Contact us If you have any queries or concerns please contact us on: Switchboard: 0115 9249924 C24D: ext 69024 C25: ext 69025 EDCU: ext 63015 ENT Clinic: ext 61111 Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service (PALS): Nasal polypectomy: some questions answered ENT department Freephone (City Hospital campus): 0800 052 1195 Freephone (QMC campus): 0800 183 0204 From a mobile or abroad: 0115 924 9924 ext 65412 or 62301 Minicom: 0800 183 0204 E-mail: [email protected] Letter: NUH NHS Trust, c/o PALS, Freepost NEA 14614, Nottingham NG7 1BR www.nuh.nhs.uk This document can be provided in different languages and formats. For more information please contact: Ear, Nose and Throat out-patient department, ENT Building, QMC campus, A Floor, East block, Tel: 0115 924 9924 ext. 61111/61112 Angela Gent, ENT department © April 2011. All rights reserved. Nottingham University Hospitals NHS Trust. Review April 2013. Ref: 0249/v4/0411/CR. Why have a nasal polypectomy? What can I expect after the surgery? Nasal polyps are fluid filled swellings of the lining of the nose. Some can be treated with nasal drops or sprays, however some can become large and cause nasal obstruction and need to be removed to reduce the obstruction. Everyone gets some bleeding from the nose during the night after the operation and when the packs are removed. Occasionally you may need further nasal packs if your nose bleeds a lot. What happens? If you have a nose bleed pinch the bottom part of your nose for at least ten minutes and lean forward. (Do not lean backwards.) If the bleeding continues consult your GP or nearest accident and emergency department. If you need any advice ring ward C24. While you are under a general anaesthetic the doctors will remove the polyps to improve your nasal passageway. They may also insert gauze packs into your nose after the operation to reduce any bleeding. These packs will be removed before you are allowed to go home. How long does the operation take? The operation takes approximately thirty minutes, however you could be off the ward for up to two hours. This includes time spent in the anaesthetic room, theatre and recovery. You will stay in the recovery area until you are fully awake. How long will I stay in hospital? People normally stay in hospital for one night, however you may be a ‘day case’, which means you can go home the same day. How long must I be off work, school or college? You should take one week off work, school or college. If you work in a dusty or smoky environment you may need to have two weeks off. If you need a sick note please ask the doctor when you are discharged. You should avoid anybody with coughs and colds during this time. Does it hurt? People often find that they get discomfort while the nasal packs are in and often have a headache. It is uncomfortable when the packs are removed but this settles soon after. If you have any pain when you are at home take the painkillers that you would normally take for a headache. The mucus that the nose produces may be bloodstained for a few days afterwards. Infection is rare but if you develop a temperature and have coloured mucus coming out of your nose you should contact your general practitioner (GP). It is normal for your nose to feel blocked for several days after the operation. This will improve over the following two weeks. Complications Complications following nasal surgery are unusual. The eyes are near the sinuses, as is the sac of fluid around the brain, and there are reports of these being damaged in surgery. This is rare and precautions will be taken to avoid this happening to you. What will happen afterwards? Patients who have this surgery can get other nasal symptoms; this operation may not reduce these. This can be discussed with your doctor at your outpatients follow up, which will be in six to 12 weeks’ time. You may need to use nasal drops or steam inhalations after your operation; the nursing or medical staff will advise you of this. Unfortunately nasal polyps frequently recur after they are removed and you may require further treatment.
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