Swan LogoInstructions For Home Care After Endoscopic Sinus Surgery

Rest at home for three days.  Lay around the house in an easy chair or in bed with your head on two or more pillows.  Do not take care of children.  Do not cook.  Do not do house cleaning.  Do not visit relatives.  Do not go food shopping.  You get the idea.  Only get out of your chair to go to the bathroom or refrigerator.  If someone else can go to the refrigerator for you, that is even better.  Do stretch your legs every now and then.

For the first week after surgery, all foods, drinks, showers or baths should be no warmer than body temperature (lukewarm).

After three days you can assume some of your normal activities with a few important restrictions.  For the first two weeks after surgery, you will need to avoid heavy exercise and prolonged bending or lifting of more than 20 pounds.  Depending on your type of job, you may be able to go back after three days or you may have to wait two weeks.  If you had your nasal septum operated on in addition to your sinuses, you will need to be out of work for at least one week, or possibly two weeks if your job requires physical exertion.  Otherwise, generally you can be back to work in 3-5 days.

There will most likely be some packing in your nose.  Depending on your exact procedure, this will come out approximately 2-3 days after the surgery.

After the packing is removed, (or the day after surgery if you had no packing) you should begin using your saline solution, Salinex  nasal spray two sprays each nostril every 3 hours to rinse out your nose.  Approximately every 3 hours, apply Cortisporin ointment into nose three times a day using a Q-tip into nose 1/2 inch. This will help to heal the tissues and prevent infection.

Expect a small amount of bleeding from your nose when you get up to do something for the first few days after the surgery.  This should stop within two minutes after you sit back down.  If it does not, spray two puffs of Neo-Synephrine into the bleeding nostril, or in both sides if the blood is running down the back.  Call the office if the bleeding does not stop in 5 minutes, or if it is severe.  Your nose will be making a large amount of pink or brown mucous for the first week after surgery.  This is considered normal.

Medications after Surgery:
          Rx: antibiotics for 5 days
          Rx: Pain medication - you’ll probably need 10 pills as the pain is not    severe and can be controlled using Tylenol
          Rx: Cortisporin ointment
          Salinex or Ocean salt water nasal spray - you’ll use at least 2-3   bottles.  You can try less expensive store brands, but you might not     like the taste
          OTC: Afrin or Neosynephrine Nasal spray - buy a small bottle in case of bleeding.  Make sure you are buying the topical decongestant.  Ask the pharmacist if you are not sure.
          OTC: Q-tips - generic with white cardboard sticks are best

Form 103 Rev 11/05

361 High Street Somersworth, NH 03878
John M. O'Day, M.D., F.A.C.S. Marjorie K. Stock, M.D. ,F.A.C.S.
William E. Long, Hearing Instrument Specialist
Telephone: 603-692-4500 Fax: 603-692-4520
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