Post-Operative Concerns Following Endoscopic Sinus Surgery

Case at a Glance

A 29-year-old female presents with concerns about possible infection 5 days post endoscopic sinus surgery with septoplasty and turbinate reduction.

Patient's Story

The patient is a 29-year-old woman with no significant past medical history who underwent elective endoscopic sinus surgery including septoplasty and bilateral turbinate reduction. Five days post-operatively, she noticed changes in the appearance of her nasal cavity that concerned her for possible infection. She reported expected post-operative pain but became worried when examining her nose in a mirror revealed what she perceived as abnormal findings.

Initial Assessment

Patient appears alert and oriented with stable vital signs. She reports manageable post-operative pain consistent with recent nasal surgery. Visual inspection of the nasal cavity shows post-surgical changes with concern for possible infectious complications versus normal healing process.

The Diagnostic Journey

The patient proactively contacted her surgical team upon noticing the concerning nasal appearance. Clinical evaluation would include assessment of nasal drainage character, presence of fever, escalating pain beyond expected post-operative levels, and direct visualization of the surgical site for signs of infection versus normal post-operative inflammation.

Final Diagnosis

Post-operative nasal surgery patient with concern for possible surgical site infection requiring clinical evaluation to differentiate from normal post-operative inflammation and healing.

Treatment Plan

Immediate follow-up with the operating surgeon for direct visualization and assessment of the surgical site. Potential interventions may include antibiotic therapy if infection is confirmed, saline irrigation protocols, and close monitoring of healing progress.

Outcome and Follow-up

Patient appropriately sought medical attention upon noticing concerning changes. Follow-up with the surgical team will determine if findings represent normal post-operative healing or require intervention for infectious complications.