septoplasty/rhinoplasty sinus & turbinate surgery
Question:
dr grossan!! thanks a bunch!! i feel so much better after your reply!!! i am not sure either one of my doctors have worked with a patient who has used your irrigator but i want to ask them how and when and if i can "lavage" after surgery too! your system helped me enormously!! thanks patti
Response:
It is not unusual to do septum and turbinates and rhinoplasty at one sitting and is it a considerable cost saving. the post op discomfort to our patients has been about the same. If your Dr OK’s it – just mail a note from him -to hydro med – for you to take Clear ease post op to reduce swellilng , Hydro Med will send you a supply for you to take so with less swelling should be less "bother" after surgery. references on Clear.ease are at www.hydromedonline.com Best, Murray Grossan, M.D. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net http://www.emedicine.com/ent/topic516.htm
Response:
hey dr grossan!! i read your book!! excellent book!! wonderful irrigator device!! thanks for a great contribution–my surgery is scheduled for right before thanksgiving–long way off but now husband gets to do all the cooking!! HA!! —back to my original question–is it unusual to have two hours of sinus surgery (with the nifty laser-intra trak thing) followed by god knows how long of septology PLUS all my cosmetic things too? i want to have the hump shaved down and have the nose "brought back" a few millimeters (it "projects") PLUS! i want some "contour" changes to the tip and end–is this TOO MUCH in one procedure? the docs dont seem to think so but lets be honest i think they might like the idea of the tandem procedure etc–and they aren’t the ones who have to recover from the trauma when i first said i would have cosmetics done at the same time i was thinking i wouldnt want to go back after an ordeal to have yet another ordeal–BUT if it seems bizarre to have this much done at one i guess i could opt to have only septum and sinus passageways done and then go back at a later date—i am 52 years old so don’t think my "bounce back" might be as good as it once was! hmmm indecision indecision (of course it would be alot more $$ to go back later too)
Response:
As an ENT surgeon it is usual to do the septum, the sinus surgery and the reduction of turbinates as the same time. sometimes we have no choice – unless we move the septum to the midline, we can’t get to the sinus openings. we certainly don’t want to do a sinus operation and then, weeks later, announce , "oh yeah, let’s go back now and do the septum" The question always is whether the septum needs correction or not. That’s one that doesn’t have a siimple answer. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net http://www.emedicine.com/ent/topic516.htm
Response:
It depends on several factors if we are going to do "cosmetic" procedures at the same time as the sinus procedures. If there is considerable infection and possibility of a fungus, prefer not to do the cosmetic at the same time. It is is just opening the sinus openings and taking out some tissue, might consider doing the cosmetic too. You have to have a long discussion with your doctor on this. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net http://www.emedicine.com/ent/topic516.htm
Response:
Don Brady <dbr…@pobox.com> wrote in message <news:kdltnu8aqjg5366r6uc730qat8eua6kl26@4ax.com>…
. The risks are > small. We’re just pointing out they exist.
thanks don–i will take your advise about asking the sinus fellow–i really appreciate you’re taking the time to explain! patti
Response:
I feel the exact same way, Ray. I kick myself everyday for it. Tom in article 4338b7f2.0209110443.26dc8…@posting.google.com, Ray Killeen at ray_kill…@hotmail.com wrote on 9/11/02 8:43 AM: – Hide quoted text — Show quoted text -> I had it all done by one of the best in the business(Philadelphia, > PA), all you need to do now is have him guarantee that you won’t loose > 40% of your connection to the world as you know it(smell & taste)and > have chronic discomfort/pain then you can play the odds 70%:) 30%:( > thats if you believe every thing you read and that people tell you. My > personal account of surgery curing people is 5%:) 95%:( . Difficult to > justify the risk in my mind but a personal choice in your mind. My > condition got much worse following surgery but Ivkers book plus a > great MD in Jersey and my allergist finally did away with the > infections. I don’t want to confuse you but make sure all options have > been exhausted prior to surgery so that you have no regrets. Good luck > Listen I don’t want to throw a screw in your decision making process > the bottom line is your desperate for a normal life, surgeons like to > cut you, maybe that’s the answer but hopefully you have tried every > other safer method prior to surgery because I did not and I kick > myself everyday because of it. > Ray
Response:
pattimber…@aol.com (patti) wrote in message <news:3ee97583.0209051756.1f43eb01@posting.google.com>… > hi everyone–thanks to all of you i have finally seen the RIGHT > surgeon and he has evaluated me and thinks i will benefit from a > combined surgery to open sinus passageways, reduce turbinates and > correct physical structural problems. i talked with him at length > about "empty nose syndrome" re: the turbinates and he is VERY > conservative and indicated he will do minimal reduction–here is my > question–have any of you had ALL this work done at once?
I had it all done by one of the best in the business(Philadelphia, PA), all you need to do now is have him guarantee that you won’t loose 40% of your connection to the world as you know it(smell & taste)and have chronic discomfort/pain then you can play the odds 70%:) 30%:( thats if you believe every thing you read and that people tell you. My personal account of surgery curing people is 5%:) 95%:( . Difficult to justify the risk in my mind but a personal choice in your mind. My condition got much worse following surgery but Ivkers book plus a great MD in Jersey and my allergist finally did away with the infections. I don’t want to confuse you but make sure all options have been exhausted prior to surgery so that you have no regrets. Good luck Listen I don’t want to throw a screw in your decision making process the bottom line is your desperate for a normal life, surgeons like to cut you, maybe that’s the answer but hopefully you have tried every other safer method prior to surgery because I did not and I kick myself everyday because of it. Ray
Response:
On 10 Sep 2002 21:55:34 -0700, pattimber…@aol.com (patti) wrote: – Hide quoted text — Show quoted text ->oh geeees! now i am going to get all indecisive again! yikes—well 2 >different ENT surgeons have said i will be better off with "opening >the sinus passageways" (whatever that is called) PLUS some reduction >of turbinates PLUS the septoplasty — i have quite a LONG nose with a >pretty good hump and some "lumpy" contours near the the tip that i >have never been fond of (hey i’m a girl and i’ve got a very "strong" >nose–think prince charles (or princess diana except mine is really >more like charles! LOL) but i am 51 so i am sort of "used" to this >nose but it sincerely is NOT very feminine and it does seem to be >getter even longer as time marches on. since two surgeons recommended >the septoplasty i thought fine! i will get some of the hump and the >funny lumps whittled back at the same time–today i got a call from >them that the septoplasty is covered under insurance and they told me >what my part of the elective procedure will be–no one has indicated >what they think the sinus "success rate" will be–although i DO know >the sinus guy is really highly respected here in oregon–the other >fellow–the plastic surgeon seems alright too–i saw his before & >after book and it looked alright–do you think having all this work >done at once that i would be under the general "too long"? >HELP!!—now i am starting to waffle again!!
Not too long or they would not do it – just longer. If you’re concerned, you could ask the sinus surgeon if he sees any downside to having the plastic surgery at the same time. If he says there is no downside, then I would not worry about it too much. That could be a way to decide. I would also feel better if the sinus surgeon would be there throughout the entire time. Crossing the street entails some risks. So does driving a car. So does having sinus surgery, or having more surgery rather than less. The risks are small. We’re just pointing out they exist.
Response:
> >this surgery. The sinus stuff is typically 80% successfull. Since that’s > >you’re true reason for doing this, does anyone think that the odds will > >change with the added proceedure? > >Personally, I think 80% odds are pretty poor for this kind of thing. I’d > >hesitate to add complicating variables. > I personally agree. Plus added time under anesthetic.
oh geeees! now i am going to get all indecisive again! yikes—well 2 different ENT surgeons have said i will be better off with "opening the sinus passageways" (whatever that is called) PLUS some reduction of turbinates PLUS the septoplasty — i have quite a LONG nose with a pretty good hump and some "lumpy" contours near the the tip that i have never been fond of (hey i’m a girl and i’ve got a very "strong" nose–think prince charles (or princess diana except mine is really more like charles! LOL) but i am 51 so i am sort of "used" to this nose but it sincerely is NOT very feminine and it does seem to be getter even longer as time marches on. since two surgeons recommended the septoplasty i thought fine! i will get some of the hump and the funny lumps whittled back at the same time–today i got a call from them that the septoplasty is covered under insurance and they told me what my part of the elective procedure will be–no one has indicated what they think the sinus "success rate" will be–although i DO know the sinus guy is really highly respected here in oregon–the other fellow–the plastic surgeon seems alright too–i saw his before & after book and it looked alright–do you think having all this work done at once that i would be under the general "too long"? HELP!!—now i am starting to waffle again!!
Response:
On Tue, 10 Sep 2002 06:15:06 GMT, "Oliver" <oliver1…@yahoo.com> wrote: >Yes, I’ve had all but the "aesthetic" work done. >Just curious…. what do your doc’s think will be the effect of the plastic >surgery on the potential success, or lack there of, in the sinus portion of >this surgery. The sinus stuff is typically 80% successfull. Since that’s >you’re true reason for doing this, does anyone think that the odds will >change with the added proceedure? >Personally, I think 80% odds are pretty poor for this kind of thing. I’d >hesitate to add complicating variables.
I personally agree. Plus added time under anesthetic.
Response:
You probably won’t be looking forward to going back > for quite a long time. > Greg Z > to thine own sound be true
thanks greg–i do have a good attitude–do you know where i might find some specific tips on how to recover the fastest way etc? recommendations re: vitamins supplements—etc?
Response:
patti wrote: > thanks greg–i do have a good attitude–do you know where i might find > some specific tips on how to recover the fastest way etc? > recommendations re: vitamins supplements—etc?
Your surgeon should give you some tips. Most likely, he will tell you to do nasal irrigation starting some time after the surgery, to speed the healing process. He will also tell you that you may feel fatigued for a while, so you should get plenty of rest. If you’re taking a steroid nasal spray, he may suggest to you that you don’t use it after the surgery, because steroids can retard the healing of wounds. I have one tip for you that my surgeon didn’t tell me about: After the surgery, my nose was extremely sensitive. To avoid constantly sneezing, I had to avoid dust and other irritants. Beyond that, you don’t need to do much. Just eat a balanced diet. At most, you could take an ordinary multivitamin. Don’t waste your money on specific vitamin or mineral supplements. — Steven D. Litvintchouk Email: sdlit…@earthlink.net
Response:
Yes, I’ve had all but the "aesthetic" work done. Just curious…. what do your doc’s think will be the effect of the plastic surgery on the potential success, or lack there of, in the sinus portion of this surgery. The sinus stuff is typically 80% successfull. Since that’s you’re true reason for doing this, does anyone think that the odds will change with the added proceedure? Personally, I think 80% odds are pretty poor for this kind of thing. I’d hesitate to add complicating variables. Oliver "patti" <pattimber…@aol.com> wrote in message
news:3ee97583.0209051756.1f43eb01@posting.google.com… – Hide quoted text — Show quoted text -> hi everyone–thanks to all of you i have finally seen the RIGHT > surgeon and he has evaluated me and thinks i will benefit from a > combined surgery to open sinus passageways, reduce turbinates and > correct physical structural problems. i talked with him at length > about "empty nose syndrome" re: the turbinates and he is VERY > conservative and indicated he will do minimal reduction–here is my > question–have any of you had ALL this work done at once? (there are > corrections to be made to the internal "framework" as the doctor > called it and in addition i am going to opt to have some aesthetic > work done "as long as they’re there") this is going to involve two > surgeons and apparently HOURS of work (at least the sinus doctor says > his part alone probably will be two hours)–i am really looking > forward to being able to breathe well again (and maybe even look a > little better too–a bonus perhaps!) but i wonder–do any of you have > any TIPS or ADVISE for me? i am a little nervous about the whole thing > (and the fact it seems so lengthy and i have never had an operation > before) you have all steered me in the RIGHT direction and i am > grateful so recommendations etc are so welcome! > patti ps my surgery will be at oregon health sciences and the sinus > doctor uses intra trak computer imaging!! thanks to this message board > i KNOW about the differences in procedures!
Response:
On 5 Sep 2002 18:56:26 -0700, pattimber…@aol.com (patti) wrote: >hi everyone–thanks to all of you i have finally seen the RIGHT >surgeon and he has evaluated me and thinks i will benefit from a >combined surgery to open sinus passageways, reduce turbinates and >correct physical structural problems. i talked with him at length >about "empty nose syndrome" re: the turbinates and he is VERY >conservative and indicated he will do minimal reduction–here is my >question–have any of you had ALL this work done at once?
I have and so have many others – it is not uncommon. >(there are >corrections to be made to the internal "framework" as the doctor >called it and in addition i am going to opt to have some aesthetic >work done "as long as they’re there")
That may be the most questionable part since it is not essential. > this is going to involve two >surgeons and apparently HOURS of work (at least the sinus doctor says >his part alone probably will be two hours)
That’s good in my book – it takes at least that long to do a thorough job in my opinion. >–i am really looking >forward to being able to breathe well again (and maybe even look a >little better too–a bonus perhaps!) but i wonder–do any of you have >any TIPS or ADVISE for me? i am a little nervous about the whole thing >(and the fact it seems so lengthy and i have never had an operation >before) you have all steered me in the RIGHT direction and i am >grateful so recommendations etc are so welcome!
I assume you have checked out the reputation and experience of the surgepn, and asked him whether he will do the surgery personally? – Hide quoted text — Show quoted text ->patti ps my surgery will be at oregon health sciences and the sinus >doctor uses intra trak computer imaging!! thanks to this message board >i KNOW about the differences in procedures!
Response:
hi don yes, the surgeon i saw will be doing it and his credentials seem great–he did not suggest the "refinement" that was my idea–thanks for saying what you did about the length of time involved—makes me feel better about it
Response:
Attitude going in makes a big diff. If your a 100 percent confident with the surgeon you recovery will be easier. >>(there are >>corrections to be made to the internal "framework" as the doctor >>called it and in addition i am going to opt to have some aesthetic >>work done "as long as they’re there")
Ouch >>surgeon and he has evaluated me and thinks i will benefit from a >>combined surgery to open sinus passageways, reduce turbinates and >>correct physical structural problems. i talked with him at length >>about "empty nose syndrome" re: the turbinates and he is VERY >>conservative and indicated he will do minimal reduction-
Does that concur with your 2nd and 3rd opinions? >here is my >>question–have any of you had ALL this work done at once?
If it’s nessasary do it. You probably won’t be looking forward to going back for quite a long time. Greg Z to thine own sound be true
Response:
hi everyone–thanks to all of you i have finally seen the RIGHT surgeon and he has evaluated me and thinks i will benefit from a combined surgery to open sinus passageways, reduce turbinates and correct physical structural problems. i talked with him at length about "empty nose syndrome" re: the turbinates and he is VERY conservative and indicated he will do minimal reduction–here is my question–have any of you had ALL this work done at once? (there are corrections to be made to the internal "framework" as the doctor called it and in addition i am going to opt to have some aesthetic work done "as long as they’re there") this is going to involve two surgeons and apparently HOURS of work (at least the sinus doctor says his part alone probably will be two hours)–i am really looking forward to being able to breathe well again (and maybe even look a little better too–a bonus perhaps!) but i wonder–do any of you have any TIPS or ADVISE for me? i am a little nervous about the whole thing (and the fact it seems so lengthy and i have never had an operation before) you have all steered me in the RIGHT direction and i am grateful so recommendations etc are so welcome! patti ps my surgery will be at oregon health sciences and the sinus doctor uses intra trak computer imaging!! thanks to this message board i KNOW about the differences in procedures!
Response:
Filed under: Nasal irrigation
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