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Postoperative Medical Management

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Abstract

• 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.

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Authors and Affiliations

  1. Loma Linda University Sinus and Allergy Center - Department of Otolaryngology – Head and Neck Surgery, Loma Linda University Medical Center, 11234 Anderson Street #2586A, CA 92354, Loma Linda, CA, USA

    Dennis F. Chang

  2. Department of Otolaryngology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, IL 60611-3008, Chicago, IL, USA

    David B. Conley & Robert C. Kern

Authors
  1. Dennis F. Chang
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  2. David B. Conley
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  3. Robert C. Kern
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© 2008 Springer-Verlag Berlin Heidelberg

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Chang, D., Conley, D., Kern, R. (2008). Postoperative Medical Management. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_16

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  • DOI: https://doi.org/10.1007/978-3-540-78931-4_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78930-7

  • Online ISBN: 978-3-540-78931-4

  • eBook Packages: MedicineMedicine (R0)

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