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Nasal surgery

Mater Private Hospital Brisbane

The largest of Mater Health Services’ private facilities, Mater Private Hospital Brisbane is a flagship for the level of care and facilities our organisation strives to provide. 

The tertiary, acute facility is built on a foundation of clinical excellence and a commitment to safe, compassionate care, that is: quality focused technologically advanced customised to patients’ needs and lifestyle.

Mater Private Hospital Brisbane is an outstanding health care provider with a total of 323 patient beds, ten operating theatres, a 24-hour private emergency service, preadmission clinic, Cardiovascular Unit, Intensive Care and Coronary Care Units, Breast Cancer Centre and Day Procedure Unit.

All rooms and facilities are designed to offer comfort and privacy, complete with a range of modern, air-conditioned accommodation. While in hospital, patients also have access to allied health (e.g. dietitians, physiotherapists), pharmacy, hairdressing and chaplaincy services.

For further information about Mater Private Hospital Brisbane, please call 07 3163 1111.

Visiting hours

8 am to 8 pm (patient rest period 1.30 pm to 3.30 pm)

Our Mission

In the spirit of the Sisters of Mercy, Mater Health Services offers compassionate service to the sick and needy, promotes an holistic approach to health care in response to changing community needs and fosters high standards in health-related education and research.

Following the example of Christ the Healer, we commit ourselves to offering these services to all without discrimination.

Our Values

Mercy: the spirit of responding to one another

Dignity: the spirit of humanity, respecting the worth of each person

Care: the spirit of compassion Commitment: the spirit of integrity

Quality: the spirit of professionalism

At Mater Private Hospital Brisbane, we acknowledge that having an operation can be a very stressful experience. In keeping with our Mission to offer compassionate, quality care that promotes dignity whilst responding to patients’ needs, this booklet aims to alleviate some of your concerns. It explains the general day to day events that may occur during your visit and the things to expect when you are discharged from hospital.

It is, however, only a guideline as each person may require differing treatments.

If you have any questions about your treatment please speak to your doctor or nurse.

Our pastoral care team also offers a caring support network to all patients. The dedicated members of this team are available at your request.

Some of the commonly performed nasal surgeries include:

Septoplasty: the removal of cartilage from the nasal septum to relieve your blocked nose.

Rhinoplasty: involves making changes to the nasal cartilages and bones with the aim to improve the visual appearance of the nose.

Nasal Polypectomy (B.I.N.A / B.I.N.E): the removal of nasal polyps relieving symptoms of your blocked nose and post-nasal drip.

Function Endoscopic Sinus Surgery (FESS): is carried out using an endoscope. Nasal polyps can also be removed via this method.

The type of nasal surgery you will be having has been decided by your doctor.

Our expectations

We expect that you will stay in hospital overnight or until you have achieved the following: your pain will be controlled with oral analgesia

  • your temperature, pulse, and blood pressure are to be within normal limits
  • you will be tolerating your normal fluids and diet
  • you will be independently mobile, attending to your daily needs
  • you will not have any unexpected bleeding or swelling.

Preadmission clinic

Mater Private Hospital Brisbane provides a preadmission service. You will receive this service in any of the following ways:

  • from the specialty clinic to the preadmission clinic
  • at the preadmission clinic
  • via a phone call.

The preadmission service gathers information, initiates investigations to prepare you for your surgery, provides information regarding your specific operation and identifies your discharge needs.

Day of admission/surgery

Before coming to hospital please ensure that you have:

  • had nothing to eat or drink as per the instructions given to you by the preadmission clinic or your doctor
  • showered and dressed in clean clothes. No skin products are to be used following your shower (e.g. deodorant, perfume, body lotion, powder, make up)
  • left your valuables at home. You may wear your wedding band only.
  • brought the following with you:
    • your x-rays
    • your operation consent form
    • your medications in their labelled containers or packets.

On your arrival to the hospital please report to the reception desk on level 6, Mater Private Hospital Brisbane where you will be directed to the Welcome Lounge/ Day Procedure Unit. Only one relative/visitor is permitted within the clinical areas of the Welcome Lounge.

Our Welcome Lounge staff will:

  • apply an identification band
  • complete your nursing assessment form
  • take your temperature, pulse, blood pressure and weight
  • ask you to change into a theatre gown and paper pants
  • apply anti-embolic stockings. These assist with blood flow through your legs and decrease the risk of blood clot formation while you have decreased mobility
  • take details of any family member who would like to speak to the surgeon after the operation (preferably a mobile phone number)
  • complete your preoperative checklist.

You may walk around as much as you like, but please do not leave the Welcome Lounge. Your surgeon may visit with you prior to your surgery, either in the Welcome Lounge/Day Unit or in the preoperative holding area.

You will be transferred to the operating theatre on a wheelchair or on your bed if you have received a premedication. Your luggage will be delivered to the ward where it will be stored in a locked room until after you have returned from theatre.

After your surgery

  • Immediately following your surgery you will be transferred to the recovery room where you will be observed closely until you are more awake.
  • It is common to need oxygen which will be given via a face mask.
  • When you have recovered sufficiently from the anaesthetic you will be returned to your room in the postoperative ward. The nurses will take vital signs—your pulse, respiration rate, temperature, blood pressure and observe for bleeding or unexpected swelling.
  • You may have some packs in your nose (which may cause pressure) and a bolster on the outside to absorb any ooze. Your nurse will change the bolster as required. The nasal packs are either soluble or removable. Removable packs are usually removed the morning after your operation.
  • Your doctor will order pain relief and anti-nausea medications for you. Please tell your nurse if you have any pain or nausea, so these symptoms can be managed.
  • Immediately following your surgery, you will be resting in bed with your head elevated. When you feel well enough you will be assisted to get out of bed.
  • Following your operation you will be offered ice to suck or water to sip. After a few hours you can begin to drink fluids as you are able, then progress to normal diet as tolerated. Intravenous fluids (a drip) will be administered until you are able to eat and drink.
  • When you are feeling more awake your nurse will assist you to have a wash and change into your own bed clothes.
  • It is important that you begin your breathing and leg exercises. These help prevent complications such as chest infections and blood clots in your legs and should be carried out every hour that you are awake and while on bed rest.

circulation exerciseBreathing exercises: Take five long and slow deep breaths. Each breath should be deeper than the previous breath. Think about getting the air to the very bottom of your lungs.

Circulation exercises: Firmly move your ankles up and down to stretch and contract your calf muscles.

Day of discharge

  • Discharge time is 10 am.
  • A discharge summary form will be discussed and provided.
  • Your own medications will be returned to you and any new ones supplied.
  • Your x-rays will be returned to you. Please remember to ask for them.
  • Your postoperative appointment will be discussed—this should be one to two weeks after your surgery.

What to expect after you go home:

Continue to wear a nasal bolster or have a supply of tissues to use until the nasal drip ceases. You can also dab your nose and leave the dressing off.

Continued congestion and obstruction following nasal surgery is to be expected and generally lasts a few weeks.

Pain management

Your nose will feel a little uncomfortable for three to four days post-operatively. You may experience a sinus headache, or in the case of a rhinoplasty, pain at the operative site.

Your pain should be relieved by analgesia. Strong analgesia in the short-term will allow your blood pressure to drop lower than normal and therefore prevent bleeding (if you have high blood pressure, it is important that you take your medications as directed).

Nutrition

Drink between six and eight glasses of fluids per day—at least half of this should be water. This assists in healing and promotes good bladder and bowel function. Eat a normal, nutritious diet. There are no diet restrictions.

Activity

You will be independent, or at the same level, as prior to admission with showering and walking. 

What to avoid:

  • Do not sniff or blow your nose for one week following surgery, or as advised by your surgeon.
  • If you sneeze, do so with your mouth open.
  • Do not take Aspirin or anything containing Aspirin.
  • Do not consume alcohol for two weeks after surgery.
  • Avoid hot baths, showers or saunas, physical exertion or any activity which will overheat the body.
  • Avoid contact sports until advised by your surgeon.
  • Avoid bumping your nose.
  • Avoid bending/lifting or straining for a minimum of 14 days and until you are advised by your surgeon.
  • Avoid smoking and smoke filled atmospheres and other fumes which may irritate your nose.
  • If you have had a Rhinoplasty, avoid the sun.
  • You will be advised when you may return to work/school. If you require a doctor’s certificate, please request one prior to leaving hospital. It is anticipated that you will require a two week break from work/school (this time off is not required after a fractured nose).

Report the following complications to your surgeon, GP or emergency department:

  • fevers
  • any unexpected bleeding
  • dramatic increase in pain or swelling
  • other unexplained symptoms or you have questions that cannot wait until your post-operative visit.

What to do if you experience a nose bleed

Place an ice pack on your forehead and one behind your neck and rest. If the bleeding does not settle after one to five minutes or if you are experiencing a large bleed, present to your nearest emergency centre and contact your surgeon.

© 2013 Mater Misericordiae Ltd. ACN 096 708 922

Mater acknowledges consumer consultation in the development of this patient information.
Last modified 12/11/2015.
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