Endoscopic Surgery For Sinusitis Video

Endoscopic Sinus Surgery

Minimally invasive methods have begun to be developed in the treatment of chronic sinusitis. In the past, sinus surgery was performed in the face and mouth. Nowadays, endoscopic sinus surgery allows the operation to reach diseased sinuses without the need for these incisions. In the treatment of chronic sinusitis, firstly open surgeons were defined and then functional endoscopic sinus surgery was developed and lastly, ballooning technique was described.

Depending on the chronic sinusitis, there may be a feeling of fullness of the face, toothache, mouth odor, headache. It is seen that the sinus tomography of the left maxillary sinus is completely closed in the patient's pain, pain on the left cheek area, inflammation of the left nostril, and tooth pain complaint.

The patient who is scheduled for Functional Endoscopic Sinus Surgery (FESS) appears to have a dark, inflamed sinus component, which drains into the left nasal cavity during surgery.

As an alternative to endoscopic sinus surgery, chronic sinusitis can also be treated with balloon sinuplasty method through nasal cavity and without incision with the help of pressure balloon.

Functional endoscopic sinus surgery is performed through the nose!  

Functional endoscopic sinus surgery (FESS) is performed by making incisions through the nose using the endoscopic system.  There are endoscopic sinus surgery techniques developed to minimize surgical trauma as much as possible and to normalize sinus functions as much as possible in patients with recurrent sinus infections who are resistant to medical treatment such as chronic sinusitis.  In the past, in cases that were resistant to medical treatment in the treatment of chronic sinusitis, the diseased areas were cleaned by reaching into the sinuses with incisions made from the inside of the cheek we.  With the developing technological advances and the development of endoscopic systems;  Procedures have been started to be performed by using the endoscopic system in the sinuses through the nose.  Navigation-assisted endoscopic sinus surgery, which also uses navigation systems, has been developed. When navigation systems are used, the patient's sinus and skull bone structure are reflected on the screen to the surgeon with a margin of error of 1 millimeter.  Thin-section paranasal sinus tomography images taken at various positions must be preloaded for the navigation system.  Especially in patients who have undergone various sinusitis surgeries, whose anatomy has changed, or whose anatomical details are difficult to understand due to dense nasal polyps, an additional navigation system may be required.

You can click on the link below to read the articles where you can find detailed information about endoscopic sinus surgery indications, contraindications, techniques, price and possible complications (you can click more posts at the bottom of the page that opens).

The link group you can click to browse the articles I have prepared previously published on endoscopic sinus surgery on this website >> https://www.ent-istanbul.com/search?q=endoscopic+sinus+surgery

Endoscopic sinus surgery price in Istanbul

Endoscopic sinus surgery fees in Istanbul vary between 3000 and 4,500 US dollars, depending on the hospitals and the size of the endoscopic procedure.  Under the title of endoscopic sinus surgery, there are different groups of procedures, such as endoscopic sinus surgery for the maxillary sinus alone or for the ethmoid sinuses together with the maxillary sinus.

Related Videos

Nasal Polyps Filling Both Nasal Cavities

Nasal polyps filling both nasal cavities are seen in the video above.

Right Maxillary Sinus Retention Cyst That Drains Into The Nasal Cavity

The video above shows the operation video of the cyst inside the maxillary sinus draining into the nose.  In this procedure performed with the endoscopic technique, the inside of the sinus was aspirated after the uncinectomy and subsequent maxillary sinus antrostomy.

Advantages of endoscopic sinusitis surgery

In sinusitis surgeries performed with the endoscopic method, operations are performed through the nasal cavity with the help of an endoscope, thus anatomical changes and tissue trauma are minimal.  Unlike open sinusitis operations performed by removing the anterior maxillary sinus wall, such as mid-fascial degloving before, after endoscopic sinusitis operations, an aesthetic change, bruising and swelling are usually not seen on the face of the patients when viewed from the outside.

Tests and examinations to be done before endoscopic sinusitis surgery

Before endoscopic sinus surgery, detailed evaluation of the patient and paranasal sinus tomography may be required.  Paranasal sinus CT is important in determining the patient's affected sinuses and the current disease state.  CT is very important in making the surgical treatment decision in patients with chronic sinusitis resistant to medical treatment.  In patients with nasal polyps, CT extraction is important in surgical procedure planning.  CT is also very important in determining the amount of anatomical changes and reducing surgical risks in patients who have undergone previous surgical procedures.  Before endoscopic sinus surgery, no special analysis is usually required, except for routine blood tests for general anesthesia.

Drugs to be used before and after endoscopic sinusitis surgery  

Before endoscopic sinus surgery, especially in patients with nasal polyposis, the use of drugs containing nasal and, if necessary, oral cortisone can reduce blood loss during the operation.  In the first weeks after the operation, sprays containing nasal ocean water are used, and after a few weeks, nasal cortisone sprays can be used again.  Tablets containing antihistamines can be used before and after the operation.  After the procedure, anti-inflammatory tablets and antibiotic tablets can also be used.

How long after endoscopic sinus surgery can swim in the sea and pool?  

After endoscopic sinus surgery, it is possible to swim in clean seas for approximately 3 to 6 weeks.  I tell our patients that they can usually swim for 1 month or later, especially on beaches that have a blue flag label and are classified as clean.  However, I suggest that they wait a little longer to swim in the pool waters.  Since pools are usually disinfected with chlorine and the stop is water, they can contain many different bacteria and single-celled organisms.  In fact, the World Health Organization has articles stating that there are many bacteria found in feces in pools (source >> Beware of These Germs in a Swimming Pool - AARP).  It is appropriate to wait at least 2 months or even 3 months to enter the pool.

How long after endoscopic sinus surgery can air travel be done? 

After endoscopic sinus surgery, the tampons in the nose are usually removed within 1 week.  A small amount of bleeding may occur after the nasal packings are removed, and this usually disappears within a few minutes.  If the patients do not have respiratory distress and there is no nosebleed, they can travel by plane after the tampons are removed.  It may be appropriate for patients to stay in Istanbul for 2 weeks and then return to their country by plane travel in patients who have had multiple sinuses and have extensive mucosal damage in the nose.

Is it very painful to remove the nasal packings placed after endoscopic sinus surgery?  

Various levels of mucosal injuries occur in the nose after endoscopic sinus surgery.  Since there is a possibility of bleeding from the areas with this mucosal injury, tampons are usually placed in the nose after the surgery, which swell when it comes into contact with blood and stop the bleeding.  Unlike internal nasal silicone splints placed after simple septoplasty operations, the removal of sinus pads is somewhat more painful.  Before removing the tampon from the nose, lidocaine spray can be applied into the nasal cavity.  These pads can be removed within a few seconds.  Again, unlike other surgeries, nasal tampons used in endoscopic sinus surgery are placed deeper inside the nose, so in order to reduce the risk of aspiration and backward slippage, there are threads hanging out of the nose in the tampons and these threads are pulled out from both nasal cavities outside the nose and connected to each other.  It is sufficient to pull these threads while removing the sinus packings.

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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