Post Operative Care after Septoplasty

POSTOPERATIVE CARE AFTER SEPTOPLASTY

Good healing needs good care of tissues in term of nutrition and preventing them from dryness which comes often after nasal surgery. Here are few points to discuss.

1. DIET: The diet should be semisolid for first 10 days. The reason behind is that the excess chewing may be associated with movement of facial muscles and cause discomfort to operated area. Physical rest is an absolute necessity for tissues to heal. Prefer semisolid diet like curd, Lentil Gruel (Khichri), fresh rice, milk, Kheer, Banana, Custard, and Ice-cream etc. It’s better to have cold foods instead of hot foods especially in initial part of recovery period as cold stops bleeding and hot can cause bleeding.

2. MEDICATIONS: ANTIBIOTICS need to be continued for at least a week. Beside this, some form of SALINE NASAL SPRAY will keep the nasal mucosa moist and is helpful in settling of mucosa (skin inside the nose) of the nose. A lubricating ANTIBIOTIC OINTMENT is helpful for preventing the dryness near the suture line and preventing infection. STEAM is very helpful in keeping the nose moist as steam can go to every corner of your nose with ease. JAL NEETI is another form of keeping the dried crusts out of your nose and it can be demonstrated by your doctor on request.

3. NASAL PACKING: Nasal packing is placed inside your nose after the surgery. This dressing helps in giving support to the operated area and prevents bleeding from the operated side. You may have to breathe through your mouth for 48 hours after surgery due to this nasal packing. It may also cause some headache, stuffiness and watering of eyes. It is usually removed after 48 hours.

4. SUTURE REMOVAL: It is not needed as these are absorbable sutures.

5. PAIN MANAGEMENT: Pain killers can be given for first three days and then given on need basis. Mild pain on touching the nose may remain for as long as 3 months after surgery.

6. PHYSICAL ACTIVITY: It’s better to limit the physical activity for first 7 days to movements inside your house alone. Any exertion can disturb the operated site and cause bleeding. Do not rub the nose or poke a finger inside the nose. Do not travel in a crowded public transport as someone may just pound over your face. A little trauma may spoil the good work done by surgeon.

7. WORK: Do not think about your work or study as a happy & stress free mind helps in better healing of wounds. So enjoy your resting period. You can resume work one week after surgery.

8. You will require follow-up visits for one about one month after surgery at frequent intervals as advised by the surgeon for inspection and cleaning of the nose.

REST IS THE BEST WAY OF HEALING. SO ENJOY YOUR REST PERIOD
AND WISHING YOU A SPEEDY RECOVERY.

Ent Problem

Hello sir,

I want operation my wife nose bones. She is facing problem and bleeding daily.

I want confirm what will be your charge.

Please replay me asap.

Thanks,

Dillip 

Not able to speak easily

Dear vicky,

You have not specified why are you not able to speak easily. The causes may developmental or socio-psychological.

You need to meet in person.


Dr. Ajay Jain

Sir, I am 18 year old and till i can\'t speak easily like others. And as u know i can\'t give any interview,please contact me sir Thanks for using our Medical Guide Services ! Regards Whereincity.com Team http://www.whereincity.com

How to open up the blocked ear because of cold?

The tube connecting the ear to nose gets blocked in cold. so, either to avoid this or to open it up again treat your cold. there are some simple things you can do....like...

1. Chewing gum or inflating a balloon will help to open up the blocked tube connecting ear and nose. The kids will love these activities. There are some toys available in form of a pipe or tube, when you blow them, they produce a sound or some paper work gets unfolded to amuse the child.
2. Valsalva Maneuver: Close your nose with your finger and try to blow air but keep your mouth closed. The air instead of going outside will go through your Eustachian tube to middle ear and you will like to hear some sound. Warning: do it gently otherwise thin eardrums may rupture also.
3. Toynebee Maneuver: Again close your nose with your finger and then try to swallow. This is very useful procedure but seldom told.
4. Contraction of floor of mouth: This is bit difficult but some persons may contract the floor of their mouth to cause opening of Eustachian tube.
5. Yawning: It is good exercise. Imitate like yawning.
6. Use some local nasal decongestants drops to open your nose.
7. Do some jogging, dancing or cycling. You will better with your nose and ears. :-)

Ear Bleed

Ears do not bleed spontaneously. Often the cause is self inflicted trauma. Often by fingernail or use of earbuds or matchstick. Ear may bleed after road traffic accidents. Tumour as a cause of bleeding is very rare.

In my practice, most often ear bleed happens after a slap on ear/cheek or when someone tries to clean the ear himself. If ear starts bleeding, then it is tendency of persons to put some kind of oil/fluid into ear. I discourage such practice strongly because this introduces the infection into the wound site. If ear drum is ruptured, then infections can go to middle ear and ear can start discharging.

Most of the ear bleeds stop on their own. At the earliest try to consult ENT specialist.

Nose needs no reason to bleed while the same is not true with ear bleeds. Trauma remains the most important cause of ear bleed which is often self inflicted during cleaning by the person.

RE: Discharge from ears,Tinnitus,hearing Impairment

Dear Isha,

Diabetes is a major factor which may prolong the severity and duration of discharging ears and hence further deteriorating the hearing.

Tinnitus can be treated if we can restore the hearing back. I am not saying that It can be cured in all cases but if I can address the cause of hearing loss or amplify his hearing by proper hearing aid and using tinnitus maskers, Tinnitus can be helped.

If you do not want any surgery, then hearing aid is the best option to treat hearing handicapped.


with Best Regards,

Dr. Ajay Jain


Dear Dr. Jain

My father is 55 years old,his ears have been discharging since his birth.He has undergone a surgery 15 years back for left eardrum which was not successful.Past 8 years back he has become diabetic,blood sugar level ranges b/w 150-250(after meals).Later in year 2007 he was diagnosed with a disease named tinnitus,since then his condition has become worse then before.Though he has been advised to use ear plugs and hearing aid,but he doesn't feel comfortable enough using hearing aid throughout a day.After reading his past history

Can you please answer my following questions:
*Is diabetes a major factor in making his condition worse?
*Can tinnitus be cured?If non then how can it be treated?
*Without undergoing any surgery can his hearing impairment be treated.
*Your suggestions Looking towards for your reply.

Yours Truly
I.A

RE: Urgent help needed regarding Hemangioma tongue

Hello,

The management of hemangioma tongue depends upon the site, extent of lesion, age of the patient and the present symptoms. It's difficult to generalize. Pls get in touch in person with the patient with radiological investigations.

Dr. Ajay Jain

---

Date: Wed, 16 Feb 2011 12:47:12 +0530
Subject: Urgent help needed regarding Hemangioma tongue

Hi, my sister is diagnosed recently as Hemangioma of tongue, spread to submandibular area, possibly fed by ECA as confirmed by MRI done few days back. She lives in Mohali and Fortis, Mohali doctor has refused the surgery. Now what is the best management as per your expert advice...kindly suggest any higher centers in foreign also in your knowledge as it would be great help. Im a doctor myself and hope gets an urgent reply with proper advice.