Japan Bangladesh Friendship Hospital

ENT and Endoscopic Sinus Surgery Center

  

Photo: Endoscopic sinus surgery.

 

In general, endoscopic sinus surgery is intended for people with chronic sinus problems who do not respond to medical therapy. Symptoms of sinus disease may include facial pain or feeling of fullness, difficulty breathing through the nose, a persistent bad smell in the nose, post nasal discharge, and occasionally headaches. Occasionally sinus problems may cause hoarseness or cough, or a variety of other symptoms, but all these problems can also occur in the absence of sinus disease. The diagnosis of a sinus problem must therefore be based on an assessment by your doctor.

Endoscopic Sinus Surgery In the majority of people with sinus problems is not indicated or required. Most people with sinus complaints can be successfully treated medically. This treatment may consist of antibiotics or other medications, treatment for allergies, or environmental control (such as stopping smoking). The type of medical treatment chosen is based on your doctor's assessment of the cause.

Unless your doctor finds a problem which clearly requires surgical intervention, one or more forms of medical treatment are used as the primary therapy for most sinus problems. In some people however, surgery is required. This may be because of an infection or inflamed area which does not clear with antibiotics, or which keeps returning when the antibiotics are stopped, or for other reasons which you should discuss with your physician.

At the initial consultation, it is helpful if you bring a letter from your physician with you, describing your past history and treatment up to this time. Previous x-rays are also often helpful if these are available. Special x-ray studies are frequently required in order to accurately assess the areas involved, and suitability for endoscopic sinus surgery. In some cases these may be prearranged at the time of the initial visit based upon information supplied by you, or your physician, in advance. They might also be performed at a later time. You may also discuss, with your own doctor, having these performed locally prior to your visit (either frontal polytomograms, or high resolution coronal or reconstructed coronal C-T scan), and bring the x-ray films with you.

If, after the consultation, it is felt that you would benefit from endoscopic surgery, a date will be arranged for the procedure. In many cases, the surgery can be performed on an out-patient basis; however, it is important to be prepared to be admitted to the hospital should this prove necessary at the time of surgery. Following the surgery, if no nasal packing is required, a follow up visit at approximately one day and six days following surgery is necessary to clean crusts from the surgical site. A further follow up visit(s) is then scheduled in two to six weeks. Occasionally further minor endoscopic procedures or rarely a more radical surgical procedure could be required, if a resolution of symptoms does not occur.

 

 

 

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