Endoscopic sinus surgery, also known as sinoscopy, is a minimally invasive procedure used to remove blockages in the sinuses for patients with recurring or non-responsive sinus infections. This procedure opens the natural pathways of the sinuses to restore proper function and relieve symptoms such as nasal congestion, headaches and more.
During the endoscopic sinus surgery procedure, a thin lighted tube with a camera on the end is inserted into the nose to let the doctor visually examine the area. Tiny surgical instruments are inserted as well to remove the obstruction within the nose and restore proper breathing. There is no incision required during this procedure, as it is performed entirely through the nostrils. This procedure is usually performed under general anesthesia, although some patients may only need a local anesthetic with sedation.
After this procedure, most patients experience significant relief in symptoms such as facial pain and swelling, difficulty breathing and headaches. In addition to treating chronic sinus infections, this procedure can also be used to treat a deviated septum, nasal polyps or tumors.
While this procedure is considered safe for almost all patients, there are certain risks associated with any type of surgery. Some of these risks may include bleeding, recurring sinus infections, spinal fluid leak and vision problems.
The two types of nosebleeds are anterior and posterior. Anterior nosebleeds comprise 90% of all nosebleeds. The bleeding usually occurs in the anterior (front) of the nose and flows outward. Posterior nosebleeds are less common and usually occur in the elderly, people with high blood pressure, or those who suffer a facial or nose injury. The bleeding usually occurs in the posterior (back) of the nose and flows down the throat. These nosebleeds are generally more complicated and often require medical assistance.
Laryngoscopy and Nasopharyngoscopy
Depending on the type of procedure being performed, a long, thin, flexible tube will be inserted down the nose or throat so that your child’s doctor can thoroughly examine the affected area. This procedure does not usually cause any pain, but may be uncomfortable, so local anesthesia is often administered. The results of the laryngoscopy or nasopharyngoscopy procedures are available right away to be reviewed with you after the procedure.
Treatment for a broken nose depends on the severity of the fracture, but may include straightening the bone with a splint or surgery to realign bones back into their normal position. For many patients, no treatment is necessary for proper healing other than managing pain and other symptoms.
Correction of nasal obstruction is usually done through surgery. The type of procedure performed depends on the cause of the obstruction, but may involve removing polyps and other abnormal growths, aligning a deviated septum or reducing the size of enlarged turbinates. Treating the underlying cause is often effective in relieving a nasal obstruction and restoring proper breathing function to your child’s nose.
Obstructive Sleep Apnea Surgery
There are several different surgical procedures available to treat sleep apnea. All of these procedures aim to remove excess tissue from the nose or throat in order to unblock the airways and promote healthy breathing. Surgery for obstructive sleep apnea may include:
Septoplasty and Turbinate Reduction
Up to 80% of the population has a septum that is slightly crooked, or deviated, a condition that can cause chronic nasal congestion and other related symptoms. Abnormal turbinates have become a common condition as well, as allergic reactions or infections cause them to swell up and block the lower portion of the nasal airway.
These procedures are often combined in order to fully restore normal function to the nasal airway and allow patients to perform their daily activities without chronic nasal congestion. Many patients report a significant improvement in their quality of life after these procedures.
Septoplasty and turbinate reduction are performed in an operating room under general or local anesthesia with sedation. Most patients can return home after three to four hours, after the nose has been packed and dressed to reduce swelling and promote proper healing.
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