This surgery involves clearing of disease from paranasal sinuses which are the air filled cavities around the nose in the face.
The para nasal sinuses are normally present in all human beings. They make our skull light and help by acting as resonator for voice,producing mucus and humidifying inhaled air. The infection in these sinuses if persists for several months will lead to chronic sinusitis and will require surgery.
Patient will have symptoms of nasal blockage, headache, facial pain and history of post nasal drip. Long term sinus disease may be associated with allergic conditions and have symptoms of nasal discharge, sneezing and irritation in eyes. They may lead to formation of mass in the nose and sinuses called nasal polyposis.
This surgery can be performed under local or general anaesthesia. General anaesthesia is usually preferred. The nose is packed with a medicated wick before surgery begins. Surgery involves opening of the sinus drainage areas and making a bigger hole for the sinus to drain easily into the nose. The sinuses are then examined and cleared of all the disease. Nasal polyps if any are removed. The procedure is done using telescopes and for removal of diseased mucosa and polyps a special instrument called microdebrider is used. This instrument cuts and sucks the tissue with minimal injury to the surrounding normal tissue. Both the nasal cavities are packed after surgery and the patient has to breathe through mouth following surgery. The nasal pack is removed after 24 hours. The patient is discharged with antibiotics, pain killer, cold medicines, nasal spray and nasal washing solutions. Patient has to review back after a week to get the nose cleaned from all the crusts and blood clots and for removal of Teflon plates or any sinus packs if placed.