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Septorhinoplasty

WHAT YOU SHOULD KNOW:

Septorhinoplasty is surgery to fix both your nose (also called rhinoplasty) and your nasal septum (also called septoplasty). The nasal septum is the narrow wall of tissue that separates your nostrils (hole opening of the nose). You may need a septorhinoplasty if you have a deviated septum. With a deviated septum, the septum wall inside your nose is crooked and blocks some air passing through. You may also need this surgery if your nose is misshaped due to an injury such as trauma. People who want to improve the appearance of their nose may also have this surgery. You may also have this surgery to correct problems from a previous nose surgery. With septorhinoplasty, you may be able to breathe better and have the appearance of your nose improved.

Picture of a normal nose

INSTRUCTIONS:

Your medicines are:

  • Keep a current list of your medicines: Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Use vitamins, herbs, or food supplements only as directed.
  • Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not working as expected. Tell him about any medicine allergies, and if you want to quit taking or change your medicine.
  • Pain medicine: You may need medicine to take away or decrease pain.
    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.
    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.
    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

Follow-up visit information:

Ask your caregiver when you should return to have your wound checked, and your cast or splints removed. Do not leave the splint on longer than your caregiver advises to prevent infection and other healing problems. Make sure to keep all your planned visits with your caregiver. Write down any questions you may have. This way you will remember to ask these questions during your next visit.

Self-care:

  • Avoid activities that may injure your nose: Right after your surgery, your nose is just starting to heal and can be damaged in many ways. Doing the following will help prevent your nose from getting injured:
    • Do not allow anyone to accidently bump your nose. This includes children, pets, and your bed partner.
    • Do not blow your nose until you are told that it is safe to do so.
    • Do not do any strenuous activities. Do not go swimming for one month after your surgery.
    • Do not wear clothing that you have to pull on over your head.
    • Bathing and washing:
      • Avoid touching or getting your nose dressing wet when washing your face.
      • Be gentle with brushing your teeth and use a soft toothbrush.
      • Have someone else wash your hair during the first week after your surgery.
      • Take tub baths only and do not shower. Keep your dressing dry when bathing.
    • Limit your facial movements:
      • Avoid facial movements for one week. This includes grinning, laughing, and smiling.
      • Avoid eating foods that need to be chewed for a long time.
      • Avoid talking for a long time.
    • Wearing your contact lens or glasses:
      • You can wear your contact lenses 2 to 3 days after your surgery.
      • Do not wear your glasses or sunglasses where they rest on the top of your nose. Ask your caregiver for information things you can do to keep your glasses from resting on your nose.
  • Nasal drainage: You may be sent home with a dressing under your nose. Change it when it gets wet and avoid touching your nose when doing so.
  • Nasal rinsing: Your caregiver will tell you if he wants you to do this procedure. It is done to clean your nose cavity (inside of your nose) and prevent infection. Flush your nose cavity with saline (salt solution) 3 to 5 times each day, as instructed. This may be done for at least 14 days after your surgery. Ask your caregiver for more information about this procedure.
  • Plaster cast and splint care: You may have a plaster cast or a splint on the outside of your nose. If so, it will be left on your nose for about one week.
    • Do not touch or disturb the cast or splint
    • Keep the cast dry.
  • Preventing swelling: Swelling of your nose and face is common right after your surgery. It can slow healing and increase your pain. The swelling may not go away for weeks or months after your surgery. Doing the following will help reduce your swelling:
    • Always use your ice pack as your caregiver tells you.
    • Avoid bending over.
    • Rest and sleep with your head raised above your feet and body.
    • Avoid letting your face get too warm. This includes sitting in the sun, and using sun lamps and hair dryers.

CONTACT A CAREGIVER IF:

  • You are sick to your stomach or throw up.
  • You have a fever or chills.
  • You have increased eye discharge or eye redness, itchiness and swelling.
  • You have questions or concerns about your condition, medicine, or care.

SEEK CARE IMMEDIATELY IF:

  • You have trouble breathing all of a sudden.
  • Your bandage becomes soaked with blood and the bleeding does not stop.
  • Your incision is swollen, red, or has pus coming from it.
  • Your stitches come apart.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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