Adenoidectomy

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Return to normal activities

 

It takes 1-3 days for most children to fully recover. You will need to keep your child away from day-care, kindergarten and school during this period.
General activities can be resumed when your child feels up to it. Please avoid vigorous nasal blowing, active sports, rough play & heavy lifting for 2 weeks.

 

Pain relief

 

Children may experience some minor neck or throat discomfort following surgery. Paracetamol (Panadol) is usually all that is required. Please follow dosage instructions as advised by the manufacturer. For maximum benefit of pain relief take half hour before meals.
Do not use Ibuprofen (Nurofen) or Aspirin, as this can increase the risk of post-operative bleeding.
Should pain relief requirements exceed this, please contact us.

 

Antibiotics

 

In some particular instances, children may be prescribed antibiotics following surgery. Please take as instructed if advised.

 

Diet

 

There are no restrictions on diet.

 

Fever

 

It is common to have a mild fever for the first 24 hours after the operation. Fever may also occur in conjunction with dehydration. Please call Dr Grigg’s rooms if there is a persistent fever greater than 38.5°C.

 

Bad breath

 

This is expected following removal of the adenoids and is part of the normal healing process. The bad breath usually settles after around 3 weeks.

 

Bleeding

 

Post-operative bleeding is unusual. Most bleeding is minor and you may only see a little coating of blood on the tongue. Put your child into bed, sitting upright, and place an ice collar on their neck. Watch for spitting, coughing, or vomiting of blood. If you suspect bleeding following surgery, call immediately. If there is any sign of bleeding from the nose or mouth, then please either contact our rooms or present to the nearest Emergency Department for assessment.

 

Follow Up Appointment

 

A follow up appointment is usually booked around 4 weeks after surgery. This consultation is conducted at Dr. Grigg’s consulting rooms.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr. Grigg or his practice nurse. Dr. Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions. Should your concerns not be addressed via a phone call please present to your nearest Emergency Department. In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Endoscopic Sinus Surgery

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Common Experiences

 

You may have nasal packing in your nose. These will be removed the following day after surgery. A gauze pad will be placed under the nose to collect any ooze. This may require changing regularly in the next 24 hours.

 

Healing of the nose occurs in three stages:

1. There is swelling in the nose as a response to the surgery and the nose is blocked. This may last for up to one week.
2. Clear secretions may drip from the front of the nose.
3. The nose becomes unblocked and crusting occurs. Underneath the crusting the lining of the nose heals – this can take up to six weeks to heal.

 

It is common for the nose to feel blocked and to discharge blood-stained mucus for about 1-2 weeks after the operation. You may feel as though you have a head cold for about 2 weeks. These symptoms should resolve over 4 weeks as the mucous membranes heal. If you are concerned about the amount of bleeding please contact Dr. Grigg

 

Decreased sense of smell can occur in varying degrees and should return to normal in the weeks following surgery.

 

You may also have swelling of the top lip for a few days and bruising under the eyes and nose.

 

Diet

 

Have a light meal the evening after surgery as tolerated. There are no dietary restrictions and you may eat as soon as food is tolerated.

 

Medication

 

Saline Nasal Rinse (Flo or Sinus rinse): The spray is designed to keep the lining of the nose moist to prevent excessive crusting and drying. The spray can be commenced within 24 hours after surgery. Please rinse your nose with the bottle prescribed (over a sink) 4 times a day. Continue for 1 month. Refill sachets (x50 or 100) can be purchased from your local pharmacy.

Panadeine Forte and Tramadol: This medication is prescribed for severe pain but often regular paracetamol (Panadol) is all that is required. If needed please follow the prescribed instructions. While taking either medication it is important to realise that you should not drive or operate heavy machinery. This medication can cause drowsiness and constipation.

Antibiotics: Please take as directed, plus the repeat if prescribed.

Prednisolone (Cortisone tablets prescribed for some patients): Please take as instructed.

Regular inhalations of Menthol and Eucalyptus in hot water, up to 3 times a day, will reduce pressure and pain.

Please avoid Aspirin and Nurofen as they increase the risk of bleeding.

 

Post-Operative Instructions

 

Taking things quietly will help your general recovery and allow the nose to heal. Avoid driving for a few days. Try to keep your head elevated for the first couple of days, and sleep with a few pillows. You will require total rest for one week with no work of any description. A cautious return to work may take place in the second week, but ensure you do not engage in any bending, stooping or heavy lifting.

 

To Prevent Bleeding:

• Avoid alcohol, smoking, and aspirin as they all increase the risk of bleeding.
• Avoid heavy lifting, bending over or strenuous activity for two weeks.
• If you have to sneeze; do so with your mouth open.
• Do not put anything up your nose ie: cotton tipped applicators.
• Do not blow your nose for at least two weeks.
• Bleeding is a complication and can occur any time up to four weeks after surgery.
• If bleeding does occur; sit in a chair, apply continuous pressure by pinching your thumb and index finger for five to ten minutes. If this does not stop the bleeding contact Dr. Grigg or go to the nearest hospital or medical centre.

 

Maintain a nutritious diet to promote healing.

Be sure to take all medications and nasal sprays as prescribed and keep a follow-up appointment with Dr. Grigg.

 

Follow-up Appointment

 

A post operative appointment will be arranged for you approximately 14 days post surgery. This consultation is conducted at Dr. Grigg’s consulting rooms.

 

How to Contact Dr. Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr. Grigg or his practice nurse.

Dr. Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

Grommets

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Return to normal activities

 

Recovery is fairly quick after insertion of grommets. For children you may choose to keep them away from day-care, kindergarten and school for 1-2 days following surgery but often they will be well enough to attend. For adults it may be the same.
General activities can be resumed when you or your child feel up to it.

 

Pain relief

 

You or your child may not have any pain after this surgery. If there is discomfort If they do have some discomfort Paracetamol (Panadol) is usually all that is required. Please follow dosage instructions as advised by the manufacturer.
Do not use Ibuprofen (Nurofen) or Aspirin, as this can increase the risk of post-operative bleeding.
Should pain relief requirements exceed this, please contact us.

 

Antibiotics

 

Eardrops are prescribed for 5 days following surgery. This will aid in keeping the grommets open and reduce, but not eliminate, the risk of a post-operative infection. Apply as instructed.

 

Diet

 

There are no restrictions on diet.

 

Fever

 

It is common to have a mild fever for the first 24 hours after the operation. Please call Dr Grigg’s rooms if there is a persistent fever greater than 38.5°C.

 

Bleeding/Discharge

 

If the ear is inflamed it is not unusual for a little bleeding to be noticed from the ear on the day of the operation. The ear may discharge for up to one week. If the discharge is persistent or profuse you need to contact Dr Grigg’s rooms.

 

Water precautions

 

Following insertion of grommets, excessive water entering the ear canal may travel through the grommet into to the middle ear, potentially leading to ear infections. Showering is usually not a problem, however, if bathing then please protect the ears by placing cotton wool coated in Vaseline into the entrance of the ear canal or use earplugs. Avoid swimming completely for 2 weeks following grommet surgery. Beyond 2 weeks it is preferable to use earplugs or a swimming cap / headband to protect the ears from water entry. A small percentage of children will develop ear infections. This will usually feature discharge from the ear and occasionally pain. If you or your child develops an infection, then please contact the rooms for a review.

 

Follow up appointment

 

A follow up appointment is usually booked around 4 weeks after surgery. This consultation is conducted at Dr. Grigg’s consulting rooms.

 

How to Contact Dr. Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr. Grigg or his practice nurse. Dr. Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions. Should your concerns not be addressed via a phone call please present to your nearest Emergency Department. In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Thyroidectomy and Parathyroidectomy

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Returning to normal activities

 

Refrain from strenuous physical activity and heavy lifting for at least 10 days. Strenuous activities include: lifting washing baskets, vacuuming and other physically demanding jobs. Please take caution in the recovery period to ensure you are resting adequately. After this time you may resume as normal but if you have any concerns please call the clinic. You may return to work as soon as you would like, usually 3-7 days. However, if your job requires strenuous activities or heavy lifting this will need to be discussed with Dr Grigg.

 

Post-operative Instructions

 

You may shower over top of the wound as the dressing is water proof. Pat dry instead of rubbing this will avoid lifting the edges of the dressing. The waterproof dressing can be removed at 2 days post op and leave the tape dressing insitu until your review in the clinic. If the tape begins to lift at the edges you may trim away the edges. There will most likely be sutures in the wound and these will be removed at your post operative visit to the clinic.

Avoid using any scar treatment creams or oils such as Bio Oil, until you have had your review with Dr Grigg. Using the supplied ointment, Vaseline or paw paw ointment twice daily is suitable.

 

Common experiences

 

You may experience swelling or bruising around the incision site and applying a cold pack to the area can decrease these symptoms especially if applied within the first 24 hrs. You may also notice firmness, pulling sensation at the incision site or sometimes trouble swallowing (most likely from the breathing tube). These are very normal sensations and should not be cause for concern, they will resolve over time. You can experience some numbness around the incision line and this will improve over a couple of months.

 

Pain

 

Most patients don’t experience much pain at the incision site, more commonly they can have a sore throat from the breathing tube. Throat lozenges, regular food and fluids will help relieve this discomfort. Don’t be afraid to mobilise your neck, this should help minimise stiffness or soreness in the shoulders, back or neck.

 

Medication

 

• Panadeine Forte or Tramal: Can be taken for severe pain but often regular paracetamol (Panadol) is all that is required.
• Antibiotics: Please take as directed, plus the repeat if prescribed.

• Avoid Aspirin and Nurofen as they increase the risk of bleeding.
• Thyroxine: Depending on the type of procedure you have had you may be prescribed thyroxine, take as directed by Dr Grigg. Thyroxine should be taken on an empty stomach by itself. (Regular blood tests will be taken to ensure the prescribed amount is correct.)

• Calcium: Depending on the type of procedure you have had you may be prescribed calcium, take as directed by Dr Grigg.

• Vitamin D (Rocaltrol): Depending on the type of procedure you have had you may be prescribed Vitamin D, take as directed by Dr Grigg.

 

Diet

 

There are no dietary restrictions and you may eat as soon as food is tolerated.

 

Voice changes

 

You may have a slightly hoarse or weak voice following surgery. This doesn’t necessarily mean there has been damage to the nerves of the vocal cords and is most usually from the breathing tube used during surgery. Your voice will return to normal within a few days. Dr Grigg will check the vocal cord function at your post operative visit also.

 

Follow up appointment

 

You should have received an appointment date and time, for approximately 10 days after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr Grigg’s rooms on 4632 3179.

 

When to call the Doctor

 

If you experience:

• Any extreme swelling or bruising that is not settling;
• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C
• If you have trouble breathing or talking; and
• Persistent tingling or numbness in the mouth, lips or tips of the fingers.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Parotidectomy

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Returning to normal activities

 

You can resume normal activities from the time you are discharged from hospital. Refrain from strenuous physical activity and heavy lifting for at least 10 days, this will reduce swelling and pain at the wound site. After this time you may resume as normal but if you have any concerns please call the clinic. You may return to work as soon as you would like, usually 3-7 days. However, if your job requires strenuous activities or heavy lifting this will need to be discussed with Dr Grigg.

 

Post-operative Instructions

 

You may shower over top of the wound as the dressing is water proof. Pat dry instead of rubbing this will avoid lifting the edges of the dressing. The waterproof dressing can be removed at 2 days post op and leave the tape dressing insitu until your review in the clinic. If the tape begins to lift at the edges you may trim away the edges. There will most likely be sutures in the wound and these will be removed at your post operative visit to the clinic.

Avoid using any scar treatment creams or oils such as Bio Oil, until you have had your review with Dr Grigg. Using the supplied ointment or Vaseline twice daily is suitable.

 

Common experiences

 

You may experience swelling or bruising around the incision site and applying a cold pack to the area can decrease these symptoms especially if applied within the first 24 hrs. Sleeping elevated on two pillows can help decrease swelling also. You can experience some numbness around the incision line, cheek and ear this will return to normal within a few weeks to months. The numbness around your ear lobe may be permanent but will improve slightly over time.

During the procedure we use nerve monitors to minimise the risk of nerve damage. However, it is possible to have some temporary nerve weakness in your face after the surgery. This is usually very mild and returns to normal within a few weeks.

Hematoma or seroma is a collection of blood or fluid under the skin. This can happen after surgery and if it is giving you further pain or discomfort, Dr Grigg should be notified. In some cases it may require drainage to avoid further complications with healing.

Pain

 

Most patients don’t experience much pain at the incision site, more commonly they can have a sore throat from the breathing tube. Throat lozenges, regular food and fluids will help relieve this discomfort. Don’t be afraid to mobilise your neck, this should help minimise stiffness or soreness in the shoulders, back or neck.

 

Medication

 

• Panadeine Forte or Tramal: Can be taken for severe pain but often regular paracetamol (Panadol) is all that is required.

• Antibiotics: Please take as directed, plus the repeat if prescribed.
• Avoid Aspirin and Nurofen as they increase the risk of bleeding.

 

Diet

 

There are no dietary restrictions and you may eat as soon as food is tolerated.

 

Follow up appointment

 

You should have received an appointment date and time, for approximately 10 days after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr Grigg’s rooms on 4632 3179.

 

When to call the Doctor

 

If you experience:

• Any extreme swelling or bruising that is not settling;
• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C;
• Any signs of wound redness, bleeding, unusual discharge.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Head and Neck Skin Cancers

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Returning to normal activities

 

You can resume normal activities from the time you are discharged from hospital. Refrain from strenuous physical activity and heavy lifting for at least 10 days. Also avoid bending too low to decrease pressure in the head and neck. Sleeping elevated on two pillows may be beneficial. After this time you may resume as normal but if you have any concerns please call the clinic. You may return to work as soon as you would like. However, if your job requires strenuous activities or heavy lifting this will need to be discussed with Dr Grigg.

 

Post-operative Instructions

 

Depending on the procedure this will determine your needs post operatively. Please refer to your discharge instructions with regards to wound care and the below information, if you are unsure of these instructions please contact the clinic.

 

Wide local excision

 

You may shower over top of the wound as the dressing is water proof. Pat dry instead of rubbing this will avoid lifting the edges of the dressing. The waterproof dressing can be removed at 2 days post op and leave the tape dressing insitu until your review in the clinic. If the tape begins to lift at the edges you may trim away the edges. There will most likely be sutures in the wound and these will be removed at your post operative visit to the clinic.

Avoid using any scar treatment creams or oils such as Bio Oil, until you have had your review with Dr Grigg. Using the supplied ointment or Vaseline three times daily is suitable.

 

Wide local excision and flap repair

 

You may or may not be able to shower over top of the wound, if the dressing is water proof, showering is acceptable. Pat dry instead of rubbing this will avoid lifting the edges of the dressing. If the dressing is not waterproof, leave insitu until directed and keep clean and dry. The waterproof dressing can be removed at 2-3 days post op and leave the tape dressing insitu until your review in the clinic. If the tape begins to lift at the edges you may trim away the edges. Don’t be alarmed if there is no tape insitu, some wounds do not require this. There will most likely be sutures in the wound and these will be removed at your post operative visit to the clinic.

Avoid using any scar treatment creams or oils such as Bio Oil, until you have had your review with Dr Grigg. Using the supplied ointment or Vaseline three times daily is suitable.

 

Wide local excision and skin graft

 

During this procedure a small amount of skin is taken from another site on your body, usually the clavicle/shoulder area (called the donor site), and sutured to the wide local excision site on the head or neck. There will be two wounds. Please keep both wounds clean and dry until your review with Dr Grigg. There may be an outer dressing applied to the head or neck excision site this can be removed 2-3 days post operative (unless directed otherwise). Underneath there will be a dressing sutured to the excision site, this will be bloodied and to be left dry and intact until your review. Use the supplied ointment or Vaseline three times daily around the outer edges of the dressing. The donor site will have an outer dressing applied and this can be removed 2-3 days post operatively. Underneath there will be a tape dressing, leave this insitu until your review with Dr Grigg.

Avoid using any scar treatment creams or oils such as Bio Oil, until you have had your review with Dr Grigg. Using the supplied ointment or Vaseline three times daily is suitable.

 

Pain

 

Most patients don’t experience much pain at the excision site, patients who have had a skin graft will often be sorer at the donor site.

 

Medication

 

• Panadeine Forte or Tramal: Can be taken for severe pain but often regular paracetamol (Panadol) is all that is required.

• Antibiotics: Please take as directed, plus the repeat if prescribed.
• Chloromycetin ointment: Apply to the suture line three times daily.

• Avoid Aspirin and Nurofen as they increase the risk of bleeding.

 

Diet

 

There are no dietary restrictions and you may eat as soon as food is tolerated.

Please note if lesions are removed from the mouth, lips or tongue you may be required to have a soft, cold diet for a period of time. We will advise you of this post operatively.

 

Follow up appointment

 

You should have received an appointment date and time, for approximately 7-10 days after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr Grigg’s rooms on 4632 3179.

 

When to call the Doctor

 

If you experience:

• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C; and
• Any signs of wound redness, bleeding, unusual discharge.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Microlaryngoscopy and oesophagoscopy

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Returning to normal activities

 

You can resume normal activities from the time you are discharged from hospital. Your voice may be husky and this should return to normal within 1-2 weeks. You may be required to have voice rest (using your voice sparingly) for a number of days.  You may return to work as soon as you would like. However, if your job requires you to use your voice this will need to be discussed with Dr Grigg.

 

Post-operative Instructions

 

Depending on the procedure this will determine your needs post operatively. Please refer to your discharge instructions for further details, if you are unsure of these directions please contact the clinic.

 

Pain

 

Your throat is likely to feel sore and dry and should settle with medication suggested.

 

Medication

 

• Panadeine Forte or Tramal: Can be taken for severe pain but often regular paracetamol (Panadol) is all that is required.

• Antibiotics:  Please take as directed, plus the repeat if prescribed.
• Throat lozenges
• Avoid Aspirin and Nurofen as they increase the risk of bleeding.

 

Diet

 

There may be some restrictions with your diet. Immediately post operatively you may be allowed a soft diet and on discharge you will be instructed of when to commence a normal diet again.

 

Follow up appointment

 

You should have received an appointment date and time, for approximately 7-10 days after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr Grigg’s rooms on 4632 3179.

 

When to call the Doctor

 

If you experience:

• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C; and
• Any difficulty breathing or swallowing; and
• Persistent huskiness that is not resolving in the timeframe suggested.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Myringoplasty

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Return to Normal Activities

 

Usually you may return to work and normal activities about a week after leaving hospital, although if your job involves heavy lifting, three weeks of home rest is recommended. You may wish to keep your child home from day care, kindergarten or school for 1-2 days post surgery.

 

Ear Care

 

After leaving the hospital, a small cotton ball may be placed in the bowl of the ear to absorb any discharge. It is common to have blood stained ooze from the ear following the operation.

The graft following myringoplasty is held in place by packing and pressure only. It is important that you do not put pressure on the ear for a few days after surgery. Blowing your nose, sneezing, coughing lifting heavy objects, swimming underwater, descending rapidly in high-rise elevators, or taking an aeroplane flight should be avoided. If you must sneeze or cough, then do so through an open mouth. Most of the above can be recommenced 6 weeks following surgery but please ask Dr. Grigg if you have any queries.

You should avoid getting your ear wet until it has completely healed. Water in the ear could cause an infection; most seriously, water could enter the middle ear and cause an infection within the inner ear.

When taking a shower and washing your hair, you should wear a shower cap or get your hair washed in a basin taking care not to get any water around the packing.

Should water inadvertently enter the ear, dry the ear with a warm hair dryer to prevent water pooling in the ear canal.

 

Wound Care

 

Where the incision has been made behind or in front of the ear, there will usually be a dressing in place. This will be removed at your post operative appointment. Thereafter Chlorsig ointment or Vaseline can be applied 3 times a day until it is healed.

In both cases, stitches are usually absorbable and do not require removal.

 

Pain Relief

 

Most people experience mild ear discomfort following surgery. Paracetamol (Panadol) or Ibuprofen (Nurofen) is usually all that is required. Please follow dosage instructions as advised by the manufacturer.

Should pain relief requirements exceed this, please contact us.

 

Antibiotics

 

Ear drops or oral antibiotics may be prescribed please take as directed.

 

Diet

 

There are no restrictions on diet.

 

Fever

 

It is common to have a mild fever for the first 24hrs after the operation. Please call Dr. Grigg’s rooms if there is a persistent fever greater than 38.5°C.

 

Common Experiences

 

You will have packing and may have sutures in your ear and you will have reduced hearing on that side. It may take about 6-9 weeks for your hearing to return. The packing is usually removed 3-4 weeks after surgery.

You may be quite dizzy after the operation. If this doesn’t settle please contact us.

 

Follow-up Appointment

 

A post operative appointment will be arranged for you approximately 7 days post surgery and then further follow up is required 2 weeks following this.

 

How to contact Dr. Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr. Grigg or his practice nurse.

Dr. Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

Nasal Cautery

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Returning to normal activities

 

You can resume normal activities from the time you are discharged from hospital or leave the clinic. Refrain from strenuous physical activity and heavy lifting for at least 24 hrs to prevent further bleeds.

 

Post-operative Instructions

 

You may get a nose bleed within 24 hrs of having the cautery done, this is normal. Use supplied ointment with syringe in both nostrils, twice daily for 2 weeks.

 

Pain

 

There is minimal to no pain associated with procedure, please use medications suggested below.

 

Medication

 

• Paracetemol (Panadol): Can be taken for pain

• Antibiotics: Please take as directed, plus the repeat if prescribed.
• Kenacomb ointment: Using syringe for application in base of nostril, twice daily for 2 weeks.

• Nasal sprays: Use as directed

• Avoid Aspirin and Nurofen as they increase the risk of bleeding.

 

Diet

 

There are no dietary restrictions and you may eat as soon as food is tolerated.

 

Follow up appointment

 

You should have received an appointment date and time, for approximately 2-3 weeks after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr Grigg’s rooms on 4632 3179.

 

When to call the Doctor

 

If you experience:

• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C; and
• Uncontrolled bleeding.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Septoplasty and Turbinate Reduction

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Common Experiences

 

It is common for the nose to feel blocked and to discharge blood-stained mucus for about one week after the operation. You may feel as though you have a head cold for about 2 weeks. These symptoms should resolve over 4 weeks as the mucous membranes heal.

 

Healing of the nose occurs in three stages:

1. There is swelling in the nose as a response to the surgery and the nose is blocked. This may last for up to one week.
2. Clear secretions may drip from the front of the nose.
3. The nose becomes unblocked and crusting occurs. Underneath the crusting the lining of the nose heals – this can take up to six weeks to heal.

 

Medication

 

• Saline nasal rinse (Flo or Sinus rinse): Please rinse your nose with the bottle prescribed (over a sink) 4 times a day. Refill sachets (x50 or 100) can be purchased from your local pharmacy.
• Panadeine Forte or Tramal: Can be taken for severe pain but often regular paracetamol (Panadol) is all that is required.
• Antibiotics: Please take as directed, plus the repeat if prescribed.
• Avoid Aspirin and Nurofen as they increase the risk of bleeding.
• Regular inhalations of Menthol and Eucalyptus in hot water, up to 3 times a day, will reduce pressure and pain.

 

Pain

 

The maximum discomfort will occur over the first couple of days after surgery. You may experience some headaches. Please take the pain medication as prescribed. Minor bruising and swelling are to be expected around the eyes and face, which may be more apparent in the mornings.

 

Diet

 

There are no dietary restrictions and you may eat as soon as food is tolerated.

 

Post-Operative Instructions

 

Taking things quietly will help your general recovery and allow the nose to heal. Avoid driving for a few days. Sleep propped up at night on several pillows. You will require total rest for one week with no work of any description. A cautious return to work may take place in the second week, but ensure you do not engage in any bending, stooping or heavy lifting.

 

Bleeding

 

It is normal to have nasal ooze for the first 24 hours, which will reduce by half each day. Minor bleeding is expected for 3-4 days post-op.

 

Preventing Bleeding

 

• Avoid alcohol, smoking, and aspirin as they all increase the risk of bleeding.
• Avoid heavy lifting, bending over or strenuous activity for two weeks (you may do some gentle walking).
• If you have to sneeze; do so with your mouth open.
• Do not put anything up your nose ie: cotton tipped applicators.
• Do not blow your nose for at least two weeks.
• Bleeding is a complication and can occur any time up to four weeks after surgery.
• If bleeding does occur; sit in a chair, apply continuous gentle pressure to the side of the nose for 20 minutes. If this does not stop the bleeding contact Dr. Grigg’s rooms on 4632 3179 or go to the nearest hospital or medical centre.
• Maintain a nutritious diet to promote healing.
• Be sure to take all medications and nasal sprays as prescribed and keep a follow-up appointment with Dr. Grigg.

 

Follow-up Appointment

 

You should have received an appointment date and time, for approximately 2 weeks after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr. Grigg’s rooms on 4632 3179. Nasal splints and packing (if used in surgery) will be removed at this appointment.

 

When to Call the Doctor

 

Please call if you experience:

• Any extreme swelling or bruising that is not settling;
• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C; and
• Bleeding that has not subsided after 20 minutes of applying gentle pressure to the side of the nose while sitting in an upright position with head bent forward (Oozing can be expected).

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr. Grigg or his practice nurse.

Dr. Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Tonsillectomy – Adult

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Post-operative Instructions

 

If you do not live within 30 minutes of a major hospital then you may need to relocate for one week following surgery or as per Dr Grigg. While extremely rare, a severe post-tonsillectomy bleed can be a life-threatening event and will require an adequately staffed hospital to address. Minor spotting is not unusual but anything more than that requires medical attention.

An adequate amount of fluid must be drunk during healing to keep saliva flowing. If adequate hydration is not possible, and dehydration has occurred, contact the rooms for advice.

It takes 10-14 days for most to fully recover. You will need to keep your child away from school or stay home from work during this period.

General activities can be resumed when you feel up to it. Please avoid active sports, rough play and heavy lifting for 2 weeks.

 

Common Experiences

 

Vomiting can occur during the first 48 hours post-surgery, which may or may not contain blood that has been swallowed. If there are more than flecks of bright red fresh blood then contact the rooms or, if unavailable go to your nearest Emergency Department.

A slight fever may develop within the first 24 hours, but this usually does not delay discharge from hospital. After discharge if you have a persistent fever above 38.5°C contact the rooms for advice.

Earache during the 2 weeks post-surgery is common and is typically referred pain (i.e. not due to an ear problem). It can be managed by usual pain relief. It is usually worse around Day 5-7 post-operatively. Eating, drinking, pain medication and the chewing of gum are often helpful.

Bad breath is expected following removal or tonsils and even more so if the adenoids are removed. This usually settles after 3weeks.

 

Pain Relief

 

You may have a very sore throat which is to be expected. You can also experience ear pain, jaw pain and neck pain. This can be improved with pain relief but may not entirely disappear. It is recommended you take some regular pain relief to stay on top of the pain. A painkiller is best given before pain gets bad, not after it has reached its peak.

Please take prescribed medication as per manufactures instructions.

Paracetamol (Panadol): administer as indicated.

Paracetamol with codeine (Painstop): can be substituted for panadol alone (Do not take panadol and painstop together as the maximum dose of panadol may be exceeded).

Oxycodone and Tramadol: are occasionally supplied by Dr Grigg if required please follow the instructions for these medications as these medications are very strong and dangerous if taken in excess of prescribed dosage.

Targin: are occasionally supplied by Dr Grigg if required please follow the instructions for these medications as these medications are very strong and dangerous if taken in excess of prescribed dosage.

Pain relief will be required for a number of days post operative it can often increase day 5-8 and seem worse so it is advisable to continue pain relief regularly as needed at this point.

Local anaesthetic sprays and lozenges have been found to be of limited value as when they wear off the pain seems worse.

 

Non- Medication Pain Relief

 

There is some evidence that the following measures may aid in pain relief after tonsil surgery:

• Maintain hydration to keep the mouth moist;
• Use chewing gum and/or chewy lollies to exercise the jaw. It works like physio for your mouth;
• Ice blocks and/or ice-cream and cool items can alleviate pain in the first few days after surgery; and
• A varied diet including some harder to swallow items (bread/meat/apples and whole fruit) speeds up the healing process by ‘cleaning’ the operation site.

 

Please seek advice if pain relief measures are inadequate.

 

Medication

 

You may have been given a script for antibiotics, please commence these as directed. There may be a repeat script of the antibiotics, however you only need to do one course unless we tell you otherwise.

Avoid aspirin, ibuprofen (nurofen), fish oil and other anti-inflammatory drugs, vitamin E, garlic supplements and Gingko biloba for 3 weeks before and 3 weeks after surgery, as they can impair clotting and lead to excessive bleeding.

 

Diet

 

Eating and drinking post-operatively is very important. This helps to reduce the incidence of infection, bleeding and pain. Eating and drinking half hour after pain relief has been given may assist in minimizing pain when swallowing.

There are no restrictions on diet. However, avoiding citrus drinks or fruits may be of benefit.  Drink as much as required to avoid dehydration. Icy poles and paddle pops are a good option as they are cold, have good calories and contain fluid.

Please contact the rooms if you are not drinking or eating enough, you may need to be re-admitted to hospital for intravenous fluids.

 

Follow up appointment

 

A post operative appointment will be arranged for you approximately 2-3 weeks post surgery and is noted in the pre operative package you received from the rooms.

 

When to call the Doctor

 

If you experience:
• Persistent extreme pain not relieved by the pain medication;
• Elevated temperature over 38°C; and
• Any signs of bleeding, i.e. swallowing large amounts, spitting up large amounts.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

 

Tonsillectomy – Child

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Post-Operative Instructions

 

If you do not live within 30 minutes of a major hospital then you may need to relocate for one week following surgery or as per Dr. Grigg. While extremely rare, a severe post-tonsillectomy bleed can be a life-threatening event and will require an adequately staffed hospital to address. Minor spotting is not unusual but anything more than that requires medical attention.

An adequate amount of fluid must be drunk during healing to keep saliva flowing. If adequate hydration is not possible, and dehydration has occurred, contact the rooms for advice.

It takes 10-14 days for most children to fully recover. You will need to keep your child away from day-care, kindergarten, and school during this period.

General activities can be resumed when your child feels up to it. Please avoid active sports, rough play and heavy lifting for 2 weeks.

 

Common Experiences

 

Vomiting can occur during the first 48 hours post-surgery, which may or may not contain blood that has been swallowed. If there are more than flecks of bright red fresh blood then contact the rooms or, if unavailable go to your nearest Emergency Department.

A slight fever may develop within the first 24 hours, but this usually does not delay discharge from the hospital. After discharge, if they have a persistent fever above 38.5°C contact the rooms for advice.

Earache during the 2 weeks post-surgery is common and is typically referred pain (i.e. not due to an ear problem). It can be managed by usual pain relief. It is usually worse around Day 5-7 postoperatively. Eating, drinking, pain medication and the chewing of gum are often helpful.

Your child may have a higher pitched voice for a couple of weeks. During healing, pain can restrict palate movement, and resonance in the throat alters, particularly after huge tonsils have been removed. This is not a concern. Contact the rooms if this does not resolve within a few weeks.

Bad breath is expected following removal or tonsils and even more so if the adenoids are removed. This usually settles after 3 weeks.

 

Pain Relief

 

Your child will have a very sore throat which is to be expected. Children can also experience ear pain, jaw pain, and neck pain. This can be improved with pain relief but may not entirely disappear. It is recommended your child take some regular pain relief to stay on top of the pain. A painkiller is best given before pain gets bad, not after it has reached its peak.

Please take prescribed medication as per the manufactures’ instructions.

Paracetamol (Panadol): administer as indicated. If your child refuses oral pain relief, Panadol can be given as a suppository.

Paracetamol with codeine (Painstop): can be substituted for Panadol alone (Do not take Panadol and Painstop together as the maximum dose of Panadol may be exceeded).

Oxycodone and Tramadol: are occasionally supplied by Dr. Grigg if required please follow the instructions for these medications as these medications are very strong and dangerous if taken in excess of prescribed dosage.

Pain relief may only be required for the first couple of days but often it may return at day 5-7 and seem worse so it is advisable to continue pain relief regularly as needed at this point.

Local anesthetic sprays and lozenges have been found to be of limited value as when they wear off the pain seems worse.

 

Non-Medication Pain Relief

 

There is some evidence that the following measures may aid in pain relief after tonsil surgery:

• Maintain hydration to keep the mouth moist;
• Use chewing gum and/or chewy lollies to exercise the jaw. It works like physio for your mouth;
• Ice blocks and/or ice-cream and cool items can alleviate pain in the first few days after surgery; and
• A varied diet including some harder to swallow items (bread/meat/apples and whole fruit) speeds up the healing process by ‘cleaning’ the operation site.

Please seek advice if pain relief measures are inadequate.

 

Medication

 

You may have been given a script for antibiotics. If Dr. Grigg states to start antibiotics do so, but often this is given out as a precaution so is not needed unless otherwise specified. If your child displays any signs of infection please contact the rooms as this maybe when the antibiotics will be required. There may be a repeat script for the antibiotics, however, you only need to do one course unless we tell you otherwise.

Avoid aspirin, ibuprofen (nurofen), fish oil and other anti-inflammatory drugs, vitamin E, garlic supplements and Gingko biloba for 3 weeks before and 3 weeks after surgery, as they can impair clotting and lead to excessive bleeding.

 

Diet

 

Eating and drinking postoperatively are very important. This helps to reduce the incidence of infection, bleeding, and pain. Encouraging eating and drinking half hour after pain relief has been given may assist in minimizing pain when swallowing.

There are no restrictions on diet. However, avoiding citrus drinks or fruits may be of benefit. Children are encouraged to drink as much as required, to avoid dehydration. Icy poles and paddle pops are a good option as they are cold, have good calories and contain fluid.

If your child refuses solids but is maintaining good fluid intake, then this is acceptable. At least 80mls per kilo body weight per day is recommended.

Please contact the rooms if your child is not drinking or eating enough, they may need to be re-admitted to the hospital for intravenous fluids.

 

Follow-up Appointment

 

A post operative appointment will be arranged for you approximately 2-3 weeks post surgery and is noted in the pre operative package you received from the rooms.

 

How to Contact Dr. Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr. Grigg or his practice nurse.

Dr. Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.

 

Neck Dissection

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Returning to normal activities

 

You can resume normal activities from the time you are discharged from hospital. Refrain from strenuous physical activity and heavy lifting for at least 10 days, this will reduce swelling and pain at the wound site. After this time you may resume as normal but if you have any concerns please call the clinic. You may return to work as soon as you feel able, 5-7 days. However, if your job requires strenuous activities or heavy lifting this will need to be discussed with Dr Grigg.

 

Post-operative Instructions

 

You may shower over top of the wound as the dressing is water proof. Pat dry instead of rubbing this will avoid lifting the edges of the dressing. The waterproof dressing can be removed at 2 days post op and leave the tape dressing insitu until your review in the clinic. If the tape begins to lift at the edges you may trim away the edges. There will most likely be sutures or staples in the wound and these will be removed at your post operative visit to the clinic.

Avoid using any scar treatment creams or oils such as Bio Oil, until you have had your review with Dr Grigg. Using the supplied ointment or Vaseline twice daily is suitable.

 

Common experiences

 

You may experience swelling or bruising around the incision site and applying a cold pack to the area can decrease these symptoms especially if applied within the first 24 hrs. Sleeping elevated on two pillows can help decrease swelling also. You can experience some numbness around the incision line, cheek and ear this will return to normal within a few weeks to months. The numbness around your ear lobe may be permanent but will improve slightly over time.

During the procedure we use nerve monitors to minimise the risk of nerve damage. However, it is possible to have some temporary nerve weakness in your face after the surgery. This is usually very mild and returns to normal within a few weeks.

Hematoma or seroma is a collection of blood or fluid under the skin. This can happen after surgery and if it is giving you further pain or discomfort, Dr Grigg should be notified. In some cases it may require drainage to avoid further complications with healing.

Pain

 

Most patients don’t experience much pain at the incision site, more commonly they can have a sore throat from the breathing tube. Throat lozenges, regular food and fluids will help relieve this discomfort. Don’t be afraid to mobilise your neck, this should help minimise stiffness or soreness in the shoulders, back or neck.

 

Medication

 

• Panadeine Forte or Tramal: Can be taken for severe pain but often regular paracetamol (Panadol) is all that is required.

• Antibiotics: Please take as directed, plus the repeat if prescribed.
• Avoid Aspirin and Nurofen as they increase the risk of bleeding.

 

Diet

 

There are no dietary restrictions and you may eat as soon as food is tolerated.

 

Follow up appointment

 

You should have received an appointment date and time, for approximately 10 days after your surgery, in the information package you received prior to your surgery. If you are unsure, please contact Dr Grigg’s rooms on 4632 3179.

 

When to call the Doctor

 

If you experience:

• Any extreme swelling or bruising that is not settling;
• Persistent pain not relieved by the pain medication;
• Elevated temperature over 38°C;
• Any signs of wound redness, bleeding, unusual discharge.

 

How to contact Dr Grigg

 

For non-emergency issues please call (07) 4632 3179 for further instructions from Dr Grigg or his practice nurse.

Dr Grigg shares ‘on-call’ arrangements with other ENT surgeons and one is usually available to answer questions.

Should your concerns not be addressed via a phone call please present to your nearest Emergency Department.

In the event of an Emergency call 000 or attend the nearest Emergency Department.