What Is Endoscopic Sinus Surgery?
Current technical sinus disease with surgery used to treat functional endoscopic sinus surgery (ESC).
ESC without any incision in the nostrils and from the outside during the surgical field that provides a detailed image of the endoscope is placed by the side of with the help of some tools that are used to paranasal sinus pathologies we are able to intervene.
ESC today, in addition to chronic sinus infections, sinus tumors, pedestal front head injuries, blunt force trauma, orbital injury, cerebrospinal fluid (CSF) leaks, and current treatment options in the treatment of conditions such as optic nerve compression is one of the maximum number of the surgery. The advantage of creating tears because of bladder drainage at the same time with minimal surgical trauma surgery (Dakriosistorinostomi) and surgical treatment of tumors of the pituitary gland (endoscopic hipofizektomi increasing proportions are preferred.
The anatomy of the sinuses around the nose is complex and narrow the region of the brain, the eyes, the optic nerve, lacrimal ducts, types of training and experience in endoscopic sinus surgery, major organ such as the carotid artery, as well as lower margin of error requires high technical skills.
Major applied in endoscopic surgery chronic sinus diseases;
- Inflamed tissues/polyps
- Expanding by opening the sinuses to the nose that connects the discharge channels
- Concha bullosa, more than one sinus drainage holes (accessory Ostium), abnormal mucosa contact regions such as the correction of anatomical problems*.
Endoscopic sinus surgery, particularly during navigation, balloon, microdebrider, such as advanced technological devices used in surgery where the patient and the surgeon in terms of comfort, general anesthesia is preferred.
The duration of surgery and pathology prevalence of the degree of Correction of the curvature of the nose to be done in the same surgery, nose surgery, nose meat, reducing it depends whether or not the correction of anatomical variations such as additional interventions. Interfere with a single sinus lasts for approximately 15 minutes, while the pathology involving all sinuses may exceed two hours.
In rare cases are not placed into the buffer after nasal sinus surgery, and patients are able to breathe through the nose.
At the end of surgery, the surgical area at the bottom of the middle nasal to stop the bleeding and to prevent tissue adhesion that may occur during the healing with custom bumpers that are placed do not adversely affect nasal respiration and various materials.
After Endoscopic Sinus Surgery
After the surgery, does not complain of pain or severe obstruction, pain relievers simple is usually sufficient. On the day of surgery, patients are recommended to stay in the hospital, though they may be discharged on the same day of the operation according to the content.
After surgery, antibiotic treatment is recommended to continue for at least 10 days, in case of necessity, this period is extended or additional medications may be added.
After the surgery, the nose mechanically clean and moisten the nose, wounds till sprays containing sterile saline should be used .
Polyp containing cortisone sprays, and allergy medications that decrease the risk of polyp formation in patients after surgery and are started. Allergic fungal sinusitis is considered, patients undergoing surgery through the mouth fungus treatment is recommended.
Dressing after endoscopic sinus surgery is done 3-4 times. During the first week at the end of the first detailed dressing, nasal and sinus drainage channels of the shells are cleaned, if these are taken into the Anti-Adhesion material is placed in the sinus and infection control. The first dressing is very important in terms of the success of the operation to be performed as needed. 7-10 day intervals until healing is complete according to the size of the surgery patients to control needs to come up.
ESC also in some special cases, the risk of failure or complication of the surgery with the degree of difficulty is increasing. The exceptions to this are;
- Excessive bleeding in the tissues during surgery
- Severe inflammation in the sinuses
- Vascularization of tumors that are especially rich in surgery
- Hypertension
- Coagulation disorders (bleeding diathesis) of aspirin usage /
- Anatomy, previous surgery / trauma have changed due to
- Formation of hard scar tissue due to previous surgery
- Common polyps that alters the normal anatomy
- Paranasal sinus tumors in / out of
- Anatomical changes (variations)
- Posterior ethmoid, sphenoid, and frontal sinuses surgery can be considered.
During the second week in endoscopic sinus surgery, some minor and major side effects. Among these the most important ones
- Active bleeding
- Intraorbital (within the eye) bleeding
- Carotid (carotid artery) tearing
- Orbit (eye socket) trauma
- Endophthalmitis (backward displacement of the eye)
- Eye movement disorder and double vision (diplopia)
- Nazolakrimal channel (tear duct) trauma
- Leakage of cerebrospinal fluid
- Intracranial complications
- Abscess
- Meningitis
- The escape of air into the brain (Pneumocephalus)
- Damage to the pituitary gland can be listed as.
Computer Technology In Sinus Surgery (Surgical Navigation)
With the help of a special device and software paranasal sinus anatomy in their position of surgical instruments used during surgery, the sinus on CT images taken before surgery, in real time, with error less than 1 mm in three dimensions, and the technology that allows you to be tracked.
Endoscopic sinus surgery surgical navigation technology are made more secure, to ensure that all the infected zone in a controlled manner, to intervene by providing significantly increases the chances of success of the operation and, in special cases that are more at risk of complications, especially in the elimination of this risk is extremely useful. Detailed information about the surgical navigation can be found on the Web page related to the subject.
Balloon Synoplasty Technology
The most important factor in the occurrence of chronic sinus infections in the sinuses produced slime (mucus secretions of the nose which enables them to be transferred into small channels (ostium) in addition to the accumulation of secretions in the sinus infection and sinus blockage of deterioration of.
Balloon synoplasty named as the principle of the technique; the sinuses clogged or narrowed discharge in this region of the tissue without cutting and removing the channels, only to be expanded using a balloon and a sinus infection with the way mucus discharge function is restored. Balloon synoplasty detailed information related to the subject technology can be found on the Web page.