Sinuses are cavities around the nose, each of which opens into the nose through a hole. Inflammation of these cavities is called sinusitis. Detailed information about sinusitis was given in the training room. While sinusitis is treated with antibiotics and other drugs, especially in the acute period, it sometimes requires surgery. Sinusitis surgeries used to be performed with the so-called open method, in which more tissue was damaged to reach the sinus. However, in recent years, the so-called endoscopic method, which is performed by means of a camera, light source and monitor, has begun to be used, which allows the physician to work more comfortably and minimizes damage to healthy tissues by reaching the target tissue easily.
Sinusitis Surgery
In Which Situations Surgery Is Necessary: Surgery is rarely needed because acute sinusitis usually responds to drug therapy. However, sinusitis surgery is required in chronic sinusitis, in cases where there is meat or bone curvature (deviation) in the nose, or in cases where complications develop.
How the Surgery is Performed: Surgery for sinusitis has advanced a lot in recent years. The most important reason for this progress is the use of devices called endoscopes that allow surgery from a monitor through a camera inserted into the nose. With the endoscopic method (visual examination and surgery), it is easier to work in a narrow and dark place such as the inside of the nose, and the main factor causing sinusitis is corrected and other healthy areas are not touched. This surgery can be performed with both local and general anesthesia. The most important purpose of the surgery is to open the sinus openings and to clean the inside of the sinuses. Usually it is sufficient to enter only through the nose. Sometimes it may be necessary to work under the lip to enter the maxillary sinus. With this method, other diseases such as meat and bone curvature in the nose can be treated.
What Kind of Complications Does the Surgery Have: Apart from anesthesia complications, the most common problem in endoscopic surgery is bleeding. Sometimes this is severe enough to prevent the surgeon from working, and the main purpose of the surgery becomes to stop the bleeding. Apart from this, serious complications may develop as there are important organs around the nose and sinuses. Among these, there are serious problems such as injury to the eyeball and nerve by entering the orbit, perforation of the cerebral cortex, influx of brain fluid into the nose, injury to the large vessels leading to the brain, brain abscess, as well as some minor and later treatable complications.
What should I pay attention to after the surgery: The most important issue after the surgery performed with the endoscopic method is the proper dressings. In sinusitis surgery, dressing means proper cleaning of the inside of the nose. For this, you will need to go to your doctor every few days at first and then less frequently. How many days it should be cleaned depends on the course of the surgery and the doctor’s preference. Your doctor will tell you when to see the next meeting after each dressing. The patient can try to prevent adhesions and deposits by rinsing the inside of the nose with saline.
Does Sinusitis Recur After Surgery?: After the endoscopic method of surgery, the recurrence rate of sinusitis has decreased drastically. However, problems may occur again, especially in sinusitis in which allergies play a role. Allergy is more common in our society than is thought.