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OCTOBER 2015 | The Surgical Technologist | 453 Coblator wand to resect the submucous is another method of treating the turbi- nate to help prevent scaring. Throughout the surgery irrigation and suction will be ready and available as needed while bupivacaine hydrochloride and epinephrine-soaked pledgets will be packed to maintain hemostasis. Kennedy packs, along with a packing gel, may be used to serve as a stent while the sinuses heal. A hemostatic powder may be used to control bleeding. The surgeon will close the incision at the septum using a 5-0 plain cut fast absorbing suture. Doyle splints may be placed in the septum to re-approximate the septal flaps while healing. P OS T OP A ND R E C OV ERY Post-operative procedures in the PACU consist of monitor- ing the patient for any pain, bleeding or breathing difficul- ties as well as checking vital signs. All information, inter- vention and patient outcome will be documented along with discharge instructions. Most patients are discharged within an hour of the procedure. Typically, patients will be seen for a follow up by the ENT in five days. Any temporary packing that is not absorbable will be removed at that time to keep from any infection developing. C ON T R A I ND I C A T I ONS OR P O T EN T I A L C OMP L I C A T I ONS Potential complications of functional endoscopic sinus sur- gery using an image-guided system may include any medical condition that may contraindicate the sinus surgery itself. Complications that are specific to this procedure include intracranial injury or CFS leaking, potential damage to the orbital tissue, orbital hematoma, an impaired sense of taste and smell or scar obstruction. Before MMA After MMA Middle turbinate Today’s state-of-the-art technology allows precision within 2mm and is intended as an aid during surgical procedures to locate anatomical structures that may otherwise be skewed.