Bleeding After Sinus Surgery



Make sure you bite down on it with some pressure. All surgery is done through your nostrils, using scopes. Irrigations will result in significant clots and debris being washed out of your sinus cavities. You have had a Sinus Lift Augmentation procedure in your upper jaw. On the next page are herbs and other supplements that are especially harmful to take if you are having surgery because they can cause extra bleeding. The amount of pain experienced after sinus surgery varies by patient. Activity 1. After sinus surgery to remove a blockage and treat chronic sinusitis, most patients experience residual drainage, bleeding and discomfort. If you are. When secretions accumulate in a blocked off sinus, they may become infected with bacteria and result in a flare up of sinus symptoms. You can resume tooth brushing with toothpaste the next day after surgery as you are. Functional endoscopic sinus surgery (FESS) FESS is a minimally-invasive approach to the sinus cavities using endoscopes (telescopes) to view the important structures of the nose and sinuses. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30. WHAT TO EXPECT AFTER ENDOSCOPIC SINUS SURGERY ('ESS") 1. Aneurysms can also cause a. The biggest issue immediately after the surgery is dealing with the bleeding - you have to do your best to avoid swallowing the blood which can lead to vomitting. This may be more likely with elevated blood pressure or if one blows the nose. The next day I was back in the operation room to stop the bleeding. Endoscopic sinus surgery (with Balloon Sinuplasty technology). choanal atresia repair. Additionally, you can expect some bleeding, drainage and discomfort (e. Some bleeding, especially in the early stages of recovery, is expected. Complications from Endoscopic Sinus Surgery are very rare, but should still be factored into a decision. You may have nasal stuffiness, which can last for several weeks after nose and sinus surgery. "Infection of the sinuses after the surgery may happen and can be treated effectively with appropriately chosen. Bleeding: Most sinus surgery involves some degree of blood loss, which is generally well tolerated by the patient. Patients are encouraged to ask their doctor any. If you have not already been given a postoperative appointment, please ring our office and arrange a visit for approximately 2 weeks after surgery. Orbital complications following functional endoscopic sinus surgery (FESS) are fortunately rare. After paranasal sinus and nasal cavity cancer has been diagnosed, tests are done to find out if cancer cells have spread within the paranasal sinuses and nasal cavity or to other parts of the body. I've been on augmentin for about two months and flagyl for 2. Bleeding at the time of surgery may require termination of the procedure and nasal packing. The side effects of a sinus rinse are typically minimal but should be discussed with a medical professional if they occur. Complications of sinus surgery include: 1. Recovery from turbinectomy surgery: In most situations, pack should be placed in your nose to. Richard Orlandi answers some common questions regarding recovery from sinus surgery and how you can speed your recovery. oral direct factor. bleeding: remove all gauze packs 20 to 30 minutes after leaving the office or upon arriving home. The major concern after sinus surgery at home is bleeding. Managing bleeding. Why is sinus surgery needed? Sinus surgery evolved in the treatment of sinusitis and is typically performed for “chronic” sinusitis. Bleeding is usually minor during endoscopic sinus surgery. Risks that are specific – albeit uncommon – to balloon sinuplasty include: BleedingA small amount of bleeding postoperatively is common and nothing to worry about. Post-operative bleeding following nasal surgery has been reported as being as high as 5. Following routine sinus surgery, it is not uncommon for the nose to be blocked for two or three weeks. The last visits are 2 to 3 weeks apart depending on how your nose heals. Place the cotton ball into the bleeding nostril and pinch for 10 minutes. In: Journal of Laryngology and Otology. The next day after surgery, if the bleeding has stopped, begin warm saltwater rinses. Sinus Elevations: starting day AFTER. Still the bleeding after sinus surgery is indeed the most frequent complication of all. Unfortunately, this treatment can lead to post-operative pain, bleeding and scarring. And postoperative excessive bleeding is still the common and severe complications after nasal surgeries [ 2, 3 ]. Just like any other surgery, even sinus surgery carries certain risks and there are several complications which may occur during or after the surgery. • Eye problems. There might be excessive bleeding in certain cases. You may sniff as needed to clear the nose; Realise that the interior of the nose will be swollen initially after sinus surgery. THE FIRST MONTH AFTER SURGERY Your breathing will not be its best and the nasal drainage will not lessen for about four weeks after surgery. The bleeding may start immediately, or several days after surgery. My surgery went without any hitches, in fact the doctor told my friend that there was minimal bleeding. Postoperative Care. Generally, fewer than 3 people out of 100 will get an infection after surgery. Infection: Patients are usually given a dose of antibiotics during surgery and a prescription for antibiotics after surgery to reduce this risk. What causes postoperative bleeding? Surgical problems can cause postoperative bleeding. A nosebleed after a fall or car accident could be a sign of internal bleeding. You may have nasal stuffiness, which can last for several weeks after nose and sinus surgery. After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Most sinus procedures involve the use of sinus or nasal packing to control bleeding. The best way to stop bleeding is to place a damp piece of gauze in the mouth and gently bite for 30 minutes. You should check with your doctor though. Don’t blow your nose for at least a week after surgery. Nasal Packing after Rhinoplasty Surgery Dr. Sinus surgery generally ends with the insertion of nasal packing. On the next page are herbs and other supplements that are especially harmful to take if you are having surgery because they can cause extra bleeding. Sutures: depending on the type of surgery, you may have restorable or non-restorable stitches. Chronic Abdominal Pain And Abnormal Bleeding After Ruptured Cyst Cure For Chronic Lower Back Pain Opioids For Chronic Pain Of Non Malignant Origin Caring Or Crippling Our editors independently research, test, and recommend the best products; you can learn more about our review process. For example: Poor drainage of the affected sinus - the sinus drainage channel may become fully or partially blocked. Sinus Perforation. The risk of bleeding after surgery diminishes with time, and one option is the use of warfarin (Coumadin®) which develops its blood thinning effect over several days. With the aid of technology, surgery can be done to bring relief from a sinus infection. Keep your head elevated and avoid nose-blowing. Only Tylenol. Functional Endoscopic Sinus Surgery (FESS) When patients with sinusitis do not improve after repeated courses of antibiotics and reasonable trials of the other medications used to treat sinusitis, the otolaryngologist may recommend undergoing FESS. Scuba diving and flying in pressurized aircrafts may also increase sinus pressure and should be avoided. You may notice white particles within the mouth several days after surgery. Debridement and removal of crusting, mucus, and fibrin from obstructed nasal and sinus cavities after functional endoscopic sinus surgery Evaluation for recurrence of pathology after FESS to (this is particularly valuable in monitoring for recurrence of intranasal tumors). NASAL / SINUS SURGERY. 2014 ; Vol. Activities It is best to avoid strenuous activities for approximately two weeks following surgery. Sinus surgery is general safe under the hands of a highly trained sinus surgeon. Traditionally nasal gauze was placed in the nose and removed the. Nasal polyp surgery increases a patient's risk of developing bleeding or infection complications, Johns Hopkins Medicine explains. Nausea/Vomiting: Nausea is fairly common after sinus surgery. Septoplasty involves raising the lining of the nose off the septum on both sides with replacement of the lining against each other at the end of the procedure. While many see surgery as a last resort, there’s an alternative. You should expect your saliva to be bloody for several days. Endoscopic Sinus Surgery is a delicate technique using very fine, lighted, fiberoptic telescopes inserted in the nose / sinuses, while directing instruments to open up sinuses and remove polyps. The following instructions are for the first week: Head elevation- Prop yourself up in bed or on the couch. medicated rinse: swish with 1 teaspoon 2 x day until the doctor advises you to discontinue. If bleeding is active during surgery, it can be controlled with nasal packing. It is inserted in the ethmoid sinus in patients 18 years of age and older by physicians trained in otolaryngology. Nasal bleeding was assessed on the first and seventh days after. I had sinus surgery six days ago. These medications can thin your blood and increase your chance of serious bleeding. This is called an Oral Antral Communication. You may use a nasal decongestant such as pseudofed or a nasal spray such as afrin to help avoid blowing your nose. Bleeding may be difficult to control surgically due to the extensive vascular supply in the sinus region and pathophysiological changes in the patient. bleeding persists for an extended period of time, please notify our office. This tends to disturb the blood clot and can prolong bleeding, open the wound and slow healing. Tylenol use before and after surgery is not a problem. The next day I was back in the operation room to stop the bleeding. • Typically dissolving sponges are placed in the nose at the end of surgery to prevent bleeding. Balloon sinus dilation, also known as the balloon sinuplasty procedure, is a safe, revolutionary office procedure that brings long-lasting relief after a very short recovery time. Call with any questions. Do not take aspirin- or ibuprofen-containing products for pain 10 days before or 10 days after your operation. Nasal Congestion – surgery can cause some swelling to the mucous membranes in the nose. Hypothyroidism may occur many years after surgery and patients should be followed up for life. ​What to expect after surgery. Some mild blurriness after surgery can be related to eye ointment used at the time of surgery. Non-narcotic pain medication is safe and effective after sinus surgery the recovery room following endoscopic sinus surgery. For example, nosebleeds and bruising can be early signs of leukemia. General risks of surgery include bleeding, infection, and complications related to the patient's other health problems (such as heart disease, respiratory problems like asthma or COPD, etc. Swelling (peaks 24-48 hours after surgery) Bleeding. WHAT TO EXPECT AFTER SURGERY Headache,pain and nasal congestion are common after nasal / sinus surgery. This may occur either at the time of surgery or in the first few weeks after surgery. The primary risks of endoscopic sinus surgery include significant bleeding, recurrence of disease, and spinal fluid leaks. Some bleeding is normal for 2 to 3 days after your operation. Frequent bleeding should stop one day after the procedure; however, if bleeding persists after two days, you should check in with your doctor. I sat at the doctors office bleeding for about 40 minutes. There will be some minor oozing after surgery, but significant bleeding is not common. Sinus surgery was once performed through external incisions (surgical cuts on the face and in the mouth), required extensive nasal packing ( i. inhibitors (apixaban, dabigatran, rivaroxaban, or edoxaban). The plaintiff was prepared to offer expert medical testimony that the defendant was negligent in his performance of the plaintiff’s sinus surgery by entering the orbit of the eye. The recovery period from endoscopic sinus surgery lasts approximately two weeks after the surgery. You may use 2-3 gauze pads and apply gentle pressure to the area for 20-30 minutes. The last visits are 2 to 3 weeks apart depending on how your nose heals. Don’t blow your nose for at least a week after surgery. Stachler on post sinus surgery bleeding: Hello, your post op PND should be evaluated by your surgeon. There may be mild to moderate pain for 3-5 days. Does this indicate that the sinus floor or sinus cavity has been perforated and do I need to seek medical attention or a second opinion?. SINUS SURGERY The sinuses are large air containing structures in the bones of your face. Farbod paged via Marquette General Hospital at 906-228-9440. Spray Afrin (oxymetazoline), a topical nasal decongestant spray, in the nose or on a cotton ball and place the soaked cotton ball in the nose. POST-OPERATIVE CARE AFTER ENDOSCOPIC SINUS SURGERY: You should anticipate frequent visits to our office for three to six weeks after surgery until healing is complete. Symptoms of sinus disease may include facial pain or feeling of fullness, difficulty breathing through the nose, a persistent bad smell in the nose, post nasal discharge, and occasionally headaches. These include nausea and vomiting, bleeding, infection and allergies to medicines or dressings used. Category: Ear Nose and Throat. In cases of ear bleeding caused by an outer ear infection or minor injury, a person should still see a doctor for diagnosis and proper treatment. I took a week off of work. Endoscopic surgery is one of the most common surgical methods used to treat sinusitis. After Endoscopic Sinus Surgery. This increases the likelihood of bleeding in your nose. After Sinus Lift Bone Graft. I went back to the surgeon and he said this was normal. Some patients with severe disease need to have small cuts in the skin of the eyebrow (for frontal or forehead sinus surgery) or in the gum inside the mouth (for the maxillary sinus). You should. Pink or blood-tinged saliva may be seen for 2-3 days following the surgery and does not indicate a problem. Bleeding from the nose or epistaxis is normal for several days after surgery. There was apparently a large scab in my sinuses post surgery and it came off when I blew my nose. Endoscopic Sinus Surgery is a delicate technique using very fine, lighted, fiberoptic telescopes inserted in the nose / sinuses, while directing instruments to open up sinuses and remove polyps. The type of surgery is chosen to best suit the patient and the disease: Functional endoscopic sinus surgery (FESS) is recommended for certain types of sinus disease. Thick blood-tinged mucous (clots) in the nose and throat that will persist for up to 2 weeks after surgery. Both the swelling, bruising and mouth opening will resolve with time. After nose surgery, packing may be placed into both nostrils. There is also a remote chance of pushing air into your eye socket. For the first two to three weeks after sinus surgery do not use medications that contain aspirin, ibuprofen, or other non-steroidal anti-inflammatory compounds as these promote bleeding; Nose blowing. After surgery, the stage of the cancer may change and more treatment may be needed. Nasal polyps that are persistently bleeding will require immediate surgical help. Septoplasty is a relatively low-risk surgery, but, while rare, complications can occur. As with all surgery, there is a chance of infection, but this can usually be easily handled with antibiotics, which can be prescribed by your surgeon where necessary. Heavy bleeding with clot formation is unusual and your doctor should be called if noted. Infection, 8. Bleeding: Minor bleeding, such as a pinkish tinge to your saliva, may occur during the first 48 hours following surgery. Endoscopic sinus surgery is usually done under general anesthesia, and you can expect to go home the same day. After Surgery. Risks are involved in receiving general anesthesia. A small rotating device that scrapes away tissue may also be used. This will blow mucous through the wound and impair healing. Sinuva is a second-generation, bioabsorbable corticosteroid-releasing sinus implant. A certain amount of bleeding is to be expected following surgery. This is not common. It's been 7 days since I had my septoplasty surgery done. Sneezing and blowing your nose could dislodge graft material or lead to an infection. 203-661-4231 Skip to main content 203-661-4231 Greenwich, CT. They are usually easily and rapidly recognizable. AU - Chandra, Rakesh K. If steady bleeding occurs after surgery, tilt your head back slightly and breathe through your nose gently. No lifting more than 10 pounds. If not, consult your surgeon for prompt followup. b) infection at the site of surgery. For a severe nose-bleed, apply pressure for 15-20 minutes, ice packs and Afrin. Be sure to follow the instructions you’re given. 1) a woman aged 43, had been operated for polyps of the right ethmoid by the en-donasal endoscopic approach. Maximum swelling occurs within 48 hours following surgery and may last for several days. What causes postoperative bleeding? Surgical problems can cause postoperative bleeding. Some bloody oozing can persist for a few days after surgery. 5 months of chronic sinus congestion that may have been caused by a badly fitting denture that punctured the sinus. Do not brush your teeth next to the surgery site for 48 hours or only brush in areas away from your graft surgery. It's been 7 days since I had my septoplasty surgery done. After Surgery. Do not wear contacts until the day after the surgery. A septoplasty procedure is done to correct a deviated septum. This should be. I ended up having to go back into the hospital where they. Endoscopic sinus surgery is safe, however, there are uncommon risks associated with the procedure. Mild bleeding or discharge from the nasal passages during or after surgery is normal and will subside as a patient continues to heal. It is not unusual in the post operative period to be given supplemental oxygen via a cannula strapped just under your nose. When you're no longer too groggy from the anesthetic and have no unusual nausea or bleeding, you'll be discharged. These include the brain and the eye with its muscles, nerves and blood vessels. Read home care instructions for after your bone grafting or sinus augmentation procedure provided by Mid-Maine Oral Surgery in Waterville. Sinus surgery was once performed through external incisions (surgical cuts on the face and in the mouth), required extensive nasal packing ( i. Endoscopic surgery is one of the most common surgical methods used to treat sinusitis. Home Recovery. Emad Salloum says: I have read an article regarding bleeding complications during and after sinus lift procedures but I do not quite remember where and who is the author but it mentioned that:There are several possibilities for bleeding during or after. As the operation is inside your nose very little except for bleeding. If over-the-counter painkillers are not sufficient, you may be given the option of using prescription painkillers. The surgeon uses an endoscope during surgery to open sinus passages, remove growths, or fix other problems. Visualization of the diseased sinuses is performed through the endoscope and sinuses are cleaned out, opened up and polyps removed. If you think you are bleeding a lot, be sure to call your doctor. I went in today for my follow up appointment to get packing removed. Was Nasal Spray to Blame for Kaley Cuoco Sweeting's Sinus Surgery? 'Big Bang Theory' and 'Wedding Ringer' actress Kaley Cuoco Sweeting recently had sinus surgery—which sadly prompted nose-job. You will likely experience discomfort, swelling, and minor bleeding after oral surgery. Blowing your nose within 10 days of sinus surgery can cause bleeding. These complications are listed below. This can happen within the first 6-8 hours after surgery or up to 5-10 days after surgery. I use a neilmed bottle and flush three times daily. Nasal polyp surgery increases a patient's risk of developing bleeding or infection complications, Johns Hopkins Medicine explains. In most cases. These too, may increase bleeding. You should expect your saliva to be bloody for several days. The discharge may include mucus, blood, clear liquid, or dark and older blood. We will discuss what kinds of medications you can use to help relieve discomfort after your procedure. Cold packs maybe applied to the nose during the first 24 hours to 48 hours post surgery, to help in stopping the bleeding. sinus as well as blood to an area where there is a communication with the nose. After Endoscopic Sinus Surgery. After that, natural sinus ostium is identified and subsequently enlarged in a postero inferior direction. In some cases, a laser is used to burn tissue that may be blocking the sinus opening. The size of the gauze must be just small enough to cover the extraction site. (Normal bleeding after this procedure oozes slowly and is dark red with possible clots. Expect copious old blood and crusted debris to discharge after irrigation. Likewise, after septoplasty, you could experience some mild pain, swelling, as well as bruising immediately after deviated septum surgery. Mild bleeding or discharge from the nasal passages during or after surgery is normal and will subside as a patient continues to heal. Listing a study does not mean it has been evaluated by the U. The bleeding should be minimal and resolve on its own with some light squeezing of your nose. T1 - Postoperative prevention and treatment of complications after sinus surgery. A certain amount of bleeding is to be expected following surgery. "Infection of the sinuses after the surgery may happen and can be treated effectively with appropriately chosen. My surgery went without any hitches, in fact the doctor told my friend that there was minimal bleeding. Follow Bleeding Green Nation online: Chris Maragos announces NFL retirement after third knee surgery. The surgery is typically performed asleep, however recently less invasive sinus treatments can be performed in the office. BLEEDING: Oozing, not hemorrhage, for the first few days is normal. Apply ice packs to the outside of your cheek(s) every 15-20 minutes for the first 24 hours. The nose may be congested or. Sinus surgery usually takes one to two hours. The complications of sinus surgery are listed below: Bleeding: Most common complication of sinus surgery is the bleeding that occurs during and after the surgery. Frisco TX Oral Surgeons offer home care instructions for after sinus lift procedures. • Post-op visits: Usually at 1 and 4 weeks following surgery. Two to three hours after the procedure, the patient should feel well enough to be driven home by a trusted friend or family member. You can usually go home as soon as you’re no longer. You may remove the gauze and sling after the first day. Functional Endoscopic Sinus Surgery (FESS) Post-Operative Care Instructions Introduction Post-operative care after sinus surgery (FESS) is an extremely important component of the overall healing process. Medical Malpractice - Sinus surgery leaves pltf with double vision. Elevate head with 2 pillows for 2 hours at a time. You can expect mild bleeding for 1-2 days after surgery and a general sense of fatigue for 1-2 weeks after surgery. If sneezing should occur, do so through an open mouth to prevent the full force of the sneeze from going through the nose. The results of surgery are never guaranteed, however. The patient will need to breathe out of the mouth while packing is in place. You will need to get up every 30 to 45 minutes to change your gauze until bleeding stops. Gently wipe away instead Place a one inch thick pad of gauze DIRECTLY over the site of surgery, and bite down for 30 minutes. Nasal Congestion – surgery can cause some swelling to the mucous membranes in the nose. If the bleeding does not stop, call the office IMMEDIATELY. In our case extra-ocular arterial bleeding or bleeding into the maxillary sinus with a breach in the orbital plate may have been dealt with conservatively in principle, but there was little. Some bleeding or redness in the saliva is normal for 24 hours. After Sinus Lift. Functional Endoscopic Sinus Surgery (FESS) Post-Operative Care Instructions Introduction Post-operative care after sinus surgery (FESS) is an extremely important component of the overall healing process. Significant bleeding during functional endoscopic naso-sinusal surgery (FESS) impairs recognition of anatomical references and may negatively affect surgical outcome. If oozing is still active, replace gauze as needed. It is common to experience some bleeding after your procedure but it should resolve in a day or so. 20 thoughts on: Hematoma After Sinus and Graft Procedure January 29, 2007 at 17:58:42 Dr. Vary rarely bleeding occurs after surgery that requires a visit to your surgeon and may involve placement of nasal packing to stop the bleeding. As a matter of fact, the worst thing of pilonidal sinus is that it can be repeated after treatment including surgery. Repeat every 30–40 minutes with new gauze. Home Instructions After Dental Implant Surgery. (Related content: Extraction-site bleeding - The first 24 hours. A, Preoperative view, via a 70° endoscope, before the HPWJ procedure on an 18-year-old patient, 6 months after the initial endoscopic sinus surgery (ESS) shows diffuse intractable lesions in the right maxillary sinus. The fi rst visit will be 1 to 3 days after surgery. Patients may be instructed to avoid blowing their nose for about a week. Like most surgeries, it involves cutting and bleeding. Generally, fewer than 3 people out of 100 will get an infection after surgery. After 10 minutes, let go of your nose. small amounts of bleeding to come from the nose in the days following the operation. after surgery. Patients who continue to bleed after ESS are at risk of airway compromise from inhalation of blood clots or. After sinus surgery to remove a blockage and treat chronic sinusitis, most patients experience residual drainage, bleeding and discomfort. pain, headaches). The following information applies when grafting material has been placed into extraction sites to help preserve your jawbone in preparation for possible implant replacement of the extracted tooth. After the sinus lift surgery is performed, you have to address a number of post-operation effects. An active persistent nosebleed after such surgery is common for 24 hours to as long as 10+ days. The nose may feel clogged until the swelling goes down. I have had no pain at all and felt I could have gone to work on day two, however, my doctor strongly suggested I take it easy for at least a week. After Sinus Lift Surgery. I am wondering if my sinus was pierced – the dentist said the x-ray shows that the implant did not enter the sinus area. Surgical intervention is usually considered after other treatment option such as antibiotics medications have been exhausted. Remifentanil appears to produce better surgical conditions than other opioid analgesics, and total intravenous anaesthesia with propofol may provide superior. Frequent bleeding should stop one day after the procedure; however, if bleeding persists after two days, you should check in with your doctor. The weeks after your surgery are your healing period and those medications will help speed up the process. And overall, an extraction site's bleeding can be expected to be well controlled by the end of the first day. Vomiting and nausea may occur when patients eat too much. Immediately after endoscopic sinus surgery, it is normal to feel tired, whether local or general anesthesia was used. Your doctor will give you instructions that you should read and follow. Spent the first night in the 23 hour stay unit of the hospital due to the potential for bleeding and me living alone. Hello, Welcome to ehealthforum and thanks for writing Yes, after the surgery any strenous activty including intercourse is to be avoided for a week to avoid any pressure in the sinuses as it can lead to bleeding. I will assume that you are not writing about nasal surgery, but a bloody nose after surgery somewhere else. The bleeding should be minimal and resolve on its own with some light squeezing of your nose. This fourth surgery the doctor injected blue dye in the area and found the sinus tract and removed it. Do not be alarmed, because this is normal. Your child may spit up specks of blood or may feel it dripping down the back of their throat in the first 48 hours after surgery, this is okay. It is also best to avoid blowing the nose. After the bleeding has stopped: Avoid forceful nose blowing. Eating the right foods after surgery can decrease risk of infection, speed healing of the incision and increase strength and energy. Septoplasty 12 days postop, questions about scabs. ENDOSCOPIC SINUS SURGERY WHAT TO EXPECT AFTER ENDOSCOPIC SINUS SURGERY (ESS) 1. Patients should only eat a light diet during the sinus surgery recovery even when they are hungry. What to Expect in Sinus Surgery Recovery 1. Brisk bleeding that does not stop should be reported to your doctor. BLEEDING: Oozing, not hemorrhage, for the first few days is normal. Patients need to rest and relax after endoscopic sinus surgery. PracticalEM. After sinus surgery only go back to work or regular duties when the doctor gives you the okay. You may experience severe bleeding after the surgery. After Sinus Lift Surgery. If septal surgery is performed, the incision is closed and a quilting suture is used for flap approximation. 5-2 years now. With the aid of technology, surgery can be done to bring relief from a sinus infection. Occasionally patients who have had a septoplasty or septorhinoplasty experience some numbness or tingling of the tip of the nose or front, upper, teeth. However, you should be prepared for the possibility of difficulty breathing through the nose for the first week after surgery. the graft is placed to help restore your jawbone in preparation for possible implant replacement of the missing tooth or teeth. Nasal Drainage Right after surgery, you will have drainage from your nose. If there is significant bleeding (very uncommon) during the surgery, packing may be placed and removed several days later. If you take aspirin or Warfarin, or if you have a history of bleeding. I went in today for my follow up appointment to get packing removed. Most sinus procedures involve the use of sinus or nasal packing to control bleeding. Elevate head with 2 pillows for 2 hours at a time. The plaintiff was prepared to offer expert medical testimony that the defendant was negligent in his performance of the plaintiff’s sinus surgery by entering the orbit of the eye.