Went to an ENT about my loss of smell and constant congestion. He
ordered a CT Scan after telling me that I had polyps.
The Ct scan came back and he showed me all of my sinus cavities were
full of polyps.
Here is what his orders for surgery state:
Possible Septoplasty (he doesn't know if the deviated septum is bad
enough to have to do it)
bilateral endo total ethmoidectomies
bilateral endo max antros with tissue removal
bilateral endo spheroidotomies with tissue removal
bilateral endo frontal sinusotomies
I've done some research and think I know what he's doing...but let me
know your experience on doing all of these at one time.
And how sore am I going to be? He says 5 to 7 days before I could go
back to work.
Don Brady - 19 Apr 2005 04:48 GMT
>Went to an ENT about my loss of smell and constant congestion. He
>ordered a CT Scan after telling me that I had polyps.
[quoted text clipped - 8 lines]
>
>bilateral endo total ethmoidectomies
surgery on the ethmoid (eye area) sinuses
>bilateral endo max antros with tissue removal
surgery on the maxillary (cheek) sinuses
>bilateral endo spheroidotomies with tissue removal
You mean sphenoidectomies
surgery on the sphenoid (deep in the head sinuses)
>bilateral endo frontal sinusotomies
surgery on the frontail (forehead sinuses)
>I've done some research and think I know what he's doing...but let me
>know your experience on doing all of these at one time.
There's no reason not to do them all at one time if they all need to be done.
It is a lot of surgery tough.
The main issue is always the skill and eexerince of the surgeon, not
necessarily which surgery is done.
>And how sore am I going to be? He says 5 to 7 days before I could go
>back to work.
May be 2 to 3 weeks unless you're a superman.
loxaluck - 19 Apr 2005 13:08 GMT
If possible I would recommend getting a 2nd opinion. I wish that i had
done so before getting my first surgery which if I remember correctly
sounded quite a bit like yours above. subsequent ENTs that i have gone
to, one of which did a follow up surgery to the first, told me that this
surgeon was "old school" and he had done sone damage including putting a
fairly sizable hole in my septum--(i know that he did this because he
never mentioned it, not before or after the surgery and it is the first
thing that any subsequent ENT has ever commented on). You wouldnt have
guessed that the first surgeon was the less able by his manner or,
especially, by his office location, but his was an assembly line
operation, and from what i gathered since, his recommendation is always
surgery. the healing process from the first surgery was long and
uncomfortable, especially the first 48 hours when i had about 2 feet of
gauze jam-packed up each nostril. on the 2nd day after the surgery i
showed up at the drs office where he had me sit by a sink and told me that
after he removed the gauze i would need to hold my nose tight and spit out
the blood into the sink. he then ripped the gauze out and it was one of
the most painful experience that i had ever gone through--it may have been
that this was when the septum got ripped. in contrast, following my 2nd
surgery (admittedly not as intense) i had no packing and very little
discomfort.
perhaps some surgeons on this site can answer: do some surgeons remove
more than others? i believe that my second surgeon said he would have
opted to open the sinuses up to encourage drainage rather than scrape it
out.
Don Brady - 20 Apr 2005 03:24 GMT
>do some surgeons remove
>more than others?
Of course they do.
It is not just how much is removed though. Much more important is what is
removed. For example, the goal now is to preserve the mucus layers of the
turbinates during turbinate reduction.
> i believe that my second surgeon said he would have
>opted to open the sinuses up to encourage drainage rather than scrape it
>out.
>
Murray Grossan - 20 Apr 2005 04:21 GMT
On 4/19/05 5:08 AM, in article
92d629af0f3a282a1cecaa1a54318342@localhost.talkaboutsupport.com, "loxaluck"
<greg.mckinney@cigna.com> wrote:
> If possible I would recommend getting a 2nd opinion. I wish that i had
> done so before getting my first surgery which if I remember correctly
[quoted text clipped - 23 lines]
> out.
>
A nose filled with polyps is a difficult task, when it fails to respond to
medical management.
The CT scan shows you where the polyps are.
If you leave some behind, the patient isn't any better off. You don't want
to do 1/2 the job and then come back another day and do the other half. One
surgery on the patient is bad enough.
So leaving tissue behind to enlarge and require another surgery is not good.
Extensive surgery may be needed depending on WHERE the polyps are.
Other factors include if the polyps are harming bone tissue, etc etc.
ANYONE can do a "minimum" surgery. Easier on the patient and the doctor. But
then months later the patient is symptomatic again.
If the smell organ is blocked, more reason to do as complete a job as
possible. You want the smell area unblocked and working.
Will the polyps return despite good surgery? These days with management we
see less return of polyps.
Steven L. - 19 Apr 2005 19:41 GMT
> Went to an ENT about my loss of smell and constant congestion. He
> ordered a CT Scan after telling me that I had polyps.
[quoted text clipped - 14 lines]
> I've done some research and think I know what he's doing...but let me
> know your experience on doing all of these at one time.
I wish I could help you, but I never had all 4 done simultaneously. I
had the ethmoidectomies and the maxillary antrostomies as well as the
septoplasty.
> And how sore am I going to be? He says 5 to 7 days before I could go
> back to work.
From my experience, by far the most amount of post-operative pain came
from the septoplasty. The bridge of my nose hurt a lot. My ENT gave me
Percocet for the pain. I had very little or no pain from any of the
other procedures.
If you think you might have a low threshold of pain, ask your ENT to
give you a prescription for Percocet, which you can take to help you sleep.

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Steven D. Litvintchouk
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