There are three major factors affecting post-operative recurrence, one physical, which patients cannot decide by themselves, and two surgery, which patients cannot control, but the third point is what patients can control by themselves, and that is regular review and insistence on medication!
Insist on review at least 6 months after surgery The review 1 week after discharge is the most important because the surgeon will fill the patient’s nasal cavity with some material to stop bleeding at the end of the surgery. Nowadays, there is a material that can be liquefied and absorbed, so patients do not need to go through the painful process of removing it. However, the absorption of the stuffing needs a process, during which there will still be blood oozing, crusting and secretion from the wound, and it is impossible for the patient to remove these substances by washing the nasal cavity at home. A more accurate and thorough cleaning of the secretions with an aspirator under the nasal endoscope by the doctor is needed to keep the sinus opening in an open state and create good conditions for the next step of medication.
After the first cleaning, if the doctor observes that the patient’s nasal sinus openings are good and there are few vesicles (postoperative over-edematous mucosal tissue), then a second review can be scheduled two weeks later, in the third week after discharge. If the second nasal endoscopic review is better and even shows some early epithelialization, then the third review can be extended to 1 month later, almost 7-8 weeks after discharge. After the third review, the doctor will make a long-term follow-up plan according to the patient’s condition, usually once every 1 to 2 months. The longer the interval between reviews means that the patient is recovering better and does not need to be reviewed frequently, but the follow-up must be insisted on for more than 6 months. If the patient’s recovery is not very satisfactory, then the doctor will suggest the patient to increase the dose of some drugs to prevent or reduce edema, and inform the next review time.
Warm tips: 1.First review: 1 week after discharge; 2.Second review: 3rd week after discharge; 3.Third review: 7~8 weeks after discharge; 4.Regular review: 1~2 months, and the whole follow-up period should not be less than 6 months.
Do not give up the review because of excessive fear of nasal endoscopic cleaning Many patients worry that the nasal endoscopic cleaning in the review will be very uncomfortable, and this situation has been improved after the emergence of absorbable filling materials. However, at the first review, since there is still edema in the nasal cavity and more secretions, it is inevitable that the patient will feel some discomfort when cleaning, but it is definitely within the tolerable range. In the later reviews, the time for cleaning the nasal cavity will become shorter and shorter, and sometimes it will be over after just a look with the nasal endoscope, so patients do not need to be overly afraid of this. If you give up the review because of this little discomfort, you are definitely losing a lot because of the little.