Septoplasty is a surgical procedure designed to correct a deviated septum, which is the wall of cartilage and bone that divides the inside of the nose into two separate nostrils. This realignment aims to improve airflow and alleviate breathing difficulties. Following such a procedure, proper post-operative care is important for successful healing and to minimize complications. A frequent concern for individuals recovering from septoplasty involves managing nasal discharge and understanding when it is safe to blow their nose without compromising the surgical site.
Initial Restrictions on Blowing
Immediately following septoplasty, patients are typically advised to avoid blowing their nose. This restriction prevents complications that could hinder the healing process. Forceful nose blowing can dislodge internal splints or packing, disrupting newly repaired tissues.
Applying pressure by blowing the nose can also increase the risk of bleeding, which is a common concern in the initial 24 to 72 hours post-surgery. It can also introduce bacteria, elevating the risk of infection. This initial no-blowing period usually lasts for the first few days to a week, though the exact duration varies based on the surgeon’s instructions and patient healing.
Managing Nasal Congestion After Surgery
Since blowing the nose is restricted, patients need safe and gentle methods to manage the expected nasal congestion, discharge, and crusting. Gently dabbing the nose with a soft tissue can absorb drainage without applying pressure or rubbing. It is normal to experience mild bloody drainage during the first few days.
Saline nasal sprays or rinses are recommended by surgeons to keep nasal passages moist and clear mucus and dried blood. These should be used gently, following the surgeon’s specific instructions, typically starting the day after surgery. Patients should also sneeze with their mouth open to decrease pressure on the nose, rather than sniffing or snorting.
Resuming Gentle Nose Blowing
Surgeons typically allow patients to resume gentle nose blowing after one to two weeks, depending on individual healing and assessment. Some surgeons may advise waiting as long as two weeks to ensure adequate healing and minimize risks. It is important to wait for clearance from your surgeon before attempting to blow your nose.
Once permitted, it is important to blow the nose safely and gently to avoid complications. Patients should blow one nostril at a time, using minimal force to prevent increased pressure on the healing tissues. Avoid any forceful exhales. Always follow the specific instructions provided by your surgeon, as recovery timelines and advice on resuming activities vary based on the extent of the surgery and individual factors.
Signs of Concern
During the recovery period after septoplasty, certain symptoms warrant immediate medical attention, especially if they occur after attempting to blow the nose or are related to nasal discharge. Report heavy or persistent bleeding that does not stop after sitting upright and applying pressure, or if a drip pad frequently saturates. A sudden increase in pain not relieved by prescribed medication, or a persistent fever above 100°F (38°C), could indicate an infection.
Signs of infection also include pus-like discharge, worsening redness, or increased swelling around the nose. Any significant change in breathing, or a constant drip of clear fluid from the nose, should also prompt immediate contact with your surgeon or seeking emergency care. These symptoms suggest complications requiring prompt evaluation.