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    Tag: endoscopic sinus surgery

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    28May 2020

    Get your sinuses ventilated: FESS

    Sinuses are air spaces meant for help in humidify the air and enhance the quality of voice. Do you know recurrent heavy headedness, severe headache while lowering your head, recurrent infection of upper respiratory tract infection can be serious and very problematic? Sinusitis might be the cause. Mostly sinusitis is a rhinogenic in origin, ear infection, or dental infection. Our nose has cilia on its wall which helps in the movement of nasal secretion out of the nose. During nasal infection, these cilia function less efficiently result in the stasis of secretion and mucus in nasal sinus.

    What difficulties you will face when suffering sinusitis?

    Mostly symptoms are rhinogenic and usually same as cold. Following are the symptoms of sinusitis:

    1) Nasal congestion or obstruction.
    2) Pain on sinofacial region.
    3) Headache while lowering or shaking it.
    4) Mucopurulent nasal discharge.
    5) A sensation of sneezing or multiple time sneezing.
    5) The reduced smelling sense thus resulting in the inability to have flavors in food.
    6) Change in voice.

     

    sinus sysmptoms

    How sinusitis is treated?

    Medical management: As per medical management is concerned sinusitis is usually managed medically first with nasal decongestant, antibiotics, antipyretics, anti allergens (antihistamines). If sinusitis doesn’t get relieved by medicines and get recurrent and chronic than it is surgically managed.

    Surgical management: Surgically sinusitis is treated with the endoscopic approach. The rigid endoscope aids the surgeon to visualize the nose in detail. The nasal cavity is a very small area and having a great visualization with the correct idea axis can make the surgery easy. So angled endoscopes are used, a 30° degree endoscope affords an increased view with lesser movements as there are limited spaces. A 30-degree endoscope (sinuscope) can view every corner of sinuses. It provides excellent visibility, easy diagnoses, and surgery more comfortable. Surgery of sinus is called FESS (FUNCTIONAL ENDOSCOPIC SINUS SURGERY).

     

    sinuses ventilated: FESS

    FESS is useful in which kind of sinus problems?

    1) Patient with recurrent acute or chronic sinusitis to increase ventilation of sinus.
    2) People suffering from nasal polyps. This removes polyps by using suction cutters.
    3) Some kind of cancerous growth in the nasal cavity.
    4) Decompression of eye socket (space of eyeball in the skull) like in Graves disease.

    Why FESS is preferred over conventional surgery or treatment?

    As the name suggests it is minimally invasive surgery. So following are the reasons to opt FESS:

    1) Minimal discomfort during and after surgery and heals early.
    2) Performed under local anesthesia with some sedation to calm the patient.
    3) It helps in restoring the ventilation of sinus.
    4) Improves olfaction, sleep, and facial pain.
    5) Enhances voice quality.

    Having clear information about endoscopic treatment for sinus problems can solve your problem with great success. Its efficiency makes it more trendy and easy.

    3February 2020

    Why nose bleeds?

    Blood in discharge from the nose! Is there any want to worry? Commonly, bleeding nostril is called epistaxis. It is very commonplace medical findings among people and not a disease condition. But it’s miles worrisome symptom. It is the most commonplace emergency in Otorhinolaryngology.

    Sometimes we may also are lucky in finding the motive or the factor of bleeding however it is not constantly easy. One of the feasible reasons is the negative visualization of the curve areas of the nostril, that is situated within the deep inside the nose. But the fantastic news is there! Endoscopes. Endoscopes are actually boon to medical doctors and patients, for the reason that it not simplest helps in a very good visualization, but also presents a direct technique of remedy to the area.

    WHAT CAUSES NOSE TO BLEED?

    • Deviated nasal septum
    • Ulcers
    • Congested polyps
    • Enlarged adenoids
    • Angiofibroma

     

     

     

    HOW DIAGNOSIS MADE BY ENDOSCOPY?

    • It is carried out on OPD (out-patient department) basis. No admission to health facility required.
    • These inflexible nasal endoscopies normally done beneath neighborhood anaesthesia or sometimes mild sedation is used.
    • After anaesthesia Endoscope is inserted with the assist of some lubricant gel. Mostly lignocaine gel.
    • Visualizing the vicinity of bleeding. The first step consists of seeing the nasal vestibule, the nasopharynx, and the inferior nasal meatus.
    • Then examining the sphenoethmoidal recess and the superior nasal meatus.
    • Followed by means of checking middle nasal meatus.
    • It has to be stated that the priority is given to control the bleeding if there is excessive bleeding and not to visualize the cause of bleeding. When the bleeding arrested endoscopy is performed.

     

    CAN IT BE TREATED WITH ENDOSCOPE?

    • The answer is yes! A nasal rigid Endoscope can deal with epistaxis with the assist of endoscopic equipment.
    • Endoscope is also beneficial inside the treatment of epistaxis. The ways by means of which epistaxis get handled consists of,
    • Endoscopic nasal packing with gelfoam (blood absorbing agent which gives stress to the bleeder to make forestall bleeding).
    • Clotting of bleeders through the usage of endoscopic cautery, it uses electrical energy to clot bleeder( endoscopic cautery or diathermy ).
    • Endoscopic polypectomy (surgical treatment to cast off nasal polyps with the aid of endoscopic visualization of the polyp attachment to nasal wall).
    • Endoscopic ligation (tie up the bleeders).
    • Cryotherapy (low-temperature agent use to stop bleeding with the aid of shrinking the bleeders).

     

    WHY ENDOSCOPY FOR EPISTAXIS?

    • Easy, now not strain fully. Done under anaesthesia.
    • No admission to clinic required. OPD basis procedure. Surgery and treatment may additionally want sooner or later admission.
    • Visualization with endoscopes.
    • Easily available at many healthcare centers.

    You just want to be freed from worry and visit your doctor for treatment.
    We are right here to assist and give statistics in your queries regarding endoscopes and it is a range, features, types and many more. Just approach us at http://diasurge.com/.