Ok, I've read through hundreds of messages, internet articles, etc. I
have adault onset asthma - it's gotten much worse after an anaphylactic
reaction to a allergy shot. I'm highly reactive to all inhaled
allergins except molds. I've had a chronically stuffed up nose for 10+
years (never knew you could complain about it). I'm taking Advair 250,
Singulair, Nasonex, sinus washing 2X day, Nexium, should own stock in
Sudafed. And, since the shot reaction 3 months ago, my asthma has gone
from mild persistent to moderate and it's really not under control.
So allergist sent me for ct - showed chronic sinusitis, mucousal
thickening in all sinuses, 50% opacified in left maxillary, both
maxillaries have obstructed openings, inferior turbinates on both sides
have hypertrophy. And there's a deviated septum. Went on augmentin for
30 days (I'm nursing a baby so meds. are limited) but was on 3 other
antibiotics for 2 week periods prior to this in the last 3 months and
no change. I have a very persistant PND, hoarse voice, sore throat,
larygitis, cough continuously except at night, I've been on 2 pred.
bursts - helped my sinus until I was off the pred. and then it was
blocked again.
Talked to several ENT's - the most conservative one (actually the one
my allergist originally sent me to), recommended widening the two
openings to the maxillaries, taking the mucus out of the left and
reducing the turbinates submucosally. Couldn't say if the septum would
need to be fixed until he goes in but would rather leave it alone. Will
leave all the rest of the sinuses untouched - if it's not broken, don't
fix it.
So, I've read and read and read and all I read is horror stories. I
have a friend who had surgery 5 years ago - can't blow her nose, still
has sinus headaches, etc. She said she screamed so loudly after the
first packing was removed and then passed out w/ the second.
I'm not exactly a baby when it comes to pain - I've had 7 kids
naturally but I'm not sure I can deal w/ the post op w/ this - the
debridement, stent removal, packing, etc.
Are there people who've had similar procedures made it successfully
through post op? Any suggestions beyond Xanax and lots of pain meds :-)
I go for a pre-op visit in a week - will ask about the packing, but I'm
assuming I'll probably need it w/ what's being done - anyone think
otherwise?
I'm assuming I don't hear about as many successful sinus surgeries
because once it's done and things are good, there isn't a desire to
spread the word - maybe it doesn't seem as big a deal.
I live in the pollen capital of the south - Atlanta - I'm hoping to
start allergy shots again, but my doctor is reluctant due to my severe
reaction. There's only so much I can do to control my environment,
short of wearing a mask. I am reactive now to all irritants - sinuses
swell shut, PND gets worse, etc.
Anyway, I feel like my life is put on hold and I just want to feel
better - my asthma is pretty minor compared to others, but I have
trouble carrying my 2 year old up the stairs, I feel miserable after I
exhale and this is after I take all my meds + albuterol 4X a day or
more.
Michelle
Don Brady - 20 Nov 2005 00:49 GMT
>Are there people who've had similar procedures made it successfully
>through post op? Any suggestions beyond Xanax and lots of pain meds :-)
>I go for a pre-op visit in a week - will ask about the packing, but I'm
>assuming I'll probably need it w/ what's being done - anyone think
>otherwise?
I had no problems with removing the packing. One yank and was done. It was a
quick stab of pain but not as bad as dental work I have done and some other
such events. It really did not particularly bother me.....
Allen L. - 20 Nov 2005 01:20 GMT
>> Are there people who've had similar procedures made it successfully
>> through post op? Any suggestions beyond Xanax and lots of pain meds
>> :-) I go for a pre-op visit in a week - will ask about the packing,
>> but I'm assuming I'll probably need it w/ what's being done - anyone
>> think otherwise?
> I had no problems with removing the packing. One yank and was done.
> It was a quick stab of pain but not as bad as dental work I have done
> and some other such events. It really did not particularly bother
> me.....
I really thinK that you are one tough as nails individual, Don! I've been
reading your posts for some time now, and you never say anything more than
"...oh, it was nothing...", or "...slight discomfort". I wish I had your
attitude and tolerance for pain. I grimace, and have transferral pain just
thinking about some of the things you and Steven L. have been through. I've
been reading Steven's posts since 1998 and he is in the same league as you.
I'm trying to absorb some of that strength as I think I may have to finally
resort to surgery...soon as I stop shaking.
...Allen
Don Brady - 20 Nov 2005 01:59 GMT
>> I had no problems with removing the packing. One yank and was done.
>> It was a quick stab of pain but not as bad as dental work I have done
[quoted text clipped - 9 lines]
>I'm trying to absorb some of that strength as I think I may have to finally
>resort to surgery...soon as I stop shaking.
Thanks. We have had some others too say it was no big deal.
I think that I was not worried partly by virtue of very careful selection of a
surgeon. I think I had good reason not to be worried or fearful. And that
lack of worry or fear helps a lot. I was not expecting a bad experience and I
think that that helps in not having one.
Steven L. - 20 Nov 2005 22:38 GMT
> Ok, I've read through hundreds of messages, internet articles, etc. I
> have adault onset asthma - it's gotten much worse after an anaphylactic
[quoted text clipped - 9 lines]
> maxillaries have obstructed openings, inferior turbinates on both sides
> have hypertrophy.
And chronic sinusitis can exacerbate asthma and make it harder to
control. If you've had a stuffy nose for 10 years, you might have had
sinusitis much of that time, and that may have made your asthma worse
all that time.
BTW, there is evidence that the body's reaction to sinus disease "turns
on" the immune system and makes you more allergic to other things. I'm
an example of that but not the only one. When my sinusitis is worst,
I'm allergic to the newsprint in a newspaper, something that never
happens to me when my sinusitis isn't that bad.
> Talked to several ENT's - the most conservative one (actually the one
> my allergist originally sent me to), recommended widening the two
[quoted text clipped - 3 lines]
> leave all the rest of the sinuses untouched - if it's not broken, don't
> fix it.
There are plenty of cases where sinus surgery failed to correct the
sinusitis, due to overly conservative/limited approaches. And then the
patient has to go for a second, revision surgery. That was in fact what
happened to me.
Sometimes you need a more radical approach. I wouldn't go with the most
conservative approach just because you're afraid of the discomfort. Ask
the other surgeons why they recommend doing more, and maybe we can
discuss your options here on this NG. For me, the most important thing
was the experience of the surgeon, not to choose the simplest possible
surgery.
> So, I've read and read and read and all I read is horror stories. I
> have a friend who had surgery 5 years ago - can't blow her nose, still
[quoted text clipped - 7 lines]
> Are there people who've had similar procedures made it successfully
> through post op? Any suggestions beyond Xanax and lots of pain meds :-)
My ENT gave me a prescription for Percocet. It not only greatly
relieved the pain, but it enabled me to get some much needed sleep.
I had packing in my first surgery but not in my second. The packing
definitely was uncomfortable, but it was gone in 72 hours.
I found the stents to be painless. It's just a little disappointing to
wake up in the Recovery Room from the sinus surgery and find your nose
is still stuffy. That's because the stents are blocking your nasal
passages. Once they're out in a couple of weeks, presto! Instant free
breathing restored!
I never needed any debridement. I did my own nasal irrigation with a
SinusRinse syringe and that worked great.
I had a post-operative infection from both my surgeries, and I had to
try several different antibiotics.
You may want to hold off on all this, if possible, until you're finished
nursing your baby. That way you will have a wider choice of medications.
One thing I will warn you about that you might not have considered, is
that there will very likely be a certain amount of bloody drainage (both
nosebleed and post-nasal) for a week or two after the surgery. After
your surgery you should wear inexpensive easy-to-clean clothes, and
sleep with bedding you don't care about staining. I found that sleeping
in a more upright position (on a recliner rather than in my bed) helped
with the post-op drainage a lot.
> I go for a pre-op visit in a week - will ask about the packing, but I'm
> assuming I'll probably need it w/ what's being done - anyone think
> otherwise?
They put packing in when the bleeding is profuse. If you don't need it,
they won't use it.
Don't worry. The fact that you're a mom to seven (!!!) kids proves that
you have powers far beyond those of mortal men! :-)
You can hack it, I'm sure.

Signature
Steven D. Litvintchouk
Email: sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.
Don Brady - 20 Nov 2005 23:37 GMT
.....
> For me, the most important thing
>was the experience of the surgeon, not to choose the simplest possible
>surgery.
...
I agree.
People always say the difficult question is whether to have surgery.
Maybe so, but the even more critical question is who to have do it. Peopel
should *not* assume the ENT who first recommends surgery is the most logical
person to do it. But they do.
With an inexperienced surgeon and some bad luck, the surgery will not have been
worth doing.
Having surgery with a surgeon whose experience is unknown or just assumed is
also probably not worth having.
kathywb2001@yahoo.com - 24 Nov 2005 05:24 GMT
I had a lot pain with the removal of the splints, but it didn''t last
that long. Not nearly as long and bad as labor pain. I also had a
lot of bleeding after the surgery and that first night was terrible. I
felt like I was suffocating between not being able to breath through my
nose and the blood dripping into my throat, but I survived. I tried to
eat the next morning and started coughing up blood. Other than that, I
didn't have much pain after the first few days. I'm not trying to
scare you out of it, but there are those of us that did have
considerable discomfort. I would do it again if that's what it would
take to get me well again, but that isn't an option for me now as it
has gone into the bone and is either osteomyeltitis and/or inflammation
and to close to my brain for surgery. I agree with everything that
Steven and Don have said, especially making sure the surgeon has lots
of experience. However, I disagree with having aggressive surgery. I
think that your ENT is correct. Just opening up the sinuses for
drainage might work. There won't be as much discomfort that way
either. My current ENT says that removing the actual tissue is not a
good idea. He thinks that may have contributed to my continued
problems, although I think that partly my surgery wasn't that
successful because the infection may have already gone into the bone.
It's better to get it now before that might occur. If that doesn't
help you can always opt for more aggressive surgery later. You can't
undo what has already been done. And I also agree that you need to be
on antibitiotics before and after the surgery to futher insure that
doesn't happen.
Kathyw
teach - 24 Nov 2005 22:52 GMT
hello
i have had 3 sinus surgeries
and i am fine now! my surgeries were in
1993 and 1995..i used to read and post to this newsgroup a lot
in 1997 and 1998.....
if you have had 7 babies you can handle the recovery!
email me off this discussion forum if you 'd like more info
teach92127@usa.com
S.
> Ok, I've read through hundreds of messages, internet articles, etc. I
> have adault onset asthma - it's gotten much worse after an anaphylactic
[quoted text clipped - 56 lines]
>
> Michelle
Becca - 26 Nov 2005 00:51 GMT
The doctor removed some of the packing one day after surgery. He
removed the rest of the packing a couple of days later. When he removed
the packing, I did not find it to be painful.
Becca