Endoscopic sinus Surgery

What to Expect Pain: Most patients complain of a dull headache or sinus pressure for a few days. Usually extra-strength Tylenol is often all that is needed. If that is not sufficient, you may use the pain medication prescribed by your doctor. Bleeding: It is normal to have some bloody discharge for the first 5 days after sinus surgery, especially after you irrigate your sinuses. Avoid blowing your nose for 1 week. If you have to sneeze, sneeze with your mouth open.o Unless otherwise directed by your surgeon, it is also safe to gently hold a constant pressure on the soft part of your nose for ten minutes to stop any bleeding.o If you see an increase in bleeding, you may try spraying a non-prescription decongestant spray such as Otrivin or Afrin (oxymetazoline). Several sprays will usually stop any bleeding.o If the bleeding is steady then you should call the office or visit the emergency department. Nasal congestion: Post-nasal drip and congestion can also be increased for several weeks. A humidifier at night can help with nasal and sinus congestion. Smoking significantly increases post-operative inflammation and severely increases nasal crusting.
  • Medicines
  • Take over the counter and prescription medicines only as told by your surgeon or nurses.
  • If you were prescribed an antibiotic medicine, take it as prescribed by your surgeon. Do not stop taking the antibiotic even if you start to feel better.
  • Start using your saline nasal spray or rinse as directed the day after your surgery
  • Do not use any nasal steroid sprays (e.g. Nasonex, Omnaris) for two weeks
  • Activity
  • Do not lift anything that is heavier than 20 lb (9.1 kg) and avoid exercise and limit any exertion for at least 2 week following surgery.
  • Do not fly in an airplane or put your head completely underwater for 2 weeks.
  • After 2 weeks, you can slowly return to your normal activities
Call a Doctor if
  •  You have a fever
  •  You have constant clear water discharge after the first week of surgery
  •  Sudden development of visual changes or eye swelling
  •  Severe headache or neck stiffness
  •  Steady, brisk nose bleeding that doesn’t get better after using Otrivin/Afrin