Medical Forum / Diseases and Disorders / Sinusitis / January 2004
Turbinate, Septum, Polyps surgery
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Jim Jam - 05 Jan 2004 16:10 GMT Well its almost time for the surgery. The Doctor wants to correct my crooked septum, reduce the turbinates, and take out polyps. The CT showed the left maxillary black the right was clear. The left side is never clear. One website showed a five inch polyp in someones maxillary sinus. Is it possible that its only one very large one? I have not felt right in 2 years and I had 4 infections but the worst for me is the upper teeth pain from pressure and the clogged up nose. Irragation helps. My problem is I dont want my septum touch. And I would really just like the turbinate reduction so I can breath somewhat. Im just scared of the septum surgery. The polyps I think I can handle. Is it a big deal? Sorry for all the questions but its time to do it, I just dont want my septum touched. Thank you for any info.
CanDo - 05 Jan 2004 18:37 GMT Jim Jam, you said: "Well its almost time for the surgery. The Doctor wants to correct my crooked septum, reduce the turbinates, and take out polyps. ... My problem is I dont want my septum touch. And I would really just like the turbinate reduction so I can breath somewhat. Im just scared of the septum surgery. The polyps I think I can handle. Is it a big deal? Sorry for all the questions but its time to do it, I just dont want my septum touched. Thank you for any info."
I had septum surgery and a cyst removed, both on my right sinus side. The septum surgery didn't bother me at all. However, every time I look into my nose, I can see the area where the ENT did the cutting, and, even 25 years after the surgery, it is still red and sensitive.
For the first six months after surgery, I felt great. I was relieved. I felt cured. This was after years of sinus misery. Then BAM!, my sinus hell came back full force. Since then, I've had one sinus infection after another, all starting on that damn right side. It is my understanding that, once a surgeon creates scar tissue in the sinuses, that scar tissue tends to promote infections, because the mucus doesn not easily drain past scar tissue. You might ask your ENT about the hazards of scar tissue in the sinuses.
Regardless, best of luck, and I hope that your ENT is able to fully cure your sinus disease!
Don Brady - 05 Jan 2004 18:56 GMT >Well its almost time for the surgery. The Doctor wants to correct my >crooked septum, reduce the turbinates, and take out polyps. The CT [quoted text clipped - 8 lines] >big deal? Sorry for all the questions but its time to do it, I just dont >want my septum touched. Thank you for any info. Quite often they need to do minor septal correction just so they can get the endoscope in top do the other procedures.
Ask if that is the reason.
Also, you have the option of telling him "no" for now, and getting some second opinions - prominent university medical centers are good. Your insurer will probably be glad to pay for these since it involves postponing expensive surgery.
turbinates - 06 Jan 2004 00:16 GMT > >Well its almost time for the surgery. The Doctor wants to correct my > >crooked septum, reduce the turbinates, and take out polyps. The CT [quoted text clipped - 18 lines] > probably be glad to pay for these since it involves postponing expensive > surgery. Don has been stressing about choosing the right doctor, and I totally agree with him. Take your time to find a proper one, because there are crooked doctors who practice medicine only for their financial gain and thus their diagnoses (5 mins) and advises are not basing on the patients' interests.
Mark_ Brown - 07 Jan 2004 03:14 GMT sorry to but in I had mine dine about 8 years ago, no problems at all
good luck
 Signature Mark Brown,
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> > > > >Well its almost time for the surgery. The Doctor wants to correct my [quoted text clipped - 25 lines] > and thus their diagnoses (5 mins) and advises are not basing on the > patients' interests. Ruth Berry - 07 Jan 2004 14:43 GMT I just had exactly the same thing done (except polyp removal) ONE WEEK AGO!!
I didn't lose my sense of smell, or taste! I had very very little post op pain. My ENT used dissolvable packing, and dissolvable stitches. I go back on Friday for my check up. at that time, he will remove any ick (I'll skip it, you know what I mean!) and any scar tissue that has formed.
so far, it's looking really really good. I'm irrigating on the lowest setting twice a day, swabbing gently with hydrogen peroxide on the very inside of my nostrils where I can physically see the stitches, and using a saline mist to moisturize as needed.
one thing no one prepared me for is how bad my throat would hurt after the surgery. I drank gallons of ice water and ate a bag of throat losenges! it was like a bad sore throat, and I was tired a lot! I feel so much better already though.
keep us posted, and the best to you! don't be afraid, just get another opinion until you have peace about your decision.
-- ----- Ruth Berry Signature Images http://www.berryimages.com
1 Corinthians 2:5 That your faith should not stand in the wisdom of men, but in the power of God.
> Well its almost time for the surgery. The Doctor wants to correct my > crooked septum, reduce the turbinates, and take out polyps. The CT [quoted text clipped - 8 lines] > big deal? Sorry for all the questions but its time to do it, I just dont > want my septum touched. Thank you for any info. Steven Litvintchouk - 07 Jan 2004 15:07 GMT > I just had exactly the same thing done (except polyp removal) ONE WEEK AGO!! > [quoted text clipped - 6 lines] > setting twice a day, swabbing gently with hydrogen peroxide on the very > inside of my nostrils where I can physically see the stitches, Did your surgeon tell you to do that? I've never heard of an ENT recommending hydrogen peroxide.
-- Steven L.
Ruth Berry - 07 Jan 2004 17:00 GMT > Did your surgeon tell you to do that? I've never heard of an ENT > recommending hydrogen peroxide. I'll quote from my post op paperwork:
"BREATHING:
You may nmot be able to breathe out of the nose due to blood clots. These can be cleaned from the nostrils with a q-tip and hydrogen peroxide. Gently dab, but do not insert the q-tip into the nose. Salt water sprays into the nose 5 to 10 times a day will greatly help soften these clots and help them dissolve. It may taek ten days until you breathe well"....blah blah blah....
so, specifically it did not say to dab the stiches area with the HP but I chose to in order to make sure of the cleanliness.
my paperwork also said to use Afrin in case I had excessive bleeding, but I never had to use that. -- ----- Ruth Berry Signature Images http://www.berryimages.com
1 Corinthians 2:5 That your faith should not stand in the wisdom of men, but in the power of God.
Mr_C - 08 Jan 2004 00:36 GMT Ruth:
Could you describe your symptoms and whether they are better at this point? They are talking about the same thing for me if I fail medical treatment ...
Thanks!
-Andrew
Ruth Berry - 08 Jan 2004 19:19 GMT oh my gosh, I'm so much better already, and I'm still stuffed up with dissolveable packing! It has been 9 days since surgery. I'm washing twice a day with saline solution in the nasal irrigation machine.
my symptoms were that I generally just didn't feel good most of the time; kind of in a fog. I kept a sinus infection, and subsequently stayed on antibiotics. I was, however, able to stave off infections for about 8 months using Dr. Grossen's irrigating machine. as for the diviated septum, I didn't notice any effects of it, but physically, it created one side that was smaller than the other. Don't really understand what the issue was there, but hey, as long as my Dr. was working on my turbinate flaps, I wanted to get that fixed too.
this was my first surgery EVER. describing the pain level; 1 being none, and 10 being excruciating, I'd say the worst I ever got after surgery was a level 2. I took one pain med every 3 hours. I took 4 the first day, and one the second day. I haven't had one since. My prescription said to take 2 pills every 4 hours for the first 48 hours.
what are your thoughts, fears, and hopes?
-- ----- Ruth Berry Signature Images http://www.berryimages.com
1 Corinthians 2:5 That your faith should not stand in the wisdom of men, but in the power of God.
> Ruth: > > Could you describe your symptoms and whether they are better at this point? They are talking about the same thing for me if I fail medical treatment ...
> Thanks! > > -Andrew Mr_C - 09 Jan 2004 17:07 GMT Hi: I'm suffering from terrible sinus and nasal congestion (sometimes one side, sometimes both, forehead pressure, eyes with pressure behind them and feel like they are burning and am pretty swollen in the face (cheeks, eyelids etc) in the am. My front top teeth sometime get numb.
I've tested positive for dust, dist mites and a delayed reaction to Asperelligus (sp?) and been through several months of vigiours medical treatment. They say it's not an infection, but more likley allergies made much worse by a totally deviated Septum and huge Turbinates. They are sending me for a consult for Alergic Fungal Sinusitis.
My ENT is saying that I will get a lot of releif from the same surgey you had ... but it's hard fom me to belive forehead pressure and pressure behind the eyes is caused by a deviated septum or the turbanites ... The ENT says i am so swollen that the opening to the sunis caveties is being blocked causing pressure ---
I guess I'm interested in finding folks with similar symptoms who were helped by the surgery ...
I'm ok wiht having surgety (it's pretty minor), but only if it hasa verygood chance of helping ....
Any thoughts from your experiences?
Thanks in advance!
Andrew
Don Brady - 09 Jan 2004 20:04 GMT >Hi: >I'm suffering from terrible sinus and nasal congestion (sometimes one side, sometimes both, forehead pressure, eyes with pressure behind them and feel like they are burning and am pretty swollen in the face (cheeks, eyelids etc) in the am. My front top teeth sometime get numb. [quoted text clipped - 8 lines] > >Any thoughts from your experiences? This depends a lot on who does the surgery - it is partly an art. It is usually unlikely that the doctor who first recommends it is the best choice.
You need to get second opinions - learning as you do so. Include an expert at a University medical center.
Steven Litvintchouk - 07 Jan 2004 15:07 GMT > Well its almost time for the surgery. The Doctor wants to correct my > crooked septum, reduce the turbinates, and take out polyps. The CT [quoted text clipped - 4 lines] > upper teeth pain from pressure and the clogged up nose. Irragation > helps. My problem is I dont want my septum touch. Why?
From what I've heard, septoplasty by itself has less aftereffects and risks than the surgery on your sinuses. (I had both)
-- Steven L.
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