Endoscopic Sinus Surgery

Endoscopic sinus surgery is a surgical procedure that is applied in cases of abnormal sinus structure, excessive growth in the sinuses, recurrent and persistent sinus inflammation.

All treatment methods and procedures are tried before resorting to endoscopic sinus surgery . Even if it is a short surgery, it has many side effects and even some life risks.

Thanks to a special tool with a camera at the tip, every point of the nose is seen by the surgeon. The operation is performed on the screen and 90% success rate is achieved.

The sinuses begin to develop from birth and are known by 4 different names. Not all cases of sinusitis require surgery. There are cases of sinusitis treated with medication. There is no need to rush for this surgery.

Some pains that are mistaken for sinusitis pain may only be minor daily headaches. Therefore, the examinations are carried out and examined accurately and in detail by specialists. It is a disease that takes a long time to be examined. If there is no hereditary cause in the case, it is not seen again after surgery.

In this surgical method, which has been professionally practiced since the 1990s, no external incision is made. This surgery is performed with optical instruments that illuminate the nose.

What are the Causes of Inflammation of the Sinuses?

The causes of inflammation of the sinuses are listed as follows:

  • Illnesses such as colds and flu.
  • Allergic causes
  • Nasal bone curvature
  • Meat growth
  • Adenoid

Such conditions constitute chronic sinusitis. Sinusitis is examined under two headings: acute and chronic. Acute sinusitis improves if treated well, but if left unaddressed and untreated, it turns into chronic sinusitis and necessitates surgical intervention.

What are the Complaints of Sinusitis?

Sinusitis symptoms differ between acute sinusitis and chronic sinusitis. Complaints of acute sinusitis:

  • Severe head, face and eye pain
  • Nasal congestion
  • Runny nose
  • Nasal discharge
  • Fire
  • Bad breath
  • Decreased sense of smell
  • Nosebleeds
  • A persistent cough occurs under both headings.

It is sorted in this way. The situation is different for chronic sinusitis. The symptoms of chronic sinusitis are:

  • Nasal discharge
  • Sore throat
  • Nasal congestion
  • Cough

It affects social life. In some chronic sinus cases, there is not even pain. Symptoms are milder than in acute sinusitis.

What are the Conditions in Need of Endoscopic Sinus Surgery?

The situations where endoscopic sinus surgery is needed are listed as follows:

  • Spinal fluid leaking into the nose
  • Chronic sinusitis
  • No smell
  • Nasal congestion
  • Nasal polyps
  • Sinus infections
  • Sinus infections spreading to the brain
  • Blockage of the tear duct
  • Tumors in the nose or sinuses
  • Surgical reduction of nasal flesh
  • Freeing the eye from pressure
  • Release of the optic nerve from pressure
  • Problems with the Eustachian tube
  • Skull base surgery

It is seen as a necessary reason for endoscopic sinus surgery. Medication is used when there is no response. In cases with polyp sinusitis, these polyps are regressed with some medicines and sprays and then the operation is performed.

What are the Types of Endoscopic Sinus Surgery?

The main types of endoscopic sinus surgery are as follows:

  • Cleansing of inflamed tissues
  • Opening and widening of the emptying channels of the sinuses
  • Correction of anatomical problems

Problems such as.

What is done before endoscopic sinus surgery?

Some antibiotics and medications may be requested before endoscopic sinus surgery. Since the correct use affects the course of the surgery, the doctor’s advice must be followed.

Drugs such as blood thinners should be stopped at least 14 days before the day of the operation upon doctor’s recommendation. In addition, the doctor is informed about the medicines taken. Some medicines can be stopped under the supervision of a doctor.

Smoking is stopped at least 3 weeks before the operation and at least 4 weeks after the operation.

At the same time, the presence of medications used in the past is discussed in detail with the doctor.

How is Endoscopic Sinus Surgery Performed?

Both general and local anesthesia is used for endoscopic sinus surgery. The nasal passages are examined with a tube with special lenses. And it takes a maximum of two hours. Since the operation is performed through the nose, there is no scar and there is no change in the face.

The main purpose of this operation is to clean the sinuses by opening the sinuses. Although there is no age limit for this surgery, it is performed at the youngest age of 5.

What are the Risks of Endoscopic Sinus Surgery?

The risks of endoscopic sinus surgery are quite high and even life-threatening. They are listed as follows:

  • Agri
  • Bleeding
  • Infection at the surgical site
  • A blood clot in the leg or lung
  • Tissue degradation
  • Fluid leakage from the spinal cord
  • Damage to the eye bones
  • Double vision
  • Loss of vision
  • Bloodstream infection
  • Tear duct damage
  • Loss of sense of smell
  • Air leakage into the brain
  • Large vessel bleeding
  • Bruising around the eyes

Risks are encountered. With the right treatment, it can be minimized but not eliminated.

What Can Be Done After Endoscopic Sinus Surgery?

After endoscopic sinus surgery, both sides of the nose are dressed and breathing is done through the mouth for a while.

They are usually discharged on the day of the operation and these dressings are removed on the same day. Afterwards, nasal congestion may be felt for 1-2 weeks. If another surgical intervention is performed in addition to this operation, the removal of the dressing tampons varies between 5 and 7 days.

Blood-colored discharge may be seen after the operation. Blowing is avoided for a minimum of 1 week after surgery.

A number of nasal sprays and drops are used as and to the extent recommended by the doctor. In some cases and situations, antibiotics are used depending on the prescription.

For 1 or 2 weeks there is no return to work or school life. The normalization process is monitored and guided by the doctor. After the operation, examination visits are made at 2- or 4-week intervals.

What to Consider After Endoscopic Sinus Surgery?

There are some points to be considered after endoscopic sinus surgery. These are:

  • Not allowing too many visitors to the resting place
  • Lying high
  • Avoiding heavy movements and exercises
  • Not blowing and not bending over
  • Using salt water sprays
  • Not smoking
  • Avoiding exposure to smoke

Paying attention to situations such as these affects the healing process. The more it is taken care of, the faster the recovery will be. It can be dangerous to breathe the same air with many visitors, especially in order to avoid situations such as infection.

In cases of smoking, it is of utmost importance that the patient is not operated on. Passive smoking is one of the factors most affecting the recovery process.

Regular and comfortable breathing starts 72 hours after the operation. Absolutely, absolutely no tap water should be drawn into the nose. The nose is gently cleaned after the tampons are removed, but in some cases the doctor will be informed about the cleaning.

Does Endoscopic Sinus Surgery Recur Afterwards?

Recurrence after endoscopic sinus surgery is seen as an operation with a very high success rate if the correct treatment, correct diagnosis and correct intervention are performed. Therefore, the likelihood of recurrence is very low.

In the long term, there is no other disease process other than a maximum of 2 attacks per year, which is the normal course for everyone with the disease. Only patients with polyps are likely to recur. It is possible to control the disease and keep it under control thanks to proper surgery and the correct use of medication afterwards.

Endoscopic sinus surgery is a comfortable type of surgery for the operated person, even if it is difficult for surgeons.