Endoscopic Sinus Surgery What to Expect Ryan Rehl, M D

Endoscopic sinus surgery is done entirely through the nostrils. There are no cuts on the outside and using the latest techniques, patients typically don't get bruised or swollen. We don't expect any changes to the external features of the face or the nose. Patients are usually treated in an outpatient surgery center or hospital setting and typically the patient can go home the same day. A patient can expect some nasal congestion for a few days to a couple of weeks and some bloody nasal discharge for a few days. Dr. Rehl does not use nasal packing for most types of surgery which means even in the recovery room, a patient should be able to breathe through their nose and then start rinsing their nose out with saline solution the day after surgery. The patient's nasal cavities should not be obstructed after surgery.

[GENERALMGR]

History: had rhinoseptoplasty in 2016.
Symptoms: unilateral pain/pressure under left cheekbone; no discharge, lasting several days, recurs every few months. Chronically obstructed left sinus; reduced airflow. Also, chronic TMD and bruxism.
No amount of nasal corticosteroid sprays, daily saline rinses, etc. prevent recurrence, provide symptom relief nor address the underlying anatomic issues. Oxymetazoline is the only decongestant that works to provide temporary relief of congestion, but cannot use for more than a day or two. It does nothing to relieve pain/pressure.

CT just came back. Impression: Mucosal opacification of the near-complete opacification of the left maxillary sinus. Opacification of the left ostiomeatal unit. Deviation of the nasal septum to the right.

Septo revision with endoscopic uncinectomy?