2/27/2023 0 Comments Ent surgical instruments quiz![]() ![]() ![]() The growing use of a new technology, image guided endoscopic surgery, is alleviating that concern. The sinuses are physically close to the brain, the eye and major arteries, always areas of concern when a fiber optic tube is inserted into the sinus region. Ten days after the procedure, nasal irrigation may be recommended to prevent crusting. After the operation, the patient will sometimes have nasal packing. The advantage of the procedure is that the surgery is less extensive, there is often less removal of normal tissues, and can frequently be performed on an outpatient basis. There is little swelling and only mild discomfort. In the majority of cases, the surgical procedure is performed entirely through the nostrils, leaving no external scars. With state-of-the-art micro-telescopes and instruments, abnormal and obstructive tissues are then removed. Once an improved drainage system is achieved, the diseased sinus mucosa has an opportunity to return to normal.įESS involves the insertion of the endoscope, a very thin fiber-optic tube, into the nose for a direct visual examination of the openings into the sinuses. The use of an endoscope is linked to the theory that the best way to obtain normal healthy sinuses is to open the natural pathways to the sinuses. In the past, the surgical strategy was to remove all sinus mucosa from the major sinuses. Sinus Surgical Options Include: Functional endoscopic sinus surgery (FESS):ĭeveloped in the 1950s, the nasal endoscope has revolutionized sinusitis surgery. Note: Sinus X-rays have limited utility in the diagnosis of acute sinusitis and are of no value in the evaluation of chronic sinusitis. This may necessitate a sinus computed tomography (CT) scan (without contrast), nasal physiology (rhinomanometry and nasal cytology), smell testing, and selected blood tests to determine an operative strategy. A careful diagnostic workup is necessary to identify the underlying cause of acute or chronic sinusitis, which is often found in the anterior ethmoid area, where the maxillary and frontal sinuses connect with the nose. A trained surgeon can now treat sinusitis with minimal discomfort, a brief convalescence and few complications.Ī clinical history of the patient will be created before any surgery is performed. Today, these concerns have been eradicated with the latest advances in medicine. In that era, the surgeon would have to perform an invasive procedure, reaching the sinuses by entering through the cheek area, often resulting in scarring and possible disfigurement. When this occurs, surgery to enlarge the openings that drain the sinuses is an option.Ī recommendation for sinus surgery in the early 20th century would easily alarm the patient. There are occasions when physician and patient find that the infections are recurrent and/or non-responsive to the medication. ![]() The ear, nose and throat specialist will prescribe many medications (antibiotics, decongestants, nasal steroid sprays, antihistamines) and procedures (flushing) for treating acute sinusitis. ![]()
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