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 CONGESTION: Sleep with your head elevated for the first 48 hours. Swelling inside the nose lasts for about a week. Do not blow your nose until advised by your doctor that you may do so.


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. The day after surgery, begin to irrigate your nose using a bulb syringe and a solution of ¼ teaspoon salt and ¼ teaspoon baking soda dissolved in eight ounces of fresh warm water. If you were given a saline kit, you may use this instead. This is usually done twice a day until your post op appointment. You may continue saline spray also if desired. If packing has been placed, the doctor will advise you regarding irrigating.


PAIN: You may have a headache or facial pain for approximately one week or so. The recovery time varies with the individual. Pain medication will be given for this.


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