This is an automatically translated article.
The article was professionally consulted by Specialist Doctor of Otolaryngology - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International Hospital. The doctor has more than 10 years of experience in examining and treating ENT diseases of adults and children.
Endoscopic sinus surgery in the following cases: Patients with chronic rhinosinusitis, nasal polyps, failure of medical treatment, recurrence 4 or more times in a year affecting life or in case of rhinitis Complicated acute sinus.
1. What is endoscopic sinus surgery?
Endoscopic sinus surgery (FESS) is surgery of the sinuses through the nose with the help of an endoscope. Endoscopic sinus surgery helps restore the circulation of the nasopharynx, allowing the mucosa in the sinuses to self-heal in structure and function.
2. Advantages of endoscopic sinus surgery
Outstanding advantages in increased illumination, clarity and the ability to observe anatomical landmarks in the nasal cavity, doctors can easily access and accurately assess pathologies deep in the nasal cavity. Remove the inflammatory foci while preserving the maximum amount of healthy mucosa, even the pathological mucosa can be restored, limiting the radical mucosal removal as in the previous radical surgery. Take the restoration of the sinus mucosa as the basis of healing. Surgery is gentler, more accurate than open surgery under the light of the Clari lamp. No need to stay in the hospital, you can go home after surgery. Safe surgery with few complications.
3. How is endoscopic sinus surgery performed?
Indications for endoscopic sinus surgery:
Chronic rhinosinusitis, failed medical treatment. Nasal polyps. Endoscopic sinus surgery is performed after endotracheal anesthesia in the operating room. Endoscopic sinus surgery is performed only inside the nose, without making an external incision. The endoscopic image is projected on the screen, the surgeon uses very small instruments specifically for endoscopic surgery, removes the lesions in the nose and sinuses, and at the same time widens the sinus openings, restoring the normal flow. air and drainage in the sinuses. Septal correction and nasal ablation can be performed at the same time as FESS.
Surgery time is about 1 hour.
After surgery, the patient will be placed 2 sponges (merocel) on both sides of the nasal cavity to stop bleeding. These two sponges are removed 24 to 48 hours after surgery.
Success rates are up to 80-90% of patients with symptom relief and satisfaction with FESS results.
Reactions after surgery
Nasal congestion, facial pain, headache: Good results. Postnasal drip: Only 50% of patients improve. Loss of smell is reversible after surgery, but it takes several months of postoperative treatment with nasal steroids. If polyps are present: Recurrence in 50% of patients occurs many years after successful surgery.
4. Notes on surgery
4.1 Before surgery Fast for 6 hours before surgery. Inform your doctor about any medications you are taking or are taking because some drugs affect blood clotting. 4.2 After surgery After surgery, the patient's nose is stopped with 2 sponges, so only the patient should breathe through the mouth.
After waking up, the patient will feel tired, sore throat, stuffy nose, and thirsty. Should spit out all secretions, blood in the mouth, nurses will monitor pulse, blood pressure and breathing rate regularly.
The patient can drink a little water if needed and does not eat much because it is easy to vomit.
After surgery, the patient can go home the same day. In the first few weeks, you will feel like you have a cold because the nasal mucosa is swollen after surgery. The patient will clearly feel mucus, blood flowing from the nose to the throat, lasting about 3 months after surgery. These are normal reactions, so don't worry too much.
5. Things to avoid after surgery
Tobacco, smoke, dust Heavy work, gym, swimming Blow your nose hard, blow your nose gently, especially after washing your nose Contact people with colds and flu Don't drink alcohol International General Hospital Vinmec is one of the hospitals that not only ensures professional quality with a team of leading doctors and nurses, a system of modern equipment and technology, but also stands out for its comprehensive medical examination, consultation and treatment services. professional; civilized, polite, safe and sterile medical examination and treatment space.
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