Sinusitis Surgery
Patients whose sinuses are very often inflamed and who do not improve despite repeated and long-term treatments are candidates for sinusitis surgery. It should be emphasized that everyone who has previously been referred to as sin you have sinusitis medi does not require surgery. On the other hand, there is no need to rush the decision of sinusitis surgery, except in some rare complicated situations. Some treatments that may be applied before may solve the sinusitis without surgery, and may reduce the scope and risks of the surgery that may be necessary. In the sinusitis, it is very important for the physician to control the patient's clinic in every aspect in order to make the decision of surgery. It may be misleading to decide whether to perform sinusitis surgery with only one film or one examination. However, if a surgical decision is made based on the correct diagnosis and follow-up, a sinusitis surgery performed with the right technique will yield positive results.
Sinusitis may not be typical symptoms in all patients. Sometimes nasal discharge may be the only complaint. However, in the inflamed period, usually yellow-green nose and nasal discharge, as well as nasal congestion, headache and face pain can be. In our endoscopic examination, we can diagnose intranasal causes that may lead to sinusitis. The thin endoscopes we use show the areas where the sinus canals are opened and the disorders that prevent them. In sinusitis patients who do not benefit from sinusitis treatment over and over again, we map the nose and sinuses with computed tomography and make an operation plan accordingly. Sinusitis surgery for the treatment of sinusitis is a very technical issue; requires endoscopic experience, sinus knowledge and precise study. When sinusitis surgery is performed accordingly, if the patient does not have a genetic / hereditary disorder, the sinusitis of the patient is negligible.
When should sinusitis be operated?
Sinusitis surgery may be necessary when sinusitis cannot be treated with drugs. If there is no complication due to sinusitis, sinusitis surgery is not performed in the acute inflammatory period. Sinusitis surgery should be performed in the most healthy period when mucosa cover subsides, blood circulation decreases. In this period, the risk of bleeding decreases in sinusitis surgeries and a larger and cleaner working area is provided by decreasing swelling. In this way, the success of sinusitis surgery increases. The most accurate time in patients with polyp sinusitis is the time when the polyps are reversed as much as possible with cortisone drugs and sprays.
How is sinusitis surgery performed?
Sinusitis surgery is a very sensitive and technical surgery. The bones that make up the sinus cavities and canals are almost paper-thin. Endoscopic sinusitis surgery means cleaning these wispy tissues to restore the functioning of the sinuses. It is a technical operation with very sensitive tools under endoscopic vision. Thin tools for shaving tissues called Shaver, Holmium Yag laser for shrinking turbans, and navigation systems for advanced skull base interventions are technological requirements that can be applied during sinusitis surgery. However, experience and current sinus knowledge are essential in the selection of the vehicle and the operation; the risk of endoscopic sinusitis surgery performed in this way is negligible and its success is high. Sinusitis surgery is performed under general anesthesia. The duration varies from 45 minutes to 1.5 hours depending on the variety of sinuses to be studied. At the end of the surgery, small spongy or fusible pads that we prefer today are placed. These are comfortable applications for the patient. Usually, the patient spends the night in the hospital and is discharged the next day. One week-2 months postoperatively, the patient should come to the dressings and controls regularly.
Does it recur after sinusitis surgery?
Today, unfortunately, the question most patients ask: Does it recur after sinusitis surgery? It is a highly successful operation if the sinusitis is correctly diagnosed, performed in the appropriate period, if the correct techniques and tools are used during the operation, and finally performed in the right hands working intensively on sinusitis. Sinusitis by opening the sinus channels, regulating the secretion flow paths, the removal of secretion vicious cycles is extremely low probability of recurrence. In the long term, these patients do not normally suffer from more than one sinusitis attack per year, which is normally seen in everyone. The only exception is the possibility of recurrence of polyp sinusitis. Sinusitis surgery of patients with nasal polyposis is performed to ensure that the sprays reach the areas with polyps. In patients with polyps, it is possible to control the disease with proper sinusitis surgery and regular follow-up.
What should be considered after sinusitis surgery?
After sinusitis surgery, the patient should rest and not accept many visitors. It should lie in the early period with a slight (20 degrees) orientation. It is enough to spend the night in the hospital and can be discharged the next morning. After discharge, there is no need to go to bed, but it is necessary to avoid any effort that requires heavy lifting and climbing stairs. Because they can increase blood pressure and cause leaks. For the same reason, the patient should not blow and bend. Antibiotics may be used as a preservative to prevent inflammation at the site of operation. Pain usually does not occur, and if it happens, it is often a blunt, insidious pain attached to the tampon, and simple painkillers containing paracetamol are often sufficient. Salt water sprays can also be used to relieve and clean the nose. The patient should never smoke or be exposed to smoke. We prefer to check the patient on the 3rd, 7th and 14th days postoperatively and to follow the first two months. We can adapt a follow-up program for our patients coming from abroad according to the type of sinusitis.
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