Surgery doesn’t cure rhinitis and allergy, most people still need to use steroid nasal spray before and after surgery.
Take 2 weeks off to recover.
Stay within one hour of a hospital for 2 weeks after surgery in case bleeding occurs.
Rinsing with saline four times a day for 6 weeks is the most important thing to get a good outcome.
What is this for and is it effective?
Sinuses are air spaces inside the bones of the face, in the cheeks, forehead and between the eyes. The purpose of sinuses are unknown. The sinuses contain air and open into the side wall of the nose through narrow openings or channels called ostia. If the lining of the nose is swollen and inflamed (this is called rhinitis), the sinus openings can become blocked and this leads to sinusitis with pain/pressure, discharge/runny nose and sometimes cough, post-nasal discharge (mucus running from the nose into the back of the throat) and loss of smell. The lining of the nose can become swollen and inflamed due to a virus/cold, allergy, irritation or other problems like nasal polyps. Sinusitis can be acute and recurrent (episodes lasting a few weeks then being well for weeks or months before the next episode) or can be persistent or chronic (symptoms change from day to day, with some worse times and some better times but no completely symptom-free times).
Initial treatment for sinusitis is with medication, first with tablets for ten day then with steroid nasal sprays (Nasonex) and salt water rinses for weeks or months. If symptoms persist after 3 months of medicine treatment, a CT scan of the sinuses is arranged. The shape and openings of the sinuses are unique to each person. The CT shows the shape of the sinuses and the sinus openings and also shows which sinuses are unhealthy and how badly affected each sinus is. This allows the surgeon to decide if surgery would be helpful.
The aim of surgery is to improve the openings into the sinuses. For mild disease, minor adjustments are needed and for more severe disease (like nasal polyps) more extensive surgery is needed. Most sinus surgery is done endoscopically; this means the surgery is done with thin rod cameras inserted through the nostrils, rather than through cuts in the skin of the face. Some patients with severe disease need to have small cuts in the skin of the eyebrow (for frontal or forehead sinus surgery) or in the gum inside the mouth (for the maxillary sinus).
Surgery doesn’t cure polyps or allergy; it is part of the treatment along with medication. Medication is needed before and after surgery. Most people have improvement in symptoms for at least 12 months after surgery. 7 out of 10 people have long term improvement and 3 out of 10 people have problems again.