Endoscopic polysinsotomy
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Indications for surgery and symptoms
Indications for endoscopic polysinsotomy
The basis for the operation is damage to several sinuses of the nose by various pathological processes:
- Chronic hypertrophic sinusitis (long-term inflammation of the nose, characterized by thickening of the mucous membrane and the formation of polyps)
- Hemisinusitis (inflammation on one side in several paranasal sinuses) and pansinusitis (inflammatory process in all sinuses)
- Cysts in the sinuses
- Presence of a foreign object in the sinus cavity
- Mucocele (blockage of the sinus with accumulation of abnormal contents inside)
Indications for surgery also include the development of osteomyelitis of the facial bones, acute recurrent infections that do not respond to standard treatment, and malignant neoplasms in the sinuses.
Contraindications
Endoscopic polysinsotomy of the sinuses is not performed if there are such restrictions:
- Blood clotting disorders (hemophilia, thrombocytopenia)
- Heart failure, coronary heart disease
- Active infection (such as acute sinusitis or pneumonia)
- Exacerbation of chronic bronchitis, asthma
- Severe depression, schizophrenia
The operation is not performed for abnormalities in the development of the facial skeleton, instability in the cervical spine, severe diabetes, active skin infections in the area of the proposed intervention (for example, herpes, impetigo).
Symptoms of diseases of the paranasal sinuses
Sinusitis is manifested by the following characteristic symptoms:
- Difficulty breathing through the nose
- Feeling of tension or fullness in the sinuses
- Discharge of purulent secretion from the nose
- Pain or pressure in the forehead, cheeks, between or around the eyes
- Increased pain when tilting the head
- Decreased ability to smell
- Cough that gets worse at night
- Temperature rise
- General weakness and deterioration of health
Additional symptoms of sinusitis include toothache caused by pressure in the maxillary sinuses, changes in voice quality due to blocked nasal passages, and irritation and redness of the eyes. In addition, the lymph nodes in the neck and under the jaw may become enlarged.
General information about the procedure
How is the polysinusotomy procedure performed?
Endonasal polysinsotomy involves inserting an endoscope into the nasal cavity - a narrow instrument with a camera for examining the sinus. The camera transmits the image to the monitor screen, which helps the doctor assess the condition of the mucous membrane.
Using special medical instruments (shaver, microdebrider), the surgeon removes polyps, as well as other abnormal formations or foreign objects. The duration of endonasal surgery is from 1 to 2 hours, depending on the complexity of the clinical case. After the anesthesia wears off, the patient is transferred to a regular ward for further observation.
Endoscopy is minimally traumatic and does not cause significant tissue swelling or severe pain. After the intervention, there are no scars or other noticeable marks, which allows the patient to return to normal life the very next day.
Please note! During the postoperative period, nasal congestion, bloody discharge, discomfort, or pressure in the sinuses may occur. Usually these symptoms disappear after 2-5 days.
Full recovery takes two to three weeks, during which it is important to follow your doctor’s recommendations to prevent complications.
Advantages of endoscopic polysinsotomy
The advantages of the endoscopic method include:
- Minimally invasive. The use of an endoscope makes it possible to perform surgical interventions through small natural passages in the nasal cavity
- High accuracy. The endoscope provides excellent visualization of the surgical field, allowing the surgeon to perform precise and accurate actions
- Minimal tissue damage. The device practically does not affect healthy tissue, which minimizes the likelihood of complications and promotes rapid recovery
- Efficiency. The ability to carefully examine the canals connecting the nasal cavity with the sinuses contributes to the complete elimination of inflamed or abnormally changed tissue
- Fast rehabilitation. Minimal trauma ensures quick recovery for patients
Since all incisions are made inside the nasal cavity, there are no noticeable scars on the face. You can check the prices for endoscopic polysinsotomy in Moscow or find out about other services of the center by calling the phone number listed on the website.
How is an appointment with an otolaryngologist at K+31?
During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the pharynx is performed.
Our medical center is equipped with modern expert-class diagnostic equipment, and our staff includes highly qualified and experienced doctors who are always ready to help.
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What is polysinusotomy?