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Medical Forum / Diseases and Disorders / Sinusitis / March 2008

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Worry about Sinus Operation

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Byron Hinson - 19 Mar 2008 19:23 GMT
I'm having a sinus operation next month to correct a deviated septum and
also make my sinus openings to the maxillary sinuses larger by removing some
cartilage. The reason I'm worried is that I've read about it and some people
may bleed a lot and request blood transfusion - while this may sound a
stupid thing to worry about to most people I suffer with anxiety based on
CJD and the thought of having blood transfusions is a nightmare and one that
would even leave me considering not to have the operation. Has anyone had a
similar op - was there any mass bleeding, how much blood would you have to
lose to have to have a blood transfusion etc

Sorry this is just a nightmare for me even though for anyone with a sensible
mind it would be a no brainer.

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Susan - 19 Mar 2008 19:31 GMT
> I'm having a sinus operation next month to correct a deviated septum and
> also make my sinus openings to the maxillary sinuses larger by removing
[quoted text clipped - 9 lines]
> Sorry this is just a nightmare for me even though for anyone with a
> sensible mind it would be a no brainer.

A lot of folks bank their own blood prior to surgery to avoid such
problems from contamination.  I don't know if you have enough time to
bank an adequate amount.  You could try to bank some, and tell them that
you don't want transfusions.

Or you could reschedule and take time to bank more of your own.

Susan
Oakfed - 19 Mar 2008 21:35 GMT
> I'm having a sinus operation next month to correct a deviated septum and
> also make my sinus openings to the maxillary sinuses larger by removing
> some cartilage. The reason I'm worried is that I've read about it and
> some people may bleed a lot and request blood transfusion

In a typical FESS procedure to just widen the ostia - assuming no
complications - there's not very much bleeding. I had
frontal/maxillary/ethmoids done, and didn't have a transfusion or any
significant post-operative bleeding; I've had worse nosebleeds. Not
sure whether having a deviated septum corrected makes a difference; I
can imagine it might.

CJD is incredibly rare, though - the chance of a surgical miscue or
general anaesthesia complication is considerably higher than the
chance of getting CJD from a transfusion (never mind the also unlikely
event you even need a transfusion). So you're probably worrying about
the wrong thing :-)

I can make one suggestion - you'll have some post-operative pain for a
few days, possibly enough to use something with codeine to damp it.
These types of painkillers often cause constipation. I had more
discomfort from that than anything else :-/ It may be a good idea to
start taking a stool softener some days before the operation - they
take a while to have effect, so starting afterward is too late.
Steven L. - 20 Mar 2008 03:25 GMT
> I'm having a sinus operation next month to correct a deviated septum and
> also make my sinus openings to the maxillary sinuses larger by removing
[quoted text clipped - 6 lines]
> how much blood would you have to lose to have to have a blood
> transfusion etc

I think it's rare for a sinus operation to require a transfusion. If
there's excessive bleeding as there was in my case, the doctor will put
gauze packing into the nose, and there are medications that can help
stop the bleeding too.

In the human body, the blood supply to the sinuses is relatively poor to
begin with (one reason why oral antibiotics are not that effective
against sinus infections).  It's not like the surgeon is going to be
cutting any major blood vessels--just scraping away tissue.

I think everybody who undergoes surgery finds themselves fixating on one
(rare) scenario that frightens them more than any other possibility.  In
your case it's CJD contamination.  Neurotic that I usually am, :-)
I have found that sometimes it helps to worry about things that are
actually more likely to occur but which are also less serious.  It helps
displace the worry about catastrophe.  With surgery it's normal to
worry, so try worrying about something that is more real.

So I'm going to give you something to REALLY worry about instead:
Post-operative pain in your nose after the anesthesia wears off!  Focus
on that worry instead.

Good luck and take care.

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Steven L.
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Byron Hinson - 29 Mar 2008 00:31 GMT
>> I'm having a sinus operation next month to correct a deviated septum
>> and also make my sinus openings to the maxillary sinuses larger by
[quoted text clipped - 31 lines]
>
> Good luck and take care.

Thanks everyone I feel a bit better about it now, I guess what happens,
happens and I can't do much about that in the end!
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Byron Hinson
http://www.byronhinson.com

badlands17@yahoo.com - 30 Mar 2008 03:36 GMT
> >> I'm having a sinus operation next month to correct a deviated septum
> >> and also make my sinus openings to the maxillary sinuses larger by
[quoted text clipped - 38 lines]
>
> - Show quoted text -

Happened to be checking this sinusitus thread and ran into your post.
I just had the same surgery you are having this past Monday. All of my
sinuses were moderately to severely blocked and had to be cleaned out
as well as correcting a deviated septum as you are having done. After
the surgery, they taped a gauze strip under my nose to catch any blood
leakage. I replaced the gauze fairly frequently the first night. By
the next day, most of the steady leakage was over (I just kept some
kleenex handy after that). The biggest problem the first few days
after the surgery has been the feeling of the kind of severe
congestion you get with a bad cold or a sinus infection. Since the
doctor used splints instead of packing (he told me most doctors don't
use packing anymore), I was able to breath a tiny bit through my nose
so that kind of eliminated that "fear of suffocating" when you can't
get any air through your nose. Pain has been little or none. A couple
of tylenol has taken care of any discomfort. Actually, the most
discomfort has come from one of the splints that seems to be pressed
or digging into some tender flesh near the opening of one nostril. If
it wasn't for that, I would have actually experienced no after surgery
pain. I go next Tuesday to have the splints taken out and the nurse I
have talked to at his office says most people feel great improvement
in breathing after the splints come out. Aside from the congested
feeling and "balloon head" feeling, you will probably feel very tired
the first few days. That kind of exhausted feeling I had when I had
sinus infections. Also, if you want to lose some weight, this might be
a good time to do that since after 5 days food still has no taste
(since I can't smell anything I guess).    :)

A couple of suggestions: ask to have any of your post operative meds
prescribed a couple of days before surgery so you won't have to pick
them up after surgery. I have had a couple of different surgeries now
and the last thing you want to do after surgery is wait in someone's
car in the parking lot of your local CVS or Walgreens waiting for them
to get filled. I was given prescriptions for pain and antibiotics.
Only used the antibiotics so far. Also, every med site online talks
about the importance of irrigating your nasal passages after the
surgery (after the bleeeding stops). Some suggest saline nasal sprays,
some a bulb type irrigation. Mass Eye and Ear lists both. I was using
NeilMeds Sinus Rinse kit for previous sinus infections. The kit comes
with an 8oz sqeeze bottle and 50 packets of solution that you mix with
distilled water (from the bottled water section of your supermarket).
Runs about $12 at CVS. They also have a 100 refill pack for about $13.
So far it has been a life saver. The rinse cleans out most of the
"crap" that collects in there after the surgery. With each day there
has been less blood "crap" and more plain water coming back out. I
have been using it 3-4 times a day (1-3 bottles worth each rinse).
Since you can't blow you nose for several weeks, the rinse helps to
relieve the awful congestion feeling. And supposedly it keeps
everything from drying out and hardening in there which the doctor's
office will have to clean out anyway in follow-up visits. I bought the
saline nasal spray too, but doesn't seem to be as effective. If you've
never tried nasal irrigation before, try it out before the surgery. It
looks kind of gross when you do it the first couple of times but it
actually feels good after you get used to it and there is absolutely
no sense of "drowning" if you follow the directions which are pretty
simple. Anyways, that's it into day 5 so far. If I see that someone
read this, I'll let you know how the "splint removal" goes.

I wouldn't worry about the blood loss thing...appears to be minimal.
Good luck with your surgery!

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