Sinus Surgery

Endoscopic sinus surgery operations have now become indispensable for sinusitis and intranasal operations with the further development of advanced technological instruments.

The instruments used and the preferred approach in endoscopic sinus surgery differ according to the disease inside the nose. It is most commonly used in many diseases such as chronic sinusitis, nasal polyposis, treatment of benign and malignant intranasal diseases, reduction of concha, correction of intranasal curvatures (deviation).

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We perform these operations with the help of endoscopes at different angles connected to the camera and with micro-instruments of suitable size into the nose, without making any incisions, by making access only through the nostrils.

After these operations, we do not use tampons, we do not do stitches, and our patient can easily return to work within 4 days after an average of 1 night of hospitalization.

In Which Diseases Is Endoscopic Sinus Surgery Performed?

FESS surgery is performed for many diseases such as chronic sinusitis, nasal polyposis, inverted papilloma, intranasal tumors, sinus tumors, cerebrospinal fluid leak (CSF fistula) repair.

How Is The Surgery Performed?

FESS (Functional endoscopic sinus surgery) surgery is performed under general anesthesia, with the help of a camera through the nose, and the operation is completed without any incisions or stitches. A special tool or balloon called a microshaver is used during the operation.

How Long Does the Surgery Take?

FESS operations are performed in a time period varying between 1 to 2 hours, depending on the prevalence of sinusitis.

Is there a Tampon Applied in the Nose Aafter the Surgery?

After these surgeries, no tampon is applied in the nose.

Is Endoscopic Sinus Surgery Risky?

When important structures such as the eye, tear duct, optic nerve, cerebral cortex, brain, and the artery that carries blood to the brain are located around the sinuses, sinus surgery is a surgery that requires fine workmanship. There is a possibility of damage to these structures during the operation. For this reason, surgeons who will perform endoscopic sinus surgery should undergo special training and be experienced in these surgeries.

Considerations After Endoscopic Sinus Surgery

It is normal to have nasal congestion within 24 to 48 hours after surgery.
Medications recommended by the physician should be used regularly.
If recommended by the physician, a spray should be used to clean the nose.
It is inconvenient to clean the nose by blowing the nose for 4-6 weeks.
Tap water should not be drawn into the nose.
It is normal to experience a feeling of dryness or crusting in the nose after the surgery. The physician's recommendations for cleaning should be taken into account.
Dressing and control visits should be attended to regularly.
The recovery period after surgery is 2 to 6 weeks.

What is Balloon Sinuplasty?

Balloon sinuplasty is the process of widening clogged coronary vessels using a balloon and is administered to the sinus canals. It is performed with general anaesthesia. With the balloon inflated in the area, both the channels are widened and the insides of the sinuses are washed.

Can Balloon Be Used in Nasal Polyp Surgery?

The success rate of balloon sinuplasty is lower in nasal polyp surgeries. Since the polyps have an occlusive effect by creating mass density, surgeries performed with microdebrider provide more successful results.

Who is Balloon Sinuplasty Administered on?

It is the most frequently preferred method in cases with chronic sinusitis and isolated sinusitis. The balloon placed at the tip of the catheter expands at the entrance of the clogged sinus, allowing that area to be enlarged, and the procedure is completed without any incision or bleeding.

Advantages of Balloon Sinuplasty

Since the tissues are not damaged, there is not much bleeding and pain.
The probability of complications is very low.
Surgery success rate is high. Re-closing of channels is not very common.
The time to return to daily life is short. (1 day)

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