Before and after surgery Instructions

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BEFORE SURGERY INSTRUCTIONS

Please read the following instructions carefully and contact your doctor’s clinic if you have any questions or concerns regarding the preparation for surgery. If you want to know more about your surgery, we recommend that you visit our website. You can also browse the links given there for additional information.

Instructions-

  • Name, email address and/or your photo when you visit our exhibitions and make use of the technologies we offer to you to receive a Good GIF
  • Personal data obtained through or generated on our website, newsletters, commercial emails
  • IP address
  • Your browsing behaviour on the website such as information on your first visit
  • Whether you open a newsletter of email and what sections you select
  • Personal data obtained through or generated on our website, newsletters, commercial emails
  • Your browsing behaviour on the website such as information on your first visit
  • Whether you open a newsletter of email and what sections you select

(FESS) FUNCTIONAL ENDOSCOPIC SINUS SURGERY/ SEPTOPLASTY/ SPUR OR TURBINATE SURGERY (POST-OPERATIVE INSTRUCTIONS).

Please read the following instructions carefully and contact your doctor’s clinic if you have any questions and concerns, either before or after your surgery. Post-operative care

  • Post-operative care

      • Drink lots of fluid such as water, juice, soups etc. This prevents dehydration and keeps your nasal cavity and throat moist.
      • Sleep with head elevated for the first 48 hours. You may use extra pillows for this.
      • Avoid getting hit on your nose.
      •  Sneeze with mouth open. DO NOT blow or pick your nose for at least 2 weeks.
      •  Rest for at least a week is recommended. Sick leave certificate is available at your doctor’s clinic.
      • Medication for pain and antibiotic, if prescribed, should be taken without fail.
      •  DO NOT take Aspirin for at least 2 weeks after the surgery.
      • Avoid lifting heavy weight and extreme physical activity for 2 weeks.
      • Regular visits to your doctor’s clinic may be necessary after the surgery for endoscopic cleaning of the nose to prevent adhesions and scar formation.
  • What to expect in the post-operative period?

      • Your mouth may become dry. Use mouthwash and ointment (Vaseline) to the lips.
      • You may use ice packs across the nose and eyes for comfort. These should be small and light to prevent discomfort.
      • Some drainage of bloody secretions is expected. Do not blow your nose hard. Sneeze with your mouth open. Do not swallow secretions. These can upset your stomach. You can spit out any secretions flowing into your mouth.
      • Your nose will be blocked till the nasal packs are removed. You will be breathing through the mouth during this time.
      • You may feel drowsy and nauseated due to the anaesthesia medication. Vomiting may also occur.
      • Do not eat foods that require a lot of chewing in the first few days. While the packs are in place, you may find that your taste and smell are diminished. This will resolve when the packing is removed. Your packing will be removed after
      • 24 hours of surgery.
      • Your throat may become dry and you will be advised to take sips of water frequently.
      • Mild swelling and stiffness at the nasal tip may occur which will remain for few days.
      • You may brush your teeth, wash your face and wear make-up or shave as you normally do, but avoid bending over for prolonged periods.
      • The nasal discharge is initially red which becomes pink and watery thereafter.
      • During the course of healing, you will experience periods of alternating good airflow and extreme congestion.
      • You may also have “sinus headache.” These improve as the swelling subsides.
      • A low grade fever (between 100.5F and 101.5F) is normal after surgery.
      • Make sure to confirm your post operative follow up visit to your doctor’s clinic.
  • Contact your doctor’s clinic if

      • There is excessive bleeding from the nose or mouth which is bright red and lasts for more than 10 minutes.
      • You have change in vision.
      • You have neck stiffness or deep head pain.
      • You have fever greater than 101.5F.
      • You have a low grade fever which continues beyond 2 days.
      • You have severe pain which is not relieved by your prescribed pain killer.
      • You have swelling of the eye or severe headache.
      • You have any questions or concerns regarding your surgery.

STEROID NASAL RINSES

The mainstay of treatment for CRS (Chronic Rhinosinusitis) is Steroid. This may be required for long periods of time for proper control of the disease. Systemic Steroid in the form of Tablets or Injections have plenty of untoward side effects and hence cannot be used for long. Budesonide (Pulmicort) is an anti-inflammatory steroid medication which is presently recommended to reduce the inflammation and swelling of the Sino-nasal mucosa. Although it is intended to be used with a nebulizer for Bronchial Asthma, we recommend its use in Chronic Rhinosinusitis.

Instructions-

  • Take 250ml of Normal Saline. (How to make Normal Saline at home? Put one cup (250ml) of water and ½ teaspoon of salt into the pot. Put the lid on. 2. Boil for 15 minutes with the lid on (set a timer). 3. Set the pan aside until cooled to a room temperature. 4. Carefully pour the salt and water (normal saline) from the pan into the jar or bottle and put the lid on.)
  • Add the entire 2ml of the Budesonide (Pulmicort) vial to this salt water solution and mix it well
  • Make sure the liquid is body temperature (if required, microwave for 10 seconds and feel)
  • Draw the solution in the syringe
  • Lean your head forward over a sink and place the tip of syringe at your nose opening and aim towards top of your head and gently squeeze the syringe
  • Let the solution flow gently from other side of the nose.
Doctor Doctor

TONSILLECTOMY AND ADENOIDECTOMY (POST-OPERATIVE INSTRUCTIONS).

Please read the following instructions carefully and contact your doctor’s clinic if you have any questions and concerns, either before or after your surgery.

  • Post-operative care:

    • The first meal after surgery is usually ice cream. Cold temperature helps prevent  bleeding.
    • Drink lots of fluid such as water, apple juice, powdered  juice mixes etc in the first few days. Dehydration increases the chances of complications like infection and bleeding. Supplement the fluid intake  with  ice cream, jelly, custard, milk shakes, Popsicles, etc.  Avoid acidic juices like orange and lime juice.
    • Avoid hot spicy food and crunchy food for 2 weeks. (Examples: potato chips, hard edges of bread slices, bones in non-vegetarian diet, chips, nuts, popcorn  etc.)
    • Chewing flavored gum forms saliva and increases the rate of gentle swallowing, which decreases the pain.
    • Increase the consistencies of foods over the first week as tolerated (i.e. soups to mash potatoes and soft vegetables). Normal diet can be started after 10 days of surgery.
    • Rest for at least a week is recommended. Minimal activity is advisable the first day at home, but strict bed rest in not necessary. Activity should be increased each day afterward. Sick leave certificate is available at your doctor’s clinic.
    • Use the pain medicine regularly for discomfort. You should take pain medication every 4-6 hours as needed for pain. Please eat something and drink plenty of fluids prior to taking pain medication, this will help the pain medication not upset your stomach.
    • DO NOT take Aspirin for at least 2 weeks after the surgery.
  • What to expect in the post-operative period?

    • In spite of all the technological advances like laser, coblation and others, Tonsillectomy is painful. We wish there were no discomfort after a tonsillectomy, but there is always some and frequently considerable. We will do our best to keep you comfortable in the post operative period.
    • You may feel drowsy and nauseated due to the anaesthesia medication. Vomiting may also occur.
    • You may awaken from a sound sleep with throat pain referred into the ear as an “earache.” (Referred Otalgia)You may experience bad breath, which is normal. Drink lot of water to prevent it.
    • A low grade fever (between 100.5F and 101.5F) is normal after surgery.
    • As the healing progresses, white patches will appear over the operated areas of the Tonsil which is normal.
    • A mild weight loss is expected after the surgery.
    • Make sure to confirm your post operative follow up visit to your doctor’s clinic.
  • Contact your doctor’s clinic if

    • There is bleeding from the mouth which is continuous and significant in volume.
    • You have fever greater than 101.5F.
    • You have a low grade fever which continues beyond 2 days.
    • You have severe pain which is not relieved by your prescribed pain killer.
    • You have any questions or concerns regarding your surgery.
  • Post Operative Tonsillectomy diet

    First day – Avoid hot, spicy, crispy and deep fried food items.
    Encourage intake by frequently offering milk, ice cream, water, fruit juices, jelly etc.

    Second day – Drink several glasses of water (lukewarm water is less irritating than cold)
    Add soft foods as desired (jelly, chocolate pudding, mashed potato, pureed vegetables, cottage cheese, soft overcooked rice, dal without spices, very soft chapattis etc.)

    Third to fifth day – Gradually resume normal diet but avoid hot foods, spicy or highly seasoned foods, potato chips, hard edges of bread slices, bones in non-vegetarian diet, chips, nuts, popcorn, dry toast, and crackers until 1 to 2 weeks after surgery.

MYRINGOTOMY AND GROMMET INSERTION (POST-OPERATIVE INSTRUCTIONS).

Please read the following instructions carefully and contact your doctor’s clinic if you have any questions and concerns, either before or after your surgery.

  • Post-operative care:

    • DO NOT insert anything into the ear canal to clean the discharge.  Outer ear can be wiped with clean and dry cloth.
    • Occasional pricking pain is expected in the first 2 days after surgery.
    • Medication for pain and antibiotic, if prescribed, should be taken without fail.
    • DO NOT take Aspirin for at least 2 weeks after the surgery.
    • Avoid water entering the ears. Block the ear canals with cotton smeared with Vaseline(white petroleum jelly) while taking head bath.
  • What to expect in the post-operative period?

    • You may feel drowsy and nauseated due to the anaesthesia medication. Vomiting may also occur.
    • A mild watery or pinkish discharge in not uncommon after surgery on the first day.
    • A low grade fever (between 100.5F and 101.5F) is normal after surgery.
    • DO NOT go swimming until told to do so by your doctor.
    • Make sure to confirm your post operative follow up visit to your doctor’s clinic.
  • Contact your doctor’s clinic if

    • There is continued bleeding or discharge from the ear.
    • You have fever greater than 101.5F.
    • You have a low grade fever which continues beyond 2 days.
    • You have severe pain which is not relieved by your prescribed pain killer.
    • You have any questions or concerns regarding your surgery.

TYMPANOPLASTY, MASTOIDECTOMY, OSSICULOPLASTY ETC. (POST-OPERATIVE INSTRUCTIONS).

Please read the following instructions carefully and contact your doctor’s clinic if you have any questions and concerns, either before or after your surgery.

  • Post-operative care:

    • You will be discharged after surgery either the same day or the next day in the morning.
    • Sleep with operated side of the head up for the first 48 hours. You may use extra pillow at your back to support you in this position.
    • After the ear dressing is removed,  it is recommended that you prevent any water from entering the operated ear for a period of at least 3 to 4 weeks. We recommend that you use a small piece of cotton lubricated with vaseline to use as an earplug while showering. We do not recommend swimming during this time.
    • DO NOT blow your nose for 2 weeks.
    • Rest for at least a week is recommended. Sick leave certificate is available at your doctor’s clinic.
    • Medication for pain and antibiotic, if prescribed, should be taken without fail.
    • Your diet is that of your choice. We do recommend that you eat foods with high-fiber content to prevent constipation. Straining at stool is not good for postoperative ear.
    • Avoid lifting heavy weight and extreme physical activity for 3 weeks.
  • What to expect in the post-operative period?

    • You may feel drowsy and nauseated due to the anaesthesia  medication. Vomiting may also occur.
    • Mastoid bandage can get soiled with small quantity of blood.
    • After these procedures, it is not unusual to feel like the ear is plugged up. Furthermore, you will not be able to hear from the operated ear for about 2 to 3 weeks depending on the type of surgery. You may have noticeable ringing or buzzing sound in the ear. In surgeries like ossicular chain reconstruction and stapedectomy  some degree of  imbalance may be experienced.
    • Mild swelling may occur above and below the operated ear which will remain for a day or two.
    • A low grade fever (between 100.5F and 101.5F) is normal after surgery.
    • Make sure to confirm your post operative follow up visit to your doctor’s clinic.
    • You should be able to go back to work within 7 to 10 days after surgery but if  you experience imbalance after surgery, it may certainly take a little longer.
    • When you return to work after surgery, we recommend that you avoid any heavy manual labour for a period of another one to two weeks.
  • Contact your doctor’s clinic if

    • You feel giddy which is persistent.
    • You have fever greater than 101.5F.
    • You have a low grade fever which continues beyond 2 days.
    • You have severe headache on the operated side which is not relieved by your prescribed pain killer.
    • You have tingling or weakness of the face on the side of operation.
    • You have any questions or concerns regarding your surgery.

STAPEDECTOMY (POST-OPERATIVE INSTRUCTIONS).

Please read the following instructions carefully and contact your doctor’s clinic if you have any questions and concerns, either before or after your surgery.

  • Post-operative care:

    • You will be discharged after surgery either the next day or the day after  in the morning.
    • Sleep with operated side of the head up for the first 48 hours. You may use extra pillow at your back to support you in this position.
    • Do not get water in your ear. If showering/washing your hair, place a cotton wool ball coated in Vaseline in the ear canal to seal it. If there is a separate incision keep this dry until your first post-operative visit. We do not recommend any swimming during this time.
    • Do not blow your nose for three weeks following surgery. If you sneeze or cough keep your mouth open.
    • Popping sounds, a plugged sensation, ringing or fluctuating hearing may occur during healing.
    • Avoid travel by air for three weeks following surgery.
    • Rest for at least a week is recommended. Sick leave certificate is available at your doctor’s clinic.
    • Limits on your activity level are extremely important after Stapedectomy. You may begin walking immediately after surgery. But you need to allow 3 weeks before any exertion. This means no running, weightlifting, swimming or other activities for 3 weeks.
    • Medication for pain and antibiotic  should be taken without fail.
    • Your diet is that of your choice. We do recommend that you eat foods with high-fiber content to prevent constipation. Straining at stool is not good for postoperative ear.
  • Contact your doctor’s clinic if

    • You feel giddy which is persistent. Some dizziness may occur after surgery, sometimes for several days.  If severe or is associated with nausea or vomiting, you should contact us.
    • You have fever greater than 101.5F.
    • You have a low grade fever which continues beyond 2 days.
    • You have severe headache on the operated side which is not relieved by your prescribed pain killer.
    • If you notice any swelling, redness or excessive pain in or around the ear.
    • You have tingling or weakness of the face on the side of operation.
    • You have any questions or concerns regarding your surgery.
    • Please contact our office to make an appointment to be seen 7-10 days after the time of your surgery unless stated otherwise by your physician.