Postoperative medical management

Research output: Chapter in Book/Report/Conference proceedingChapter


A common and frustrating dilemma associated with sinus surgery is scarring between the middle turbinate and lateral nasal wall. • The most common adverse event associated with the procedure is failure to alleviate the initial presenting complaints. • After sinus surgery, mucociliary function of the paranasal sinuses is inhibited for 6-12 weeks. • Most sinus surgeons feel that aggressive debridement of the postsurgical sinus cavity is critical for success. • Postoperative debridement may decrease the rate of adhesions and synechiae. • Postoperative nasal saline irrigations reduce crusting and edema and improve nasal obstruction. • Intranasal corticosteroids play an integral role in the postoperative management of the surgically treated sinus cavities. • Because of the multiple side effects of long-term oral steroid use, short oral steroid bursts should be used judiciously, with nasal topical therapy being the preferred treatment. • In cases of extensive nasal polyps, an ideal solution would involve delivering a large amount of steroid to the diseased sinuses while minimizing systemic absorption. • Culture-directed antibiotic therapy is necessary for infectious exacerbations of chronic sinus disease, especially after sinus surgery.

Original languageEnglish (US)
Title of host publicationRevision Sinus Surgery
PublisherSpringer Berlin Heidelberg
Number of pages7
ISBN (Print)9783540789307
StatePublished - Dec 1 2008

ASJC Scopus subject areas

  • Medicine(all)


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