Endoscopic Sinus Surgery

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Before the operation:

2 weeks before the operation you should not take any non-steroidal anti-inflammatory medications.  These include Motrin, Ibuprofen (Advil), Aspirin, Naproxen or any medications containing these drugs.  All herbal medications should also be avoided as they can interfere with normal blood clotting and anesthetic agents.  If you take pills for high blood pressure, you should still take them the morning of surgery with sips of water.

Patients will attend a pre-operative tour at the hospital where blood work and pre-operative testing will be done if any has been ordered.  If this is not attended and we are unable to contact you to confirm that you are still going ahead with your surgery, it will be cancelled.


After the Operation:

You will be discharged the same day of the operation.  You should have someone with you the first evening.  It is normal to have some blood come from the nose for up to 2 weeks after the operation. You should not have brisk nasal bleeding.  Blowing your nose should be avoided for at least 3 days, and then only gently afterwards for 2 weeks.

There may be small packs in the nose to keep the sinuses open after the operation.  These can be dissolvable or removable.  If they need to be removed, it will be done about 2 weeks after the surgery.  You should call the office to confirm your appointment time.  If they are dissolvable you will still be seen approximately 2 weeks after the surgery.

You should not use your steroid nasal spray for 3 weeks after the surgery while things heal.  You should purchase a Saline Nasal Spray or Hydrasense medium nasal spray for the first five days post op.  You will then use Neilmed Sinus rinse spray two or three times daily for up to 3 months after surgery.

Often patients will notice a mild improvement in symptoms after surgery, and will have progressive reduction of symptoms over a period of 6-10 months following surgery.  You will still be able to get sinus infections, but they should be less intense, less frequent and last for a shorter period of time.  If you are feeling any improvement after 1-2 months you should call to arrange an additional follow up.  Sinus surgery is generally effective in about 90 percent of patients.  The remainder may need additional topical therapies or in some cases revision surgery. This can be determined on close follow up if required.