With the development of medicine, nasal endoscopic surgery provides good technical support for the treatment of multiple sinusitis and nasal polyps, but due to various reasons, the chance of recurrence is still relatively high, and through the use of comprehensive treatment and care methods, we can better control nasal mucosal edema, effectively promote epithelial proliferation and wound healing, which can effectively reduce the chance of recurrence. It is clinically proven that 80%-90% of patients can achieve a good state and recover more ideally through postoperative care.
The incidence of chronic rhinosinusitis and nasal polyps in the population is about 1-5%. In clinical practice, I rarely recommend surgery, because some patients with chronic rhinosinusitis and nasal polyps do not need surgery. If surgery is insisted on, nasal endoscopic surgery is relatively safe and has low side effects. However, postoperative care must be focused on.
If you do not pay attention to care and change your lifestyle, some diseases such as chronic rhinosinusitis are still very prone to recurrence. 10-20% of patients need to be operated again due to recurrence of sinusitis after neglecting postoperative care.
Clinically speaking, it takes at least 3 months for the basic recovery of mucosal morphology and function after surgery for chronic rhinosinusitis and nasal polyps.
A common postoperative complication is nasal bleeding, avoid sneezing and coughing to appear, blow your nose gently, a large amount of secretion will be secreted in the nasal cavity to form a scab after surgery, and nasal congestion will appear more obvious.
So how should sinusitis and nasal polyps be cared for after surgery?
After surgery, the nasal cavity is edematous, and the accumulated blood and stuffing in the nasal cavity cannot be completely removed. Patients need to have a follow-up consultation about 10 days after surgery, so that the accumulated blood, vesicles, mucous snot, polyps and absorbable stuffing materials left in the nasal cavity can be removed in time to prevent the appearance of cavity adhesions. After three months, the inflammation of nasal cavity and sinuses in most people will subside and the epithelialization of the operated cavity will be normal.
The nasal cleaning after surgery needs to be paid attention to After removing the nasal stuffing, nasal cleaning can be started. For the secretions in the nasal cavity, saline can be chosen to clean the nasal cavity, which has a good effect on reducing the mucosal edema. Physical washing can also be nebulized to give drugs, and the effect is more significant when the treatment is given after washing.
After surgery, four types of drugs are usually needed The first type of drugs, glucocorticoids, are used for anti-allergy, anti-inflammatory and anti-swelling, which can help prevent sinusitis and nasal polyps from recurring.
The second category: pro-discharge agents to promote the discharge of secretions and reduce dry crusts in the operation cavity, such as compound peppermint oil nasal drops (menthol + ice chips + vitamin AD oil), which can soften the crusts and facilitate their discharge, or you can use Mucosolvan tablets.
The third category, oral antihistamines, is used for postoperative nasal itching, coughing and sneezing, which are very obvious.
Postoperative diet and exercise must be noted After surgery, patients should drink water in small amounts several times and pay attention to moistening the mouth and throat. Diversify the diet, eat more vegetables and fruits containing more vitamins, apples, corn, eggs, spinach, carrots, garlic and onions, etc.; avoid spicy, fried and stimulating food, seafood food is easy to cause inflammation is best not to eat. At the same time, we should pay attention to strengthen exercise, increase physical fitness and immunity, avoid cold and cold.