Our Summary

This research paper compares the risks of complications in two types of nose surgeries: endoscopic sinus surgery (ESS) and rhinoplasty (a nose job). The study finds that when these two surgeries are done together, the risk of complications is the same as when ESS is done alone, but higher than when just a rhinoplasty is performed. The most common issues after these surgeries are pneumonia, stroke, and nosebleeds. Moreover, if grafts (transplants of tissue) are used in rhinoplasty, there is a higher chance of complications.

FAQs

  1. What are the most common complications of combined sinus surgery?
  2. Does rhinoplasty with graft use have a higher risk of complications?
  3. How does the risk of complications in combined surgery compare to Endoscopic Sinus Surgery and rhinoplasty alone?

Doctor’s Tip

A helpful tip a doctor might give a patient about sinus surgery is to follow all pre-operative and post-operative instructions carefully. This includes avoiding certain medications, following a specific diet, and attending all follow-up appointments. It is also important to communicate any concerns or changes in symptoms to your doctor promptly.

Suitable For

Patients who may be recommended sinus surgery typically have chronic sinusitis that has not responded to other treatments such as medication or nasal sprays. They may also have structural issues in the nose that are contributing to their sinus problems, such as a deviated septum or nasal polyps. Other conditions that may warrant sinus surgery include sinus tumors, fungal infections, or recurrent sinus infections. Ultimately, the decision to undergo sinus surgery is made on a case-by-case basis by a physician or ENT specialist.

Timeline

Before sinus surgery:

  1. Initial consultation with an ENT specialist to discuss symptoms and determine if surgery is necessary.
  2. Pre-operative testing, such as CT scans or allergy testing, may be conducted to assess the severity of sinus issues.
  3. Patient may undergo a pre-operative appointment to discuss the procedure, recovery process, and any potential risks.
  4. Patient may be advised to stop taking certain medications or supplements that could increase bleeding risk.
  5. Day of surgery preparation, including fasting and arrival at the surgical facility.

After sinus surgery:

  1. Recovery period, which may involve staying in the hospital for observation or going home the same day.
  2. Pain management and follow-up appointments with the surgeon to monitor healing progress.
  3. Common side effects such as congestion, swelling, and drainage may be experienced in the days following surgery.
  4. Gradual improvement in sinus symptoms, including decreased frequency of infections and improved breathing.
  5. Long-term follow-up appointments to ensure the surgery was successful and to address any ongoing issues.

Overall, sinus surgery can significantly improve quality of life for patients suffering from chronic sinus issues, but it is important to carefully consider the risks and benefits before undergoing the procedure.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with sinus surgery?
  2. How long is the recovery period after sinus surgery?
  3. Will I need to take any medications or follow a specific post-operative care routine?
  4. What is the success rate of sinus surgery in improving sinus symptoms?
  5. Are there any alternative treatments or procedures that could be considered before opting for sinus surgery?
  6. How many sinus surgeries have you performed and what is your success rate?
  7. What can I expect in terms of pain and discomfort during and after the surgery?
  8. Will I need to follow up with additional appointments or procedures after the surgery?
  9. How long will the effects of sinus surgery last?
  10. Are there any specific lifestyle changes or precautions I should take after sinus surgery to ensure optimal results?

Reference

Authors: Fereydooni S, Green A, Wei EX, Rossi-Meyer MK, Kandathil CK, Most SP. Journal: Int Forum Allergy Rhinol. 2024 Oct;14(10):1638-1642. doi: 10.1002/alr.23388. Epub 2024 Jun 18. PMID: 38894612