Sinus Surgery

Sinus surgery

Sinusitis is inflammation of the lining of the sinuses, caused by bacterial, viral and other organisms, as well as by structural changes within the sinuses, including blocking vent of the sinus. If the vent of the sinus is obstructed for some reason, the natural process of cleansing the sinuses of mucus is disturbed – it leads to infection, resulting in inflammation of the sinus.

What are the varieties of sinusitis?
There are two main forms of sinusitis: acute and chronic. Sinusitis is usually preceded by a cold, allergy associated with hay fever or irritation by environmental pollutants. Often produces symptoms such as tightness in the vicinity of the nose, nasal blockage or excessive mucus, so. “Runny nose,” and fever. These symptoms usually do not last longer than a few days. If symptoms persist, you may develop a bacterial infection or acute sinusitis. If sinusitis occurs frequently or lasts three months or longer, it may be chronic.

What are the symptoms of sinusitis?

Common symptoms include:

  • facial pain, tightness in the nose, feeling clogged nose;
  • stuffy nose, or excessive runny nose;
  • Change the color of secretions from the nose;
  • loss of smell;
  • headache;
  • tiredness, weakness.

What are the treatments?
The most commonly used treatments for sinusitis are medical treatment and / or conventional sinus surgery. The basic technique is the so-called endoscopic surgery with the use of second generation microtools = cutting (cutting). They provide the least possible damage to the tissue surrounding the operating field.

FESS (functional endoscopic sinus surgery)
Involves the removal of lesions of the sinus and enlargement of their natural  estuaries. During the procedure are removed the lining growths, polyps and small bone structure occur in unfavorable functional anatomical variants. The main aim of treatment is to restore normal sinus ventilation. Is the most modern sinus surgery. It is performed with precision microsurgery instruments, and using a laser. Qualified for the surgery are patients suffering from chronic sinusitis, in whom conservative treatment is unsuccessful.

Frontal sinus baloon
Frontal sinus is the only sinus that have long canal linking them with the nasal cavity about 2 cm. Are surrounded by small, very thin-walled bone cells sieve. Sinus mucosa thru so- called ciliary apparatus provides the right move mucus out of the sinus. Because the frontal sinus drainage canal is long, it is essential to maintain the existing mucosa. Baloon technique is an adaptation of clearing blood vessels and is the introduction of a thin (2mm) catheter in the mouth of the sinus and filling the appropriate elongated balloon to the size of 5mm. Thus the bony structure surrounding the mouth of the sinus are broken and shifted to the side and mucosa with the ciliary apparatus maintained. The clearing of the maxillary sinuses and the sphenoid baloon technique is less effective but are often used in children.

A suitable pump leads wash liquid under high pressure, thereby washing out the surface of the sinus. It is effective in patients with nasal polyps where thick mucous secretions covers and it is necessary to perform a broad connection between the sinuses and nasal cavity.

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