Rhinectomy

para>This is a series of images showing how to care for your wound. They include washing your hands, having the doctor take out your stitches or staples, not removing the small pieces of tape over the wound, taking care of your dressing, and watching for signs of infection like pus or redness around the wound.View Original

This is a series of images showing how to care for your wound. They include washing your hands, having the doctor take out your stitches or staples, not removing the small pieces of tape over the wound, taking care of your dressing, and watching for signs of infection like pus or redness around the wound.

View Original

What will the results be?

Results of the surgery are based on where the cancer is located and if it has spread to nearby tissues. The doctor will work to remove as much of the cancer as possible while trying to keep your face looking as normal as possible. The doctor will also try to make sure you are still able to breathe, see, chew, and swallow. ‚
Sometimes, your doctor may do reconstructive surgery to build you a new nose out of your own skin and tissues. This may happen at the same time as your surgery or a few weeks later. You may also have a prosthetic or artificial nose to wear. ‚

What happens before the procedure?

You and your doctor will talk about how your face will look after the surgery. If you are having some reconstruction done, ask what that will look like as well. Your doctor may take photos of your nose and face to review during and after surgery. Your doctor will take your history and do a physical. Talk to the doctor about:
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you. Tell your doctor about any street drug use like cocaine, heroin, or meth.
- Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin ‚ ®, ibuprofen, Aleve ‚ ® (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
- When you need to stop eating or drinking before your procedure.
Your doctor may order:
- Lab tests
- Urine tests
- X-rays of the facial bones
- MRI
- CT scan
You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.

What happens during the procedure?

Once you are in the operating room, the staff will put an I.V. in your arm to give you fluids and drugs. You will be given a drug to make you sleepy. It will also help you stay pain free during the surgery.
Your doctor will make a small cut inside or outside your nose.
Your doctor will cut away the part of the skin cancer that is easy to see. Some skin, nasal bones, or cartilage may be removed or reshaped. The doctor will also remove the layer of skin below it.
These layers are split into many sections. They are carefully labeled and frozen.
The doctor looks at these tissue samples under the microscope. It takes time for the doctor to carefully look at the skin and check for cancer. If your doctor finds cancer at the removed layer, your doctor will remove more layers until all parts are cancer free.
The shape or size of your nose may change.
When the procedure is done, your cut where the surgeon went into your nose is closed and a dressing is put in place. You may also need a special splint to protect your nose. You may have gauze inside of your nose to support it and help stop bleeding.
The procedure may take 2 to 4 hours.

What happens after the procedure?

Your nose and face are most often swollen and painful for a while after the surgery. Your doctor will give you pills for the pain and swelling.
You can go home within hours after the surgery when the staff is sure that you won 't have any problems.

What care is needed at home?

Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
Talk to your doctor about how to care for your cut site. Ask your doctor about:
- When you should change your bandages
- When you may take a bath or shower
- If you need to be careful with lifting things over 10 pounds (4.5 kg)
- When you may go back to your normal activities like work or driving
Get lots of rest. Sleep when you are feeling tired. Avoid doing tiring activities. Keep your head up on 2 to 3 pillows when you lie down to reduce the swelling.
You will not be able to breathe out of your nose for a few weeks after surgery due to the swelling.
Place an ice pack wrapped in a towel over your nose area during the first two days. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time. This will help with the swelling.
Talk to your doctor about:
- How to keep your nose clean
- How to blow your nose
- When it is OK to wear your glasses

What follow-up care is needed?

Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits.
If you have stitches or staples, you will need to have them taken out. Your doctor will often want to do this in 1 to 2 weeks.

What drugs may be needed?

The doctor may order drugs to: ‚

Help with pain and swelling
Fight an infection

What problems could happen?

Infection
Bleeding
Poor healing of the skin
Increased risk of nosebleed
Breathing problems
Scarring
Cancer may spread

When do I need to call the doctor?

Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills.
Signs of wound infection. These include swelling, redness, warmth around the wound; too much pain when touched; wound will not heal; yellowish, greenish, or bloody discharge; foul smell coming from the cut site; cut site opens up.
More bleeding than expected
You are not feeling better in 2 to 3 days or you are feeling worse

Last Reviewed Date

2015-03-16 ‚

List_set bdysylist

Adult
Neuromuscular and Skeletal

Consumer Information Use and Disclaimer

This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care provider 's advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚

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