Microsoft word - postopins sinus lift

Post-Operative Instructions Following Sinus Lift Postoperative restrictions if you have been given intravenous sedation or general anesthesia • The patient must be accompanied home and supervised by a responsible adult for at least
four hours following surgery.
• No alcohol consumption or driving for 24 hours.
• No breast-feeding for 12 hours after sedation or if taking narcotic medications.
• Normal activities may be resumed the following day as tolerated.
• If you must sneeze, do so with your mouth open to avoid unnecessary pressure on the sinus .
• No nose blowing for one week.
• Do not smoke, use a straw, or spit for four days after surgery.
• Avoid playing wind instruments until cleared by the surgeon.
• If you feel air flow at the surgical site, please contact our office.
• If you feel congested, you may need to use antihistamines or decongestants. Over-the-
counter products such as Tavist-D, Dimetapp, or Pseudofed work well.
• There may be a slight elevation of temperature for 24 to 48 hours. If this temperature
persists please contact our office.
• Sutures used during surgery usually dissolve in seven to ten days. The sutures may loosen
with brushing and minimal bleeding may occur.
• Gauze should be placed over the surgical site. To prepare the gauze, moisten it with tap
water, squeeze dry, fold it, and place over the surgical site and hold in place for one hour.
Change the gauze every hour until bleeding subsides.
• If bleeding has not decreased in five hours bite on a dampened tea bag placed directly over
the surgical site.
• Minor oozing or the taste of blood is expected for the first day or two after surgery.
• Bleeding may occur from the nose. This is not uncommon and should pass quickly.
• Swelling will reach its peak after 2 days and may last for several days. Maximum swelling is
expected within 36-48 hours and may last for several days.
• Apply ice to jaws, 20 minutes on/20 minutes off, for the first 48 hours after surgery. Wrap a
towel or cloth around the ice to prevent ice burn to the skin.
• Swelling may cause a small increase in temperature. This is not an indication of infection,
which is very rare and occurs several days after surgery. Oral temperatures may be
misleading following oral surgery. Axillary (arm) or aural (ear) temperatures are more
accurate.
• If the swelling is significant trismus (stiffness) of the muscles may cause difficulty in opening
your mouth. Use moist heat compresses after the first 48 hours to help reduce it. The less
swelling, the less pain.
• To control discomfort and minimize swelling, take Ibuprofen 600mg (Advil or Motrin)
every six hours for the first three days after surgery. For severe pain take the prescribed
narcotic medication in addition to the Ibuprofen. Ibuprofen should be taken before the
local anesthetic has worn off and always be taken with food. (It is office policy to refill
narcotic prescriptions only during working hours so please anticipate your needs in advance.)
• It is beneficial to take your pain medication before your numbness wears off.
• Do not take pain medication with an empty stomach or you may become nauseated. Pain
medication should be taken with food or milk products.
• Do not consume alcohol or drive when taking prescribed pain medication.
• Take your antibiotics as directed and until finished.
• Patients who have been sedated are advised to begin with clear liquids, then progress to cool
full liquids (milk products such as milkshakes or creamed soups) until the feeling returns,
then advance to a soft to normal diet as tolerated. Be aware that at first hot temperatures
are not felt due to numbness.
• Remove gauze when eating or drinking.
• In the event of nausea and/or vomiting following surgery, do not take anything by mouth
for at least an hour (including prescribed medicine). You should then slowly sip on room
temperature diluted ginger ale, coke, or tea every fifteen-minutes until the nausea subsides.
When the nausea subsides you can begin eating bland solid foods and taking the prescribed
medicines. If nausea and vomiting continues, contact our office.
• Do not rinse or spit for 24 hours after surgery.
• The day following surgery brush your teeth and rinse with warm salt water (1/2 tsp of salt
in an 8oz. glass of warm water)
• Do not use commercial mouth rinses until cleared by the surgeon.

Source: http://funarioralsurgery.com/pdf/PostOpIns%20Sinus%20Lift.pdf