While the risks involved in this surgery are relatively minor and uncommon, it is important to remember that risks do exist, as they do in all activities in life. You should be aware of the risks of the surgery in order for you to make an informed decision. All surgeries carry with them the risks of bleeding, infection, and pain. The risk of bleeding is increased by certain medications so you should review all medications (prescription, over-the-counter, and herbal) with your physician prior to surgery.
Aspirin must be stopped at least 10 days prior to surgery and other anti-inflammatory medications, such as ibuprofen (Motrin, Advil,) must be stopped at least four days prior to surgery. In rare cases of excessive bleeding, small sponges may be placed at the conclusion of the procedure. These sponges are usually removed within one to two days.
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Taking antibiotics after the procedure will minimize the risk of infection. Extra Strength Tylenol or a mild narcotic and Tylenol combination relieves most patients’ pain. You will receive a prescription for sufficient pain medicine after your surgery.
Rarely, septal surgery can lead to an unexpected change in the appearance of the nose or can lead to a permanent loss of the sense of smell. Another rare risk is creation of a hole in the septum, connecting the right side of the nose to the left.
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This condition, called a septal perforation, can cause accumulation of dry mucus (crusting), bleeding, or a whistling sound in the nose. Because the nose is close to the eyes and brain, it is conceivable that these structures could be injured during nasal surgery as well. This is extremely rare.
Turbinate surgery carries the additional risks of increased crusting and a condition called atrophic rhinitis or ozena, in which the interior of the nose is excessively dry. Atrophic rhinitis is caused by the loss of moisturizing surface area in the nose and can be difficult to treat. Lack of improvement or even worsening of the underlying condition and the need for re-operation are other risks inherent with any surgery. Surgery also carries with it the risks of anesthesia. Septoplasty can usually be performed under local or general anesthesia. You should discuss your anesthesia preferences with your surgeon in order to determine what is best for you. You will also have an opportunity to discuss the risks and benefits of each form of anesthesia with an anesthesiologist.
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