Enhanced Post-Operative Instructions After Endoscopic Sinus Surgery
Enhanced Post-Operative Instructions After Endoscopic Sinus Surgery
Understanding Your Recovery
Endoscopic Sinus Surgery opens blocked sinus passages and improves airflow. The nose requires time to heal from internal swelling, scabbing, and crust formation.
What to Expect Initially
- Blocked nose
- Mild bleeding
- Thick mucus drainage
- Facial pressure
- Post-nasal drip
- Temporary reduction in smell
Nasal Care Routine
Proper nasal cleaning ensures healthy healing:
- Begin saline rinses after 24–48 hours—it keeps sinuses open.
- Use saline sprays multiple times daily.
- Do NOT attempt to remove scabs; they fall off naturally.
- Use a humidifier at home to prevent dryness.
Activity Guidelines
Avoid anything that increases nasal pressure:
- No nose blowing for 10–14 days
- Do not lift heavy weights
- Avoid bending forward
- Avoid strenuous exercise for at least 2 weeks
- Avoid flying for 2–3 weeks
- No swimming or underwater activities
Diet & Lifestyle
- Eat soft, lukewarm foods initially.
- Hydration helps clear mucus.
- Avoid caffeine, alcohol, smoking, spicy foods, and strong perfumes.
Medications
- Antibiotics: Prevent postoperative infection
- Nasal Sprays: Use only as directed
- Painkillers: As needed
- Steroid sprays/rinses: If prescribed
Healing Timeline
- Week 1: Congestion, mild bleeding
- Weeks 2–3: Crusts form and gradually reduce
- Weeks 4–6: Breathing improves significantly
- Months 2–3: Final sinus function stabilizes
Follow-Up Care
- First visit within 1 week
- Debridement every 1–2 weeks for 4–6 weeks
- Long-term review at 3 months
When to Contact the Clinic Immediately
Seek help if you experience:
- Heavy nosebleeds
- Fever > 38°C
- Severe facial swelling
- Vision changes or double vision
- Persistent severe headache
- Thick, foul-smelling nasal discharge