Small incisions or cuts are made to allow the scope to pass. The cuts are usually made inside of the nose. The physician may create new passages or open existing ones by removing polyps, cysts, or thickened mucous membranes.
Sometimes to correct the sinus problem surgery is required. When medications do not correct nasal obstruction surgery has to be performed inside the nose, behind eyebrows, under the upper lip or near the nose or scalp.
Functional endoscopic Sinusitis Surgery is suggested for many deformities in the sinus. A thin fiber optic tube called the endoscope, is inserted inside the nose. The surgeon looks inside the nose with the endoscope and removes the diseased tissues and clears up the channels between the sinuses. The surgery is performed through the nostrils and this results in no scarring.
Image Guided Surgery is generally recommended for those patients who suffer from serious form of sinusitis. The anatomy of the patient’s nose is usually very unusual. Navigation of the nasal passage is done through images. It is a three-dimensional image mapping system. This system shows the surgeon the exact location of the surgical instruments while performing the surgery.
The Caldwell Luc Surgery is a surgery that requires the surgeon to create a passage through the upper jaw, above one of the second molar teeth. It is performed to clear the passageway to improve drainage and to remove any malignancy in the Maxillary Sinus.
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The following complications of sinus surgery have been reported in the medical literature. This list is not meant to be inclusive of every possible complication. It is here for your information only – not to frighten you – but to make you aware and more knowledgeable concerning potential aspects of sinus surgery.
In the operating room, the anesthesiologist will usually use a mixture of a gas and an intravenous medication to put you to sleep and to maintain your anesthetic at a safe and comfortable level. During the procedure, you will be continuously monitored including pulse oximeter (oxygen saturation) and cardiac rhythm (EKG). The surgical team is prepared for any emergency. In addition to the surgeon and the anesthesiologist, there will be a nurse and a surgical technician in the room. The whole procedure usually takes several hours. Your doctor will come to the waiting room to talk with any family or friends once you are safely to the recovery room .
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