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Medical Forum / Diseases and Disorders / Sinusitis / August 2006

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How long on average before swelling reduces after turbinate reduction/septoplasty op?

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mr_lamouche - 01 Aug 2006 11:11 GMT
Hey everyone,

Had my turbinates reduced and a septoplasty done ten days ago. Still
have alot of swelling and occasional bleeding. Breathing is still quite
difficult, sleeping also.

Was just wondering what the average recovery time is? My specialist
said swelling in the nose could last 4-6 weeks. Although I notice my
sinuses are now drained and I am having no pain there anymore, until my
nose is clear and I can breath through it I will still sleep very badly
and feel weak/tired I think.

Anyone know how long, on average, before nose breathing improvements
might set in?
Don Brady - 01 Aug 2006 13:30 GMT
>Hey everyone,
>
[quoted text clipped - 10 lines]
>Anyone know how long, on average, before nose breathing improvements
>might set in?

You can cut short the 4 to 6 weeks by taking a short course of oral steroids if
your doctor agrees.
mr_lamouche - 01 Aug 2006 15:51 GMT
He has me on several nasal steroids plus a cream to prevent crusting,
I'm in no hurry as such, just kind of checking out that it's normal
that I still feel pretty much the same (albeit with bigger nostrils at
the end and lots of giant scabs blocking my nose)

Would an oral steroid have any negative effect, or why hasn't he
suggested this in the first place?

> >Hey everyone,
> >
[quoted text clipped - 13 lines]
> You can cut short the 4 to 6 weeks by taking a short course of oral steroids if
> your doctor agrees.
Don Brady - 01 Aug 2006 16:25 GMT
>He has me on several nasal steroids plus a cream to prevent crusting,
>I'm in no hurry as such, just kind of checking out that it's normal
[quoted text clipped - 3 lines]
>Would an oral steroid have any negative effect, or why hasn't he
>suggested this in the first place?

It makes some people hyper (not all) but it works like a charm......some ENT's
routinely use it after significant surgery.

It has side-effects if taken long term.

A lot of doctors are too cautious about prescribing steroids for fear of the
regulators. etc.....
Susan - 02 Aug 2006 00:40 GMT
>>He has me on several nasal steroids plus a cream to prevent crusting,
>>I'm in no hurry as such, just kind of checking out that it's normal
[quoted text clipped - 8 lines]
>
> It has side-effects if taken long term.

Not long term, even short duration, depending upon dosage.

Susan
Don Brady - 02 Aug 2006 02:38 GMT
>> It makes some people hyper (not all) but it works like a charm......some ENT's
>> routinely use it after significant surgery.
>>
>> It has side-effects if taken long term.
>
>Not long term, even short duration, depending upon dosage.

A small dose would be enough for use after nasal surgery.

I specifically told him it could make him hyper so I covered that already......
Susan - 02 Aug 2006 02:47 GMT
> A small dose would be enough for use after nasal surgery.
>
> I specifically told him it could make him hyper so I covered that already......

Don, I was referring to HPA suppression.

I know of two folks who became psychotic on not so high doses of
steroids, though that is exceptional.

Susan
Don Brady - 02 Aug 2006 05:32 GMT
>> I specifically told him it could make him hyper so I covered that already......
>
>Don, I was referring to HPA suppression.
>
>I know of two folks who became psychotic on not so high doses of
>steroids, though that is exceptional.

Susan,

You are correct.

There is a very small risk of that.
mr_lamouche - 19 Aug 2006 21:54 GMT
4 weeks since my op and 3 weeks since the splints were removed I feel
pretty much the same as I did before.

Can I give up hope of improvement or is it possible my nose could go
down still?

There have been intermittent flashes of improvement, ie being able to
blow my nose a few times, but at the moment I am clinging to the hope
that things are still healing based on my mucuous being bloody 2 days
ago.

Can feel despair isn't too far off tho......

> >> I specifically told him it could make him hyper so I covered that already......
> >
[quoted text clipped - 8 lines]
>
>  There is a very small risk of that.
judy.n - 20 Aug 2006 17:05 GMT
I remember my septoplasty/sinus revision and I was stuffy for a long
time: especially in hot weather. It's prime ragweed season now, so that
may play into it as well.
It's worth discussing this with your ENT, before you become too
discouraged.
Judy
> 4 weeks since my op and 3 weeks since the splints were removed I feel
> pretty much the same as I did before.
[quoted text clipped - 21 lines]
> >
> >  There is a very small risk of that.

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