Our Summary

This research paper shows that a specific method used to try and reduce pain after surgery, called a long-duration pain block, didn’t actually reduce the amount of pain patients felt or the amount of painkillers they needed after the operation. The study also found that longer sinus procedures didn’t cause patients to feel more pain or need more painkillers after their operations. The surgeries in focus were related to chronic sinus inflammation and surgeries involving the base of the skull, performed using an endoscope (a long, flexible tube with a light and camera at the end).

FAQs

  1. Does a long-duration pain block decrease postoperative pain or opioid consumption after sinus surgery?
  2. Will extended sinus procedures lead to additional postoperative pain or opioid consumption?
  3. What is the connection between chronic rhinosinusitis and endoscopic sinus surgery?

Doctor’s Tip

A doctor might advise a patient undergoing sinus surgery to follow post-operative care instructions carefully, including keeping the nasal passages clean and moist, avoiding strenuous activities, and taking any prescribed medications as directed. It is important to follow up with the doctor for regular check-ups to monitor healing progress and address any concerns promptly.

Suitable For

Patients with chronic rhinosinusitis who have not responded well to other treatments, such as medications or nasal sprays, may be recommended for sinus surgery. Additionally, patients with nasal polyps, deviated septum, or other structural issues in the nasal passages may also benefit from sinus surgery. Patients with recurring sinus infections or severe sinus headaches may also be candidates for sinus surgery. Ultimately, the decision to recommend sinus surgery is based on the individual patient’s symptoms, medical history, and response to other treatment options.

Timeline

Before sinus surgery:

  • Patient may experience chronic sinusitis symptoms such as facial pain, pressure, congestion, and headaches
  • Patient may undergo diagnostic tests such as CT scans or endoscopy to confirm the need for surgery
  • Patient may undergo preoperative consultations with their surgeon to discuss the procedure, risks, and expected outcomes

After sinus surgery:

  • Patient may experience some pain, swelling, and congestion in the days following surgery
  • Patient will be prescribed pain medications and nasal sprays to manage symptoms
  • Patient will have follow-up appointments with their surgeon to monitor healing and address any concerns
  • Patient may gradually experience improvements in their sinus symptoms such as improved breathing, reduced congestion, and decreased frequency of sinus infections

Overall, sinus surgery can provide long-term relief for patients with chronic sinusitis, but the recovery process may involve some discomfort and require close monitoring by medical professionals.

What to Ask Your Doctor

  1. What specific type of sinus surgery will be performed and why is it necessary?
  2. What are the potential risks and complications of the surgery?
  3. What is the expected recovery time and what can I do to ensure a smooth recovery?
  4. Will I need to take time off work or make any lifestyle adjustments after the surgery?
  5. How will the surgery impact my ability to breathe and smell?
  6. Will I need any follow-up appointments or additional treatments after the surgery?
  7. What can I do to prevent future sinus issues or complications?
  8. Are there any alternative treatments or procedures that I should consider before opting for surgery?
  9. How will the surgery impact my ability to participate in physical activities or exercise?
  10. Are there any specific medications or supplements that I should avoid before or after the surgery?

Reference

Authors: Bishop JL, Marshall RV, McCormick JP, Tomblin C, Garcia N, Feinstein J, Cho DY, Grayson JW, Woodworth BA. Journal: Int Forum Allergy Rhinol. 2023 Sep;13(9):1825-1828. doi: 10.1002/alr.23143. Epub 2023 Mar 22. PMID: 36811323