Rhinoplasty is a type of surgery that changes the shape of the nose and is often performed as a cosmetic procedure. It is also done for patients who have difficulty breathing through the nose, including those who have a deviated septum or those who have sustained a nasal injury. Rhinoplasty is usually done under a general anesthetic while the surgeon makes incisions into the skin to manipulate and restructure the cartilage and bone of the nose.
Sinuses
The sinuses are located behind the bones of the face as open cavities. Sinuses are found in the forehead, under the eyes and above the nose. The sinuses are normally free of bacteria, but do contain mucous membranes. They help to filter dust and pollen; but when they become blocked, bacterial infection can occur, causing sinusitis.
Sinusitis
A splint is placed on the nose to protect the surgical site following rhinoplasty. The doctor may also place packing inside the nose that is left for one to two days. Because the surgical procedure is invasive, the body responds by sending blood cells to the site to ward off potential infection; producing inflammation, swelling and fluid. The packing in the nose may trap bacteria-filled fluid in the area, promoting growth and increasing the risk of infection in the sinuses.
Symptoms
According to Medline Plus, the symptoms of sinus infection include a lack of smell, headache or feelings of pressure in the sinuses, nasal discharge, congestion and bad breath. Sinusitis often has symptoms similar to the common cold, but when symptoms develop following rhinoplasty, contact your surgeon to rule out a bacterial infection.
Treatment
Treatment of a sinus infection may include antibiotics, particularly if swelling or fever are present. Pain medicine may be needed for headache or pressure associated with sinus infection. Check with your doctor for permission to use a humidifier or warm packs to the forehead or cheeks, which may reduce some symptoms of sinus infection.
Prevention
Always carefully follow the directions of your surgeon for care of your nose and sinuses after rhinoplasty. Each physician has different guidelines for post-operative care, so check with your doctor about blowing your nose, using nasal spray or the effects of shower steam. All can help reduce the incidence of sinus infection, but avoid home remedies that may disrupt the results of the rhinoplasty.
