Research Information System
Istanbul Aydın University 1st International Health Sciences Research Days Congress, İstanbul, Turkey, 14 - 16 September 2022, pp.61
Objective: As nasal surgeries are critical and require revision, routine physiotherapy may have unexpected effects on patient safety and surgical outcomes. In this study, it was aimed to evaluate the timing of physiotherapy after open nose surgery, the acquisition of functions aimed with surgical intervention, and its contribution to the postoperative recovery rate through a case study. Materials and Methods: Open septoplasty, bilateral endoscopic concha bullosa resection, bilateral nasal valve surgery was performed on 24.01.2022 in a 58-year-old female patient who applied to the Bezmialem University ENT Clinic with complaints of awakening during sleep and apnea+. She was discharged the next day with recovery. Gradual early mobilization, in-room ambulation (by making it difficult with tandem walking / increasing walking speed), diaphragmatic breathing exercises, speech practice as well as cognitive exercise were applied to the patient in the postoperative cardiac position and whose vital signs were stable. Kinesiophobia did not develop in the patient who did not have pain, respiratory and movement limitations. It was ensured that facial edema did not occur with a one-week autogenic lymphatic facial massage at home. Results: Preoperative Sino-Nasal Outcome score was 75 points, resting and post-exercise arterial desaturation <95, in the case with dyspnea after walking (MRC Dyspne Scale: 2 on level ground, I walk slower than people of my age because of breathlessness), post-operative 10th day, 1.,2.3.4.5. the airway was found to be open in the monthly controls, and no bleeding and/or complications requiring early intervention were observed. Discussion and Conclusion: Physiotherapy in our study; in the earliest period following airway restructuring; initiated with its content activating respiratory mechanics and oxygen kinetics; After discharge, the effectiveness of progressive diversified physical activities was observed. In conclusion, the earliest physiotherapy terminology and the use of facial lymph drainage in nasal surgery provided new information to the relevant literature as a clinical field. Keywords: Nasal surgery, postoperative, early physiotherapy