Doctors Backous, Anstead and Clinkscales are now seeing patients in the Seattle area at 515 Minor Ave, Suite 140, Seattle, WA 98104.



BLEEDING: Oozing, not hemorrhage, for the first few days is normal. You will have a gauze pad under your nose, held in place with a sling. Changing the gauze every 30-40 minutes the first night is normal. You may remove the gauze and sling after the first day.

*If bleeding excessively (gushing or gauze is totally saturated more frequently than 30-40 minutes, choking on blood in throat) spray 2-3 sprays of Afrin in nose and call the office (day or night).


NASAL SWELLING: Sleep with your head elevated for the first 48 hours. Swelling inside the nose last for about 1-2 weeks. Usually there is very little, if any, external swelling. Do not blow your nose for 2 days.


SPLINTS: You may or may not have plastic splints stitched inside the nose. These will be removed at your post-op appointment. Apply antibiotic ointment to the wall inside nose twice a day. Do this with or without splints.


PACKING: There may or may not be packing in your nose. If packing is used, your doctor will instruct you about its removal.


ACTIVITY: Avoid lifting and bending.


CLEANING: Spray your nose with saline spray every 30 to 60 minutes, the day of surgery. This will moisturize the nose and help decrease crusting.


PAIN: You may have nasal discomfort. Pain medication will be given for this.


PROBLEMS: If you develop a fever (above 101), sudden intense nasal pain or abnormal bleeding call the office.


You should have a post op appointment for 1 week after surgery.

For questions, problems or refills, call the office at (425) 775-6651.

Pain medications require a written prescription, so call for a refill before you run out of medication.

Medication or refill requests must be made during office hours.

There is always a doctor on call for emergent problems after office hours: (425) 775-6651

The best patient care is put into practice every day at Puget Sound ENT — we consider it a privilege to serve you.
Edmonds Center for Outpatient Surgery (ECOS)

7320 216th St SW

Suite 140

Edmonds, WA 98026

425-673-3750 Directions

76th Professional Commons
21911 76th Ave W
Suite 211
Edmonds, WA 98026

Fax: (425) 670-6718
Alt Fax: (425) 670-6719
1 (425) 775-6651 Directions
Mill Creek

Swedish Mill Creek Medical Center
13020 Meridian Ave S, 2nd Floor
Everett, WA 98208

Fax: (425) 670-6718
Alt Fax: (425) 670-6719
1 (425) 337-4810 Directions

Ear Nose Throat & Allergy Associates
104 27th Ave SE
Puyallup, WA 98374
*Dr. Backous only

1 (253) 770-9000 Directions
Minor & James (Center for Specialty Surgery)

First Hill Medical Building

515 Minor Ave (on the corner of Minor & James)

Suite 130

Seattle, WA 98104