I'm not a registered user of the forum, but I wanted to post this since I had such a difficult time finding accurate information prior to my surgery. Below is a summary of my recent surgical experience with septoplasty/turbinate reduction.......
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Anonymous wrote:I'm not a registered user of the forum, but I wanted to post this since I had such a difficult time finding accurate information prior to my surgery. Below is a summary of my recent surgical experience with septoplasty/turbinate reduction.
First and foremost, the thought of any kind of surgery absolutely scared the crap out of me as I had a version of an anesthesia-awareness episode while having my wisdom teeth extracted. In fact, I was supposed to get this surgery done 5 years ago, but I chickened out and opted to use nasal sprays. That's a whole other story, but suffice it to say, Afrin is what caused me to have to return for the surgery as it finally caused a perforation in my severely deviated septum.
OK, overall on a scale of 1-10 with 10 being the worst experience I have ever had, I would rate it a solid 3. It's just not that bad folks. I guess because I had built it up to be something completely traumatic that once I actually went through it, it wasn't that bad.
I had my surgery on November 30, 2006, so it's still fairly early in my recovery (today is December 3, 2006). I am a 41 year old male and in pretty good health, except for high blood pressure (hereditary). I have had breathing problems all my life, but have fortunately never been plagued with sinus infections... I just couldn't breath through both nostrils at the same time and really don't know what's it like to breath freely through the one nostril that was open. As I said earlier, I decided to have the surgery because I had created a hole in my septum as a result of the years of Afrin, and a Benzedrex inhaler that I used 15-20 times daily just to keep my nose open enough to breathe. They are both vasoconstrictors and if you cut off or reduce the blood supply for long enough, things start to die. There's a reason that the warning labels on those things say don't use for more than three days. Oh well, now I know.
So anyway, after sucking it up and deciding to have the surgery, I went to a doctor at Duke Medical Center in Durham, NC; Dr. Richard Scher, Otoloryngologist, Head and Neck surgeon. He’s a fantastic person and an even better doctor. He took care of me before, during and so far, after. The surgery was uneventful because I opted for general anesthesia. I remember them telling me that they were going to give me something in my IV to make me relax a bit and the next thing I remember was waking up in the recovery room with my wife and a really good looking nurse standing over me and calling my name. I wasn’t sure at first if I was still dreaming and that was a fantasy thing or what, but I went with it and woke up. Surprisingly I wasn’t as groggy as I expected but to prevent any nausea they gave me an anti-emetic and went ahead and gave me a percocet to prevent any pain. Both of those made me pretty sleepy, and although I stayed awake for the 30 minute ride home I quickly went bye-bye once I hit the couch.
I woke up about 2 hours later with the most severe dry mouth and a really bloody pad under my nose. My wife helped me change the pad; I took a Vicoden and returned to the couch. At around 6:00 PM, (my surgery was at 10:30 AM) I woke up feeling not to bad and wanted something to eat. She made me a bowl of cream of chicken soup, some ginger ale and a few saltine crackers. It tasted soooo good!! Although eating the crackers was a little difficult with a completely plugged up nose. The rest of the night went by ok, except for waking up every hour or so needing to drink something for the dry mouth from breathing through my mouth exclusively. Definitely keep something to drink close by with a bendy-straw or other device to keep from putting the glass or cup directly on your lips (it’s a little sore on the upper lip).
Day 2 post surgery, I no longer needed the pad under the nose. I just had to keep a tissue in my hand to absorb the slight draining that ran out. I did take some Tylenol for some slight pain at the incision site and a bit of a headache from the swelling. In lieu of packing, there was some sort of gel-substance that was put in my nose. This was the day to start flushing that stuff out with saline spray and snuffing…. No blowing. If I had to say, the worst part is not being able to blow my nose. Pretty much stayed on the couch all day, but nothing really bad. Ate regular food at regular intervals. The bleeding stopped and the slight draining continued. Nose still plugged up, no air moving through the nostrils whatsoever. Took a hot shower and found that the steam was very helpful. Spent the night on the couch again so I could sit up. Pretty good night’s sleep, if you don’t count the sore back and hips from sleeping on the couch.
Day three post surgery brought some real improvement. Very slight pain, in fact I didn’t take any Tylenol or other painkiller at all. Air was starting to move ever so slightly. The worst part is the dried secretions inside the nose from not being able to remove them all night. Use saline as soon as you wake up to make this go away. Very little wiping now, but I do suggest that you get some Puffs Plus to make the whole experience go better. I walked to the mailbox just to get out and about. That helped my mental status and it opened my nasal passages briefly. Apparently the swelling went down significantly overnight as I could now feel the stitches. Not too bad of a discomfort, but not too special of a feeling either! Spent the night on the couch again, just to be sure.
Day four post surgery went very well. I was actually starting to breathe through my nose a little… still congested, but breathing nonetheless. It was still aggravating to not be able to blow my nose, but I’m not going to mess this thing up by doing something stupid! I was going so stir crazy I had to get out so my wife and I went to Wal-Mart and to a friend’s house for a little while. That did me some good. I also went to a function at church that night and did very well. No real pain to speak of, just some discomfort with the stitches and the whole “want to blow and can’t” thing. I did tire pretty easily that day, but nothing bad. I slept in the bed this night and actually did get a pretty decent night’s rest.
Day five post surgery, I’m back at work. Moving air through the nose better now, but nothing like I’m hoping for. No pain, no headache, but still have some congestion.
I think overall, it will definitely be worth it. One piece of advice….Follow everything that your doctor tells you to do. If you don’t personally have a medical degree and are not currently practicing as an ENT or in Otolorangology, then don’t think that you know better than the doctor does. Next, keep plenty of water or other beverage on hand for the dry mouth. Be prepared to breathe through your mouth exclusively for at least 3-4 days post surgery. Take your antibiotics as prescribed and finish them all. You really don’t want any kind of infection to exacerbate the condition. Get some Puffs Plus or some other kind of lotion infused tissue. Use your saline flushes, but be careful not to rinse TOO vigorously as to wash out any essential stitching before they are ready to release on their own. Don’t use ibuprofen or aspirin for pain during the first few days since they will tend to make you bleed more freely.
Oh, and you might want to consider getting some fiber pills cause general anesthesia can cause post surgical constipation and it ain’t fun. I’m still having a bit of a problem with that now, (personally being able to normally set a clock by my movements) but hopefully the log jam will break free soon and the natural balance will be restored.
Like I said earlier, overall the experience wasn’t God-awful and can be tolerated if you can make it through the first couple of days.
Hope this helps someone!
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