Overview
What Is Endoscopic Sinus Surgery
Endoscopic sinus surgery - also called endoscopy or sinoscopy - is a procedure used to remove blockages in the sinuses (the spaces filled with air in some of the bones of the skull). These blockages cause sinusitis, a condition in which the sinuses swell and become clogged, causing pain and impaired breathing.
This surgery does not involve cutting through the skin, as it is performed entirely through the nostrils. Therefore, most people can go home the same day.
Endoscopic sinus surgery is a relatively new procedure designed to increase the amount of air flowing through the sinuses and allow mucus to drain properly out of the nose.
The Procedure Can : -
- Relieve nasal blockages
- Relieve facial pain
- Improve breathing
- Improve the sense of smell and taste
What Are The Risks And Complications Of Sinus Surgery ?
The following complications of sinus surgery have been reported in the medical literature. This list is not meant to be inclusive of every possible complication. It is here for your information only - not to frighten you - but to make you aware and more knowledgeable concerning potential aspects of sinus surgery.
- Failure to resolve the sinus infections or recurrence of sinus problems and/or polyps.
- Bleeding. In very rare situations, a need for blood products or a blood transfusion. You have the right, should you choose, to have autologous (using your own stored blood) or designated donor blood prepared in advance in case an emergency transfusion is necessary. You are encouraged to consult with your doctor regarding these issues if you are interested.
- Chronic nasal drainage or excessive dryness or crusting of the nose.
- Need for further and more aggressive surgery.
- Need for allergy evaluation, treatments, or environmental controls. Surgery is not a cure for or a substitute for good allergy control or treatment.
- Failure to improve or resolve concurrent respiratory illness such as, but not limited to, asthma, bronchitis, or cough.
- Failure to resolve associated "sinus or nasal" headaches. The exact cause of headaches can be difficult to determine or have many different causes.
- You may require consultation with another specialist such as a neurologist.
- Damage to the eye and its associated structures (very rare).
- Damage to the skull base with resultant meningitis, brain abscess, or leakage of spinal fluid (very rare).
- Permanent numbness of the upper teeth, palate, or face.
- Nasal obstruction due to failure to control infection or polyps.
- Prolonged pain, impaired healing, and the need for hospitalization.
Endoscopic Sinus Surgery Is Used To Treat : -
Sinusitis : -
Sinusitis is a common condition that usually is easy to treat with medication. It feels much like a head cold, with a blocked, stuffy, or runny nose.
Sinusitis can be the result of : -
- A cold that lingers
- A bacterial or viral infection
- Swelling due to allergies
- Having small sinus openings
Deviated Septum : -
The partition separating the left and right sides of the nose, called the septum, is sometimes crooked. This crooked condition is called a deviated septum. Some people are born with this abnormality, but sometimes it is the result of an injury. Very few people have a perfectly straight septum, but endoscopic sinus surgery is only recommended for those whose septum is crooked enough to cause significant sinus blockage. The surgery can then straighten the septum and improve breathing.
Polyps : -
A polyp, also called a cyst, is a benign (noncancerous) water-filled swelling about the size of a grape, which develops in the sinuses and causes blockage. They most frequently occur in people who have asthma. Polyps can sometimes be reduced in size with medication. However, endoscopic sinus surgery has proven to be an excellent method with which to remove polyps and restore normal breathing.
Tumors : -
A tumor is a swelling caused by an uncontrolled growth of cells that creates new tissue. It is not water-filled like a polyp. A tumor can be noncancerous or cancerous. Tumors in the sinuses are quite uncommon but can sometimes be removed with endoscopic sinus surgery. However, more extensive surgery is often necessary.
About The Sinuses
The sinuses are spaces filled with air in some of the bones of the skull. Air passes in and out of these spaces, and mucus drains through them and out of the nose. They also reduce the weight of the skull and give our voices a nicer sound.
There are four main pairs of sinus openings, sometimes called sinus cavities, in the face : -
- Maxillary - in the cheekbones Read More...
- Ethmoid - between the eye sockets
- Frontal - in the forehead and above the eyebrows
- Sphenoid - deep in the head at the back of the nose
Each of these pairs of sinus openings has a channel that leads to the nose. These channels are quite narrow, and when the lining of the channels becomes swollen, blockage results. This lining is called the mucous membrane. This same mucous membrane forms the inner lining of the nose.
There Are Two Types Of Sinusitis : -
- Acute sinusitis means that the symptoms of the condition are temporary, usually lasting no more than 30 days. However, the symptoms of acute sinusitis are more severe and painful than the symptoms of chronic sinusitis.
- Chronic sinusitis means that the symptoms of sinusitis occur frequently or for long periods of time. The symptoms are usually more annoying than painful. However, those with chronic sinusitis are more likely to have recurring attacks of acute sinusitis, which can be quite painful.
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