septum, these are medical grade plastic material that adds additional pressure and support to both sides of the septum. This is removed in the office approximately 5-7 days after surgery.
– Floseal is a combination of a gelatin matrix and thrombin (the body’s natural clotting mechanism), and it is inserted into the nose prior to the end of the procedure in order to reduce post operative bleeding. This is suctioned out in the office approximately 5-7 days after surgery
– Elevate the head and upper body on pillows in order to decrease congestion

Pain:
– moderate amount of pain and pressure is normal
– Use prescribed pain medication or over-the-counter Tylenol medication as needed.
No aspirin products.
Diet:
– Start with liquids, progress to solids as tolerated. Temporary loss of taste is not uncommon.
Activity:
–Avoid strenuous activity for 1 week (gym workouts, lifting greater than 20 lbs, etc.)
– Shower/Bathing—Resume bathing 24 hours after surgery.
– Driving—Do not drive if taking narcotic pain medication.
– Travel – No flying or extended trips until after 1 week post op visit. Going outside/short outings are allowed

Comfort Measures
– Use a bedside vaporizer/humidifier
– Elevate head of bed
– Frequent sipping of fluids/Popsicles Vaseline/lip balm to decrease chapping

Call the office if you experience the following:
– Excessive bleeding for an extended period of time
– Problems with medication (controlling pain, nausea, rash etc.)
– Temperature of 101 or higher despite use of medication
– Increased redness or swelling of the nose
– Nausea or vomiting not relieved by medication
– Difficulty urinating after surgery
– Increased nasal crusting

Follow up:
Schedule a followup appointment for 5-7 days following the procedure