Sunday December 21, 2014

Dr. Logan, Loucks & Taylor: 2841 New Hartford Road  ~ Owensboro, KY 42303 ~ (270) 691-6161 ~ Hours: Mon-Fri 8:30 am - 5:00 pm


Dr. Mumford: 922 Triplett Street ~ Owensboro, KY 42303 ~ (270) 926-4175 ~ Hours: Mon-Fri 8:30 am - 5:00 pm

 

Nasal Septoplasty & Submucosal Resection of the Inferior Turbinates

 

Internal nasal deformity is a very common source of nasal and sinus symptoms. The most common abnormalities of the inside of the nose include a deviation of the nasal septum and enlargement of the turbinates. The most common symptoms with these deformities include chronic nasal congestion, nasal obstruction, chronic facial pain, and generalized allergy symptoms including runny nose and postnasal drainage. Under some circumstances, septum and/or turbinate issues may result in infection related to the paranasal sinuses, however, this is less common.


When medical intervention does not improve the patient’s symptoms, surgery of the nasal septum is sometimes an option. The surgery is performed through the nasal airway. A small incision is made just inside of the right nasal passage. The lining is lifted off the center strut of the nose and the center strut is repositioned in the midline. Splints are often used to secure the septum during the healing process.


When the turbinates are thought to be part of the problem, surgery is once again an option. The turbinates may be reduced or even partially removed, which will improve the nasal air flow and limit the obstructive symptoms. Once again, the procedure is performed through the nose.

 

Indications for Turbinate Reduction:
• Nasal Obstruction due to Turbinate Enlargement
• Abnormal Growth or Polyp of the Turbinate
• Chronic Allergy-like Symptoms unresponsive to Medical Treatment
• Inability to Tolerate the use of CPAP


Complications from Nasal Surgery:
The biggest risks associated with nasal surgery include anesthetic complications, nasal bleeding from the septum or the turbinates, facial pain, and rarely, the creation of a hole in the septum, called a septal perforation. The most common time to have a bleeding complication is 7 to 10 days after the surgery. The best way to minimize the risk of bleeding is to follow the instructions given by your surgeon. You will be asked to limit blowing of your nose. You will be instructed to limit physical activities. The use of a nasal saline (salt water) spray is also commonly recommended to maximize the healing process.


On the day of Surgery - DO:
• Elevate the head of the bed to 45 degrees throughout the day.
• Keep an ice pack across the bridge of the nose, eyes and forehead throughout the day of surgery and then as needed during the first week to decrease pain or bleeding.
• Nausea is very common after the surgery related to anesthesia.
• Bloody drainage from the nose is very common and may last for a couple of days. A gauze dressing may be placed under the nose to protect the face and clothing.


During The Week Following Surgery:
• Nasal splints may be left in place for one week. It is not uncommon for the nose to become blocked with blood and mucus. If you want to use a salt water nose spray to moisturize the nose and reduce drainage, this will not result in harm to the nose.
• Nasal packing may be used after the surgery to ensure adequate healing. Sometimes the nasal packing will be removed during your postoperative visit. Sometimes a dissolvable pack will be used.
• A low grade fever (up to 101°) is common following surgery.
• Avoid ibuprofen, aspirin and aspirin products.
• Do not blow your nose.
• Limit heavy lifting or anything that results in exertion for seven to ten days after surgery.
• Do not do anything that causes your nose to drop below your heart.
• Most people will miss seven to ten days of work.
• You may shower and get your face wet.
• Try to sneeze/cough with your mouth open.


At Home:
• Follow your physician’s orders and discharge instructions given to you by the nurse.
• Call your physician if you experience severe dizziness, uncontrolled pain, prolonged nausea and vomiting, fever greater than 101.5°or for any alarming symptoms.
• Take medications as prescribed.
• Resume food intake slowly, starting with chipped ice, sips of soda, ginger ale or lemon-lime drink.
• Keep follow-up appointments with your surgeon.
• Return to activity as instructed by your physician.
• DO NOT make any important or critical decisions immediately after your surgery.
• DO NOT drive or operate any hazardous machinery for 24 hours.


Financial Responsibility:
Insurance policies represent agreements between you and your insurance provider. As a courtesy, OMHS will file your insurance claims for you and allow a reasonable time for payment. You are responsible for payment of services not authorized by your insurance provider.


Always Bring With You:
• Doctor’s orders or papers given to you by your doctor, including this brochure.
• Medication bottles or a completemedication list with dosages and times. This includes prescription and over-the-counter medications such as aspirin,Tylenol, ibuprofen, vitamins, herbs and diet pills.
• Insurance cards.
• Any recent EKG, X-Ray or laboratory results you may have already had performed. This may prevent repeat testing.
• A copy of your LivingWill,Medical Power of Attorney documents or guardianship papers, if applicable.


Before Surgery:
• Call your physician if you become ill (fever, chest congestion, flu) or if you can’t keep your scheduled surgery appointment.
• Tell your doctor if you have any allergies, including latex.
• Tell your doctor if you are taking any blood thinners, diabetesmedications or diet pills.
• Stop taking any herbalmedications or diet pills.
• Stop smoking.
• Notify your insurance company of your surgical plans even if your physician’s office has done so.
• If your doctor discussed donating your own or your familymember’s blood before surgery, call Western Kentucky Regional Blood Center at 684-9296.
• If it is not possible to visit theOMHS Pre-admission Center, call their office at 270-688-1125 the day before your surgery.


The Night Before Surgery - DO NOT:
• DO NOT eat or drink anything after midnight, unless instructed by your physician. This includes water, coffee, gum and mints.
• DO NOT drink alcoholic beverages for 24 hours before surgery.
• DO NOT eat spicy or heavy foods for dinner the night before your surgery.


On the day of Surgery - DO:
• Take only those medications (with a few sips of water) as instructed by your physician and/or preadmission nurse.
• Take a complete bath or shower.
• Wear loose, comfortable clothing.
• Bring your cases for contact lenses, glasses or dentures to be stored during your surgery.
• Remove your contact lenses prior to surgery.
• Have a responsible adult available to drive you home and remain with you for 24 hours following the surgery. The medications you may receive will make it unsafe for you to drive a car, walk home or travel by public transportation.
• Please bring a responsible adult with you but limit visitors. Outpatient Surgery limits visitors to two per patient. Until the nurse has prepared you for surgery only one person will be allowed.
• A parent or guardian must accompany any patient 17 years of age or younger.
• Arrive 2 hours before your scheduled surgery time, unless otherwise instructed by your physician or Pre Admission nurse. Go directly to the Outpatient Surgery Department on the 2nd floor.
• Bring your C-PAP machine to the hospital if you use one during sleep.
• Bring currently used inhalers with you.
• Bring any information provided by your surgeon or the preadmission office.


On the day of Surgery - DO NOT:
• DO NOT smoke or at least reduce the number of cigarettes you smoke in the 12 hours prior to urgery. Smoking can increase your risk of complications and the amount of pain you have after surgery. Smoking cessation is recommended 6 weeks before surgery for maximum benefits/risk reduction.
• DO NOT wear make-up, jewelry, body piercings or contact lenses.
• DO NOT wear nail polish or artificial nails.
• DO NOT bring valuables.
• DO NOT eat or drink.
• DO NOT bring children under the age of 12 with you.

 
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