alt

Endoscopic polypotomy or sinusitis or FESS

Indications:

  • polyposis rhinosinusitis;
  • choanal polyp;
  • maxillary sinus cyst;
  • filling material or mycetoma;
  • frequent problems with nasal breathing;
  • frequent sinusitis;
  • unpleasant odor;
  • inability to breathe without drops;
  • trouble smelling;
  • snore;
  • headaches;
  • fatigue;
  • throat problems caused by dry mucous membranes in the oropharynx.

Diagnostics and techniques.

Often, in addition to the examination by an otolaryngologist, a picture is needed: a computed tomogram of the paranasal sinuses.

Surgical intervention is performed in the area where the main problem is located: the maxillary, ethmoid, frontal or main sinus. Intervention can be unilateral and bilateral. During operations on the paranasal sinuses, to minimize postoperative discomfort, swelling, and pain, we use an endoscopic technique that allows such manipulations to be carried out without any incisions in the mouth and face. All sinus surgery using an endoscope is called Functional Endoscopic Sinus Surgery or FESS.

During the operation, the otolaryngologist uses endoscopes with an angle of 0 °, 30 °, 45 °, 70 °. For more gentle removal of polyps and preservation of the nasal mucosa, a shaver is used, which allows you to almost bloodlessly eliminate the necessary areas.

Preoperative examination for sinusitis

Before a patient is admitted to a hospital, he must undergo a series of laboratory tests and functional tests. It depends on their results whether complications can be avoided later.

Mandatory examination includes:

  • general blood analysis;
  • blood biochemistry;
  • coagulogram - blood clotting analysis;
  • general urine analysis;
  • analysis for blood group and Rh factor;
  • chest fluorography;
  • electrocardiography.

If necessary, the list of tests can be expanded by the attending physician.

Preparation for surgery (sinusitis)

On the eve of the operation, it is necessary:

  • to give up alcohol and smoking;
  • to refuse heavy food, while the last meal should be at least 6 hours before the operation (low-fat broth, meat or fish, fruits and vegetables);
  • to do not drink 4 hours before surgery.

Hospital checklist:

  • comfortable clothing (tracksuit, T-shirts made of natural fabric, changeable underwear);
  • comfortable shoes;
  • slippers;
  • personal hygiene products;
  • book or laptop, since after the operation you will have to spend another 1-2 days in the hospital.

Note! It is better to give valuable things to relatives during the operation or to warn the medical staff about them.

Recovery period.

After the operation is over, tampons will be in the nose. They are different: with and without tubes, laminated, and with the addition of a hemostatic. You should not count on nasal breathing on the first day. There may be a bandage under the nose that has an exclusively hygienic function. Until full awakening, you will be under the control of doctors and only after that you will be transferred to the ward, so if you were told that the operation lasts about an hour and a half, this does not mean that immediately after the end you will be in the ward: you may need 1 more 2 hours. After you are in the ward, you can drink in 1.5-2 hours.

Postoperative period in the clinic.

Typically, the nasal tampons are removed the day after surgery. This procedure is not painful, as I use modern Merocel tamponade tampons, which are only 8-10 cm long. After the tampons are removed, you will be taken to a room where you have to lie on your side for an hour. Then you can get up and walk. After 6-8 hours or the next day, the nasal toilet is performed: only after that it is possible to assess the condition of the mucous membrane, the severity of edema, the presence of discharge in the nose and decide on the date of discharge.

Postoperative period at home.

The greatest number of complications occur outside the hospital, so it is extremely important to follow all the doctor's recommendations. You are recovering, but not yet completely healthy. It is necessary to come to the dressings and toilets of the nose, to take medications, which are assigned individually to each one upon discharge.

It is recommended:

  • to rinse the nose with saline solutions 2-3 times a day (Pshik, Humer, Aqua Maris,);
  • to instill Aekol liquid into the nose 3 times a day;
  • to take a slightly warm shower;
  • to walk outside;
  • to eat warm food.

It is prohibited:

  • to take a hot bath;
  • to play sports for 14 days;
  • to consume hot food and drinks;
  • to drink carbonated drinks.