Find out more about
The anatomy of sinuses and the proximity of other structures like the eye and the brain makes surgery in this area very delicate. The aim of endoscopic nasal surgery is to open the nasal cavity. This will usually improve the frequency and severity of infection, nasal breathing and other sinus symptoms like allergy or headache.
The procedure is called functional endoscopic nasal surgery because the doctor uses an endoscope (a small, rigid tube with a light and a camera lens) to visualize the inside of the nose by magnification on a screen. Small incisions or cuts are all made inside the nose. The surgeon may create more space in the nasal cavity by aliening the septum cartilages and bones. With the endoscopic technique the surgery is minimally invasive but still sufficiently removes pathology to restore normal function of the nose and nasal cavities.
Surgically relieving the contact pressure of the septum and the nasal cavity wall in most cases eliminates headache completely or at least significantly reduces the frequency, severity and duration of headaches in case of proper indications.
- Safe and minimally invasive procedure
- Treats both headache symptoms and nasal function (breathing, smell, etc.)
- One is able to go home in only one day with recovery time of less than 7 days
- No visible scars
Good candidates are patients with:
- Deviated nasal septum
- Chronic rhinosinusitis
- Headache symptoms related to contact of nasal septum and the nasal cavity wall
- Ear fullness
Not good candidates are patients with:
- Patients with no obvious nasal pathology
WHAT RESULTS TO EXPECT?
In the headache and nasal center of the LF-Medical group we employ a multi-stage identification process to identify patients with nasal related headache that have the highest chance for a successful surgical treatment outcome by nasal surgery.
The most important part of this process is a CT scan of the nasal cavities. This test is routinely performed in patients to investigate nasal pathology (frontal sinusitis, concha bullosa, nasal points of mucosa impact, etc.). With this we are able to pin point the exact location of specific problems to make the individual preoperative surgical plan. This will all be explained in detail during consultation.
HOW TO PREPARE FOR TREATMENT?
Nasal surgery is done in general anesthesia for which we will perform some preoperative investigations:
- Laboratory testing – blood work, EKG, etc.,
- Medical evaluation by the anesthesiologist in our OR center
- Certain medications or adjust current medications
Your surgeon will ask you about your past medical history, medications, allergies, previous surgery and more. You are to avoid taking aspirin, anti-inflammatory drugs, warfarin sodium and other supplements as they can increase bleeding and bruising.
It's important to understand all aspects of your surgery. It's natural to be nervous about it so don't be shy to discuss your concerns with your surgeon.
Know more about
Nasal surgery can be performed with the endoscopic approach or classical approach under direct eye visualization. Endoscopic approach ensures that the procedure is minimally invasive while being maximally precise. With this type of surgery we are able to treat at the same time all sinus cavities if necessary (maxillary, ethmoid, frontal and sphenoid sinus).
Under direct control of the endoscope specially designed instruments are used to remove excessive anatomy (cartilages, bone) that could cause headache and functional problems. The aim of endoscopic nasal surgery is to open the nasal cavity. This will usually improve the nasal breathing and other sinus symptoms like allergy or headache.
This procedure is safe and, in our hands, proven to be very efficient. Nasal surgery can be combined with nasal valve surgery, turbinate surgery to provide even better outcomes.
The whole procedure takes around 2-3 h with preparation. Shortly after the treatment you are able to go to your home to recover. We will provide each patient with simple post-surgical instructions. It is recommended that patients arrange to have a ride home after the procedure.
Time to heal
During the following day, you will visit our clinic for a checkup, where we will ensure that everything is looking perfect and is healing properly. At that time nasal dressings and bandages are removed, and you will be able to breathe through your nose. You will be instructed to rinse the operated nasal cavities with saline and antibiotic ointment for the next 10 days.
Recovery following a nasal surgery involves little to no downtime. Some patients may experience minor swelling which will subside on their own over the first few days of recovery. The recovery involves little to no pain or discomfort and most patients can return to work in next 7 days.
The most common side effect of the surgery is nasal discharge, which subsides in few days. Other potential risks and complications of the surgery are extremely rare, especially in the hands of a qualified surgeon, but include:
- Bleeding (hematoma)
- Poor wound healing
- Anesthesia risks
- Possibility of revisional surgery
These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your ENT surgeon.
They will take care of you
MEET THE TEAM
PETER JFM LOHUIS, MD PHD
BORIS FILIPOVIĆ, MD PHD
IVANA JURJEVIĆ, MD PHD
MARINA MILOŠEVIĆ, MD
FREQUENTLY ASKED QUESTIONS
· Recovery period is usually only few days. You may start doing your daily routines as soon as the following day.
· When complication happens, two things are important – to immediately identify the complication, and to initiate prompt treatment.
· Depending on the type of the complication the treatment will defer from secondary surgery, to just reassurance.
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