Patients with sinusitis-related complaints lasting longer than 12 weeks and those with structural problems such as nasal bone curvature and polyps are waiting for surgery. There is no scar on the face in sinusitis surgeries. If the treatment of sinusitis is not successful with medications, surgery comes to the fore. Patients with complaints lasting longer than 12 weeks and those with structural problems such as nasal bone curvature and polyps are treated with surgery. Today, sinusitis surgery is performed by watching the screen through a camera called an endoscope. In the endoscopic method, only the problem that causes sinusitis is corrected, intact areas are not touched. Our Ear Nose and Throat unit Prof. Dr. Mehmet Tınaz answered those who were wondering.
Does it leave a trace on the face?
No, there is no incision that will leave a trace on the face. The surgery can be performed with local or general anesthesia. Bone curvature or flesh size that causes sinusitis can also be corrected with this method. After the surgery, a tampon can be placed in the nose according to the doctor's preference.
How Long Does the Surgery Take?
Although it varies from patient to patient, the operation is completed in an average of 1.5 hours.
After the Surgery, Attention of Patients What are the Points That Should Be Done?
The topic of dressing is very important. Patients undergoing endoscopic sinus surgery need to be properly cleaned and dressed. The dressings, which are applied twice a week at the beginning, become sparse according to the improvement of the mucosa in the nose and the time to be determined by the doctor.
What Are the Risks of the Surgery?
The risk is very low if it is done in safe hands. Rarely, bruising may occur around the eyes after surgery. However, the bruise disappears within a few weeks.
When is the patient returning to normal life after the surgery?
It depends on the person. Normally, the patient is discharged the next day, and returns to normal life after three days of dressing. But nasal congestion can last up to a week.
How to Treat Sinusitis with Balloons?
The scientific name of this method is "sinusoplasty". Since it is a new method, its therapeutic effect will emerge more clearly in the future. In the balloon treatment, instead of surgically opening the strictures, the narrow areas of the sinuses are widened with the balloon. The method is applied briefly as follows: Three big sinuses in our head are entered. and a guide wire is inserted. The balloon catheter, which is wrapped around the wire, is inflated after entering the sinus. When the balloon is opened, the congestion is relieved by applying pressure to the mouths of the sinus. This method can be performed under local or general anesthesia.
What is Polyp, One of the Causes of Sinusitis?
There is a superficial tissue layer lining the nasal cavity. The flesh-like structures that grow outward from this tissue layer are called 'polyps'.
What are the Causes of Polyps?
The exact mechanism of polyp formation is unknown. However, tissue damage in the nose and its persistence are the most likely cause. The chronicity of nasal and sinus inflammations, the constant exposure of the nasal tissue to a stimulating substance, and familial causes may form polyps. Nasal polyps may also occur in some diseases such as asthma and cystic fibrosis.
How Does Polyp Cause Sinusitis?
Polyps cause sinusitis by creating nasal congestion. This is not the only negative effect of nasal congestion. It also causes problems such as headache, snoring, sleep apnea, frequent throat sensitivity, throat inflammation, and smell disorder. It also causes colds and flu to last longer, it can increase asthma with nasal discharge.
When is Surgery Necessary for Polyps?
If polyps are large, they are treated with endoscopic sinus surgery. . In this method, the polyps are cleaned without making an incision, preserving the physiological structure of the nose. The formation of sinusitis is prevented by widening the clogged sinus openings.
Can Polyps Recur?
The success rate of the surgery is very high in people who do not have an underlying disease. However, the success rate decreases in patients with diseases such as asthma, cystic fibrosis, aspirin allergy and the polyp may reoccur. However, we can prevent the formation of polyps by following these patients frequently after the operation. We can destroy the polyps in the initial stage with drug therapy.
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