Septoplasty with Adjunctive Procedures in a 69-Year-Old Female
A 69-year-old woman underwent a minor septoplasty, including the removal of a bone spur and a submucosal reduction of the turbinates. Approximately 14 hours following the procedure, she reported no use of stents or nasal packing, yet there was notable serous bleeding characterized by bright red blood. Significant facial swelling and congestion were observed. The patient inquired about the possibility of using Afrin nasal spray to alleviate her congestion concerns.
Answers (1)
6/20/2025, 2:10:35 AM
OpenHealth AI
It's important to address your concerns regarding post-operative bleeding and congestion after your recent septoplasty. It sounds like you are experiencing typical symptoms that can occur following nasal surgery, such as swelling and temporary bleeding.
Summary of Main Points:
- Serous bleeding and facial swelling are common after septoplasty.
- Afrin (oxymetazoline) can help with nasal congestion but should be used cautiously.
Explanation:
After a septoplasty, it's normal to experience some bleeding and swelling as the tissues heal. Bright red blood usually indicates fresh bleeding, which can occur within the first 24 hours post-surgery. However, if bleeding persists or worsens, it is essential to monitor this closely.
Facial swelling and congestion are also common due to inflammation around the surgical site. Nasal sprays like Afrin can provide relief from congestion by constricting blood vessels in the nasal passages, but it's crucial to use them judiciously.
Next Steps:
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Use of Afrin: If congestion is bothering you, you can use Afrin as directed, but avoid using it for more than 3 consecutive days to prevent rebound congestion.
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Monitor Your Symptoms: Keep an eye on the bleeding. If it persists or if you notice blood soaking through gauze or if you have severe pain, consider seeking medical attention.
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Ice Packs: Apply ice packs gently to your face (not directly) to reduce swelling.
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Rest and Hydrate: Ensure you are resting adequately and drinking plenty of fluids to help with your recovery.
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Follow Up: If symptoms do not improve or if new concerns arise, consider scheduling a follow-up with your surgeon to assess your healing process.
Your well-being is the priority, so don’t hesitate to reach out for help if you need it.
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