Endoscopic Sinus Surgery in Durango & Pagosa Springs, CO
This procedure involves re-establishing or enlarging openings into sinuses using an endoscope. For patients with nasal polyps, the polyps will be removed as well. There are 4 sets of sinuses. One or more of these sinuses may be involved. Septoplasty and turbinate reduction are sometimes performed at the same time as sinus surgery.
Purpose of Procedure
There are several reasons why this procedure is done, which include obstruction from abnormal Tissue (nasal polyps) and recurrent infections that don’t clear (chronic rhinosinusitis).
This procedure involves recreating or enlarging the natural openings into the sinus cavities that are involved in the disease process. Packing moistened with anesthetic solution is placed in the nose. Local anesthetic is also injected into the septum, the tissue surrounding the septum and through the roof of the mouth to help control bleeding and for immediate post-operative discomfort. Using the endoscope and other instruments the obstructing tissue is removed. Normal tissue is preserved as much as possible. Openings into the other sinuses are created as needed and abnormal tissue and fluid are removed if possible. Temporary packing may be used to control bleeding.
Following the operation, ice packs may be used to reduce the swelling and chances of bleeding. Discomfort will be managed with pain medication. If packing is used, it is usually removed within 2 to 3 days. Splints, if used, are removed in 5-7 days. Strenuous activity and lifting are not allowed for 2 weeks following the procedure. Irrigation of the nasal cavities with a saltwater solution and over-the-counter nose sprays may be recommended. Bleeding from the nose is not uncommon and may last several days after surgery. Returning to work will depend on your need for pain medication and how strenuous your job is. Operation of motor vehicles or machinery is not allowed while using this medication. Postoperative pain medications may include a narcotic type medication that may cause drowsiness. Follow-up visits will be on a regular basis until healing is complete.
Expectations of Outcome
This operation should allow air to pass more freely through both sides of the nose and reduce the frequency of infections. It is not expected to replace the need for allergy medications if they were previously required.