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Medical Forum / Diseases and Disorders / Sinusitis / March 2006

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How long after surgery does relief come?

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Mathilda Jane - 26 Mar 2006 16:07 GMT
I had sinus surgery almost 3 weeks ago. They removed a bone spur from my
nose that was causing obstruction and also cleared out my maxillary and
ethimoid sinuses. I am still experiencing a great deal of stuffiness and
PND. The doc said this is normal. But, I still have annoying sinus symptoms
that I had before the surgery - facial and teeth pain, headache (mostly on
my rear right occiput), and mental fog. Today I actually feel worse than I
did a week ago. My nasal passages are also extremely dry, despute switching
to pure saline nasal spray. It takes me 2 hours to clear out in the morning
before I can possibly leave the house. Does anyone know how long it takes to
turn the corner and start feeling results from this surgery?

Any help is appreciated,
Mathilda
dkuhajda@locl.net - 26 Mar 2006 18:01 GMT
It took me  6 weeks before my sinuses started to "feel" better post
surgery.
First three weeks were the initial healing and initial sweeling
reduction from the surgery.
Second three weeks were the actual healing phase at which point they
started to feel better.  It actually took about 4 months before all the
reamining pain and other problems were gone.  Plus by that time I was
able to start getting full control off all other alelrgy related
problem, except for some excess PSD.  Your results may vary, but you
should have another post op appointment sometime soon for a check up,
ask your ENT about your concerns.

Are you sure you are not sleeping with an allergy trigger at night or
have one of the many cold viruses that is going around making things
worse?
Mathilda Jane - 26 Mar 2006 19:35 GMT
<dkuhajda@locl.net> wrote in message
> It took me  6 weeks before my sinuses started to "feel" better post
> surgery.
[quoted text clipped - 11 lines]
> have one of the many cold viruses that is going around making things
> worse?

Thanks for the the response. Your account of the length of the healing
process makes me feel a bit better. Prior to my surgery, I had heard
second-hand accounts of friends of friends who had this surgery and they
said it changed their life. So I had high expectations. And when I first
started feeling the headache and facial pain, my heart sank as I thought my
surgery may not have been sucessful. I'm so anxious to feel better ...
apparently I just need to be more patient.

Prior to surgery, I underwent extensive allergy testing and the doctors
found nothing. So I am not sure if anything in my bedroom is causing my
morning problems. I run a humidifier all night. And I did have a bit of that
cold that was going around last week, but thankfully it was gone within 48
hours. It may still be hanging on, though. That was an awful experience as
every time I blew my nose (however gently), my sinuses would throb in pain.
The doc had given me percoset for pain but that was the first time I had to
use it ... 2 weeks post-op.

Mathilda
Don Brady - 26 Mar 2006 20:12 GMT
>Thanks for the the response. Your account of the length of the healing
>process makes me feel a bit better. Prior to my surgery, I had heard
[quoted text clipped - 7 lines]
>found nothing. So I am not sure if anything in my bedroom is causing my
>morning problems.

You can still have snesitivities even if you do not have allergies.  As a
matter of fact, this is quite common.   It is quite possible that by now you
are sensitive to dust.

>I run a humidifier all night.

Be very careful.  If the humidity is over 40%, you will have mold and dust
mites and will develop sensitivity to mold and dust mites that will take years
to get rid of.  You may be better off without the humidifier unless it was
recommended by your doctor.

>And I did have a bit of that
>cold that was going around last week, but thankfully it was gone within 48
>hours. It may still be hanging on, though. That was an awful experience as
>every time I blew my nose (however gently), my sinuses would throb in pain.
>The doc had given me percoset for pain but that was the first time I had to
>use it ... 2 weeks post-op.

You need to eliminate any environmental factors (allerenic and non-allergenic)
or you may not heal completely, or, if you do, the inflammatory process may
start up all over again.....
Steven L. - 26 Mar 2006 20:35 GMT
> Prior to surgery, I underwent extensive allergy testing and the doctors
> found nothing.

How extensive?  Typically allergy tests test you for a half dozen
strains of mold.  There are well over a hundred strains of mold that can
cause problems.  The only real way to know if you've got something funky
in your environment that the allergy tests didn't cover, is to call in
an industrial hygienist to take air and wall samples from your home and
the place where you work.  Some of the better home inspectors (those
guys you always call when you're thinking of buying a house) will do
this too--but not all of them.

The other big problem, isn't an allergy but a sensitivity to pollution.
   Do you know what the air quality is like in your neighborhood?  If
not, go to
www.scorecard.org
and enter your Zip code.  You'll get a report based on the EPA's own
monitoring data.

Finally, let me say that the healing process and recovery process
depends on just what was wrong with your sinuses in the first place.  In
my case, full improvement took the better part of a year because the
disease was so extensive.

> And I did have a bit of that
> cold that was going around last week, but thankfully it was gone within 48
> hours.

Don't worry, that's not unusual--in fact you should be VERY careful to
wash your hands and avoid cold sufferers for the next few months.
Because, as my ENT explained to me, your cilia took a hit and your
nasopharynx linings got damaged from all that surgery, making it easier
for a cold virus to infect you until everything heals properly.  So
you'll be more susceptible to colds for a couple of months now.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Murray Grossan - 26 Mar 2006 19:35 GMT
On 3/26/06 7:07 AM, in article BOGdnXpgUv-pM7vZRVn-rQ@comcast.com, "Mathilda
Jane" <mathilda@stargatesucks.net> wrote:

> I had sinus surgery almost 3 weeks ago. They removed a bone spur from my
> nose that was causing obstruction and also cleared out my maxillary and
[quoted text clipped - 9 lines]
> Any help is appreciated,
> Mathilda

If you are using a saline spray that contains benzalkonium that can delay
your healing. Ask your doctor about using a spray without preservatives that
contains electrolytes as these have been shown to speed return of cilia
function.
Steven L. - 26 Mar 2006 20:37 GMT
> On 3/26/06 7:07 AM, in article BOGdnXpgUv-pM7vZRVn-rQ@comcast.com, "Mathilda
> Jane" <mathilda@stargatesucks.net> wrote:
[quoted text clipped - 17 lines]
> contains electrolytes as these have been shown to speed return of cilia
> function.

BTW, my ENT told me that the scraping of the sinus linings and other
work done during sinus surgery can damage the cilia, making you more
sensitive to irritants and even more susceptible to colds--until the
cilia function returns.  So he advises post-op sinus patients to be
extra careful to avoid cold viruses and air pollution if possible.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

tyshock - 28 Mar 2006 15:59 GMT
> I had sinus surgery almost 3 weeks ago. They removed a bone spur from my
> nose that was causing obstruction and also cleared out my maxillary and
[quoted text clipped - 9 lines]
> Any help is appreciated,
> Mathilda

All the responses so far here are great advice.  A terrible,
non-responsive infection let to my FESS, which was very similar to
yours (ethmoidectomy, enlargement of maxillary ostia).  The FESS itself
doesn't clear the infection.  It cleans a good deal of the surface
bacteria out, but it's main benifit is to open up the passageways that
let your own immune system clear the infection.  About 3 weeks after my
FESS, the same infection flared up bigtime, and culminated with one of
the worst frontal vacuum headaches I'd had in 15 years.  My doc then
put me on a tough regimen of prednisone, levaquin, and bactroban
irrigations.  This regimen finally knocked the infection out and i've
been doing better since.

You may still be infected.  Are you still on post-operative
antibiotics?  Are you using saline irrigations?  Have you seen your ENT
recently and discussed these problems with him/her?

Tyler

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