Endoscopic sinus surgery operations have become indispensable for sinusitis and intranasal operations with the further development of advanced technological instruments.
The instruments used and the preferred approach in endoscopic sinus surgery differ according to the disease in the nose. It is most commonly used in many diseases such as chronic sinusitis, nasal polyposis, treatment of benign and malignant intranasal diseases, reduction of concha, correction of intranasal curvatures (deviation).
We perform these operations with the help of endoscopes at different angles connected to the camera and with micro-instruments of suitable size into the nose, without making any incisions, by entering only through the nostrils.
After these operations, we do not use tampons, we do not have stitches, and our patient can easily return to work within 4 days after about 1 night of hospitalization.
In Which Diseases Is Endoscopic Sinus Surgery Performed?
FESS surgery is performed for many diseases such as chronic sinusitis, nasal polyposis, inverted papilloma, intranasal tumors, sinus tumors, cerebrospinal fluid leak (CSF fistula) repair.
How is the Surgery Performed?
FESS (Functional endoscopic sinus surgery) surgery is performed under general anesthesia with the help of an intranasal camera and the operation is completed without any incisions or stitches. A special tool or balloon called a microshaver is used during the operation.
How Long Does the Surgery Take?
FESS operations are performed in a time period varying between 1 hour and 2 hours, depending on the prevalence of sinusitis.
Does Nose Buffer After Surgery?
After these surgeries, there is no tampon in the nose.
Is Endoscopic Sinus Surgery Risky?
When important structures such as the eye, tear duct, optic nerve, cerebral cortex, brain, and the artery that carries blood to the brain are located around the sinuses, sinus surgery is an operation that requires fine workmanship. There is a possibility of damage to these structures during the operation. For this reason, surgeons who will perform endoscopic sinus surgery should undergo special training and be experienced in these surgeries.
Things to Consider After Endoscopic Sinus Surgery
- It is normal to have 24 or 48 nasal congestion after the surgery.
- The drugs recommended by the doctor should be used regularly.
- If recommended by the doctor, a spray that will provide intranasal cleaning should be used.
- It is inconvenient to blow the nose for 4-6 weeks.
- Tap water should not be drawn into the nose.
- It is normal to experience dryness or crusting in the nose after surgery. The doctor’s recommendations should be taken into account for cleaning.
- Dressings and controls should be visited regularly.
- The recovery period after surgery is seen as 2-6 weeks.
What is Balloon Sinoplasty?
Balloon sinoplasty is the application of dilation of clogged coronary vessels with honey to the sinus canals. It is performed under general anaesthesia. With the balloon inflated in the area, both the channels are expanded and the insides of the sinuses are washed.
Can Balloons Be Used in Nasal Polyp Surgery?
The success rate of balloon sinoplasty is lower in nasal polyp surgeries. Since the polyps have an occlusive effect by creating mass density, surgeries performed with microdebrider give more successful results.
To Whom Is Balloon Sinoplasty Applied?
It is the most frequently preferred method in cases with chronic sinusitis diagnosed and isolated sinusitis. The balloon placed at the tip of the catheter opens at the mouth of the clogged sinus, allowing that area to be enlarged, and the procedure is completed without any incision or bleeding.
Advantages of Balloon Sinoplasty
- Since the tissues are not damaged, there is not much bleeding and pain.
- The possibility of complications is very low.
- The return of the surgery is successful. It is not very common for channels to be closed again.
- The time to return to daily life is fast.