Nasal/Sinus Surgery

Ear Nose and Throat

Nasal/Sinus Surgery

Day of Admission and Discharge Information for patients and their family

Indications

Some types of procedure include:

Nasal

 

Sinus

  • Rhinoplasty
  • Bilateral Antral Washout (BAWO)
  • Septoplasty
  • Functional Endoscopic Sinus Procedure (FESS)
  • Removal of Nasal Polyps
  • Sub-mucous resection (diathermy) of septum
  • Reduction of Nasal Fracture

 

Length of hospital stay

Day or overnight stay as recommended by the surgeon.

Preparation for Procedure

Your child’s anaesthetist will meet with you and your child before the operation to outline the type of anaesthesia to be used and will welcome any questions you may have.  You will be asked to sign consent for your child's anaesthetic.

A premedication may be ordered at this time.  This usually takes the form of a medicine to be swallowed that will provide pain relief, sedation, or both.  If it is planned to start the anaesthesia by injection, local anaesthetic cream can be put on at this time to numb the area of skin where the intravenous needle/drip is to be put in.

Length of procedure

This will vary depending on your child’s procedure.  Some procedures may take between 1 - 2 hours.

After the procedure

Your child will need to rest in their bed with their head elevated on a pillow for the rest of the day.  Initially your child may experience some blood loss from their nose.  This can be expected.  Your child may return from theatre with a nasal bolster taped under their nose to absorb any bleeding and may also have nasal packing inside their nose.  The packing will be removed the next morning.

Your child may also experience some difficulty breathing through their nose as it may feel blocked.

Nausea and Vomiting                            

Your child will return from theatre with an Intravenous Cannula (I.V. /drip) in their hand and may have been given antivomiting medication and I.V. fluids while in theatre. 

Your child may experience some nausea and vomiting after they return to the ward.

If your child continues to vomit, further medication via. the I.V. may be required after their return to the ward.  The nurse will remove this I.V. before your child goes home.

Diet and Fluids

There is no need for a special diet following these types of procedures, but it is recommended your child not eat greasy foods as these may cause vomiting.

Please give your child ONLY cold food and drink for the 2 days following discharge.

Pain Relief

Further medication for pain may be given to your child in hospital.

Paracetamol (Panadol) may be given 4-6 hourly if required for 24 hours after discharge.

If your child's pain relief is not adequate please contact your family doctor.

Medication containing Aspirin should not be taken unless medically approved.

Follow up appointments

An appointment to see the doctor will generally be advised prior to your child's discharge from hospital.  Approximately 1-2 weeks for septoplasty, rhinoplasty and fractured nose procedures

Discharge Care

Your child should :

**  do not try to replace your child's nose splint on if it falls off, please contact:

Your child may experience some swelling and / or bruising around their eyes - this will usually settle within 1-2 weeks.

Return to school and sport                  

Your child should reduce their activities during the next 24 hours and be kept in a safe situation under adult supervision to help them fully recover from the anaesthetic and procedure.

Your child will need to stay home from School/Childcare for 1 - 2 weeks

Your child should avoid contact sports for 1 month.

If you have any concerns after discharge please telephone your child's -

In an emergency situation, please call an ambulance or take your child to the nearest doctor or hospital.


Last Modified: 17-04-2009 14:56:22
URL: http://www.wch.sa.gov.au/services/az/divisions/psurg/ent/nasalsinussurgery.html
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