Page Summary
- Nasal blockage, mild bleeding and fatigue are expected early in recovery.
- Saline irrigation and postoperative follow-up are important parts of healing.
- Activity restrictions gradually ease as healing progresses; follow the instructions provided for your operation.
- Heavy bleeding, significant eye symptoms or severe worsening require prompt medical assessment.
Endoscopic sinus surgery is done through the nostrils, with no cuts on the face. Most people go home the same day, once they are alert and comfortable.
What you do after surgery is just as important as the surgery itself.
The first few days
In the first few days after surgery, bloody drainage or blood mixed with mucus is normal, and blood clots may also come out. Nasal congestion is also expected, and you may feel tired after general anesthesia.
Most patients experience mild to moderate discomfort or pressure, rather than severe pain.
You can usually begin nasal irrigation the day after surgery unless you have been given different instructions.
Precautions after surgery
During recovery:
- Do not blow your nose until your surgeon says it is safe.
- If you sneeze, sneeze with your mouth open.
- Avoid significant straining during the early healing period.
- A small mustache dressing may be placed under the nose to catch bloody drainage during the first few days and can be changed as needed.
- Avoid activities that involve submerging your head or face underwater until your surgeon says it is safe.
Your medicine after surgery
You'll usually go home with a few medicines. Your own plan may look a bit different depending on your surgery.
- Nasal saline rinses. This is the most important part of your recovery. Rinsing clears out blood and crusting and helps your sinuses heal cleanly. You'll usually start this the day after surgery.
- Topical steroid treatment. A topical steroid such as budesonide is often added to the nasal rinse after surgery to help reduce inflammation and swelling during healing, especially in patients with nasal polyps.
- Oral steroids. A short course of oral steroids may also be prescribed after surgery depending on the condition and degree of inflammation.
- Antibiotics. A short course may be prescribed after surgery depending on the type of procedure and the individual situation.
- Pain medication. A simple pain reliever such as paracetamol/acetaminophen (Panadol) is usually enough for mild to moderate discomfort. A stronger pain medication may also be prescribed if needed.
When can I exercise?
You can walk and do light activity after surgery as tolerated.
Avoid strenuous exercise or heavy exertion for about two weeks.
Warning signs to watch for
Call your surgical team right away if you have: heavy or worsening bleeding, a severe headache, changes in your vision, a high fever, or a stiff neck.
When can I return to work?
Most patients can return to work and usual activities within one to two weeks. This may vary depending on the extent of surgery, the type of work, and individual recovery.
Your first follow-up visit
The first follow-up visit is usually within one to two weeks after surgery, and it may include nasal and sinus debridement after surgery if needed.
Frequently asked questions
When can I fly after surgery?
This depends on the type of surgery and how you are healing. If you are planning to fly after surgery, discuss the timing with your surgeon first.