Post-Op Instructions for
Nasal Fracture Repair
1. Nasal Pain: expect some mild to moderate pain after surgery. Use the prescribed pain medicine, which may be changed to Tylenol as pain subsides (usually 3-5 days).
2. Diet: expect some mild discomfort when chewing. A soft diet may help, typically for the first few days. This may be extended, depending on the degree of injury.
3. Don't Take: Aspirin, aspirin containing products, ibuprofen (Motrin, Advil, etc), naproxen (Alleve) or blood thinning medications for at least two weeks following surgery.
4. Good Hydration:is key to avoiding excessive pain, fever and malaise
5. Salt Water: rinsing the nose can be helpful and comforting. This can be done 3-4 times daily or more.
6. Fever:Call for fever in excess of 102 degrees that does not respond to Tylenol. The main reason for fever after surgery is failure to clear secretions from the lungs due to inactivity.
7.Strenuous Activities: should be avoided for the first 48 hours.
8. Blowing the Nose: Do not blow the nose forcefully for two weeks.
9. Expect: some nasal discharge and some very bad breath.
10. Tooth Brushing: routinely should be continued with care, but avoid use of mouthwashes with alcohol.
11. Do Not Smoke or be exposed to second hand smoke for 2 weeks. Smoke is highly irritating to healing tissue.
12. Sleep: Keep the head elevated while reclining and sleeping for 24-48 hours.
13. School:Children will typically miss 2-3 days of school. They should not resume gym class for 2 weeks.
14. Nausea:nausea medication may be used 30-45 minutes prior to pain medicine to avoid the nausea side effect that some patients experience with narcotics.
15. Bleeding: Expect some mild bleeding the day of surgery. If bleeding is persistent or heavy, call the office or on call physician. All of the Advanced ENT & Allergy surgeons are experts in this type of surgery and we are on call 24/7/365!