A. How can I get nasal polyps and chronic sinusitis?
A: Internationally, the causes of nasal polyps are still not very clear, and may be related to chronic inflammation, viral infection and allergic reactions.
The cause of chronic sinusitis is mainly due to abnormalities in the anatomy of the nasal cavity. Commonly speaking, it is because of the polyp or deviated septum at the mouth of sinus or due to the hypertrophy of hooks blocking the opening of sinus → obstructed drainage of secretions in sinus, pus accumulation → abnormal function of mucous membrane and cilia in sinus → reduced clearance function → bacterial infection → mucous membrane edema, loss of cilia function → head and orbital periorbital rise and full feeling, pain, nasal congestion, thick runny nose, fever, bacteremia, sepsis, sepsis, etc. Formation of Vicious circle.
Second, nasal polyps, chronic sinusitis need surgery?
A: Of course, especially the anatomical structure of the nasal cavity abnormalities should be found early, early treatment, so as to avoid “small holes do not mend, big holes to eat suffering”.
If left untreated, it can cause.
1, the growth of nasal polyps, will block the nasal ventilation, causing nasal congestion
2, blocking the opening of the sinuses, the drainage of secretions in the sinuses is blocked, causing chronic sinusitis
3, when the immune system is reduced, it will induce bacterial or viral, fungal infection and lead to acute sinusitis attack followed by fever, headache and pain around the eyes, a lot of pus and nasal congestion and other symptoms, of which fever is its typical symptoms
4, bacteria, toxins released into the blood in large quantities will lead to bacteremia, sepsis or septicemia, serious cases cause septicemia, infectious shock
5, such as fungal infection, it is invasive, may be to the cranial, orbital invasion
Third, nasal polyp sinusitis surgery requires hospitalization?
Patients are recommended to be hospitalized for surgery because they need to be treated with medication on time during the perioperative period. After surgery, they need to be closely observed for bleeding, headache and other discomfort and need to be dealt with in time. 48 hours after surgery, nasal stuffing and nasal change and rinsing are required.
4. How long does the hospital stay take?
Usually about 5 days.
Tips: Patients with limited vacation time can choose to have surgery before the national holiday, so that they can use the long vacation time to rest, adjust and recover.
V. Will nasal polyps and sinusitis recur after surgery?
A: Of course it will. But the recurrence rate and the length of recurrence time are closely related to your cooperation.
1.If you can: maintain good living and eating habits, early detection, early treatment, post-operative follow-up and medication, then the chances of recurrence will be reduced to a minimum.
2.In order to reduce the recurrence rate what we will do for you is
Before surgery: use regular and sufficient amount of medication control (antibiotics, hormones, and pro-discharge agents)
During surgery: reduce the amount of bleeding, remove the lesion as much as possible and open the sinuses completely
After surgery: adequate use of medication, nasal rinsing and medication changes, diet and lifestyle adjustments, all have a clear relationship.
3, of course, the recurrence rate is also closely related to the length and severity of your disease, so early detection and early treatment is essential.
Six, how should patients cooperate with doctors to achieve the best surgical treatment effect?
A: “Three points of treatment, seven points of cooperation”, you and I work together to achieve the best treatment results
What I can do for you
1.Surgery to remove polyps and open the sinus openings to improve nasal ventilation and drainage of the nasal cavity and sinuses
2.Targeted allergen detection, and even desensitization treatment
3, standardize the full amount, full course of medication
What you need to do.
1.Full amount and full course of medication according to the doctor’s requirements
2.Regulate nasal rinsing, regular follow-up visits and medication changes
3.Attend to adjust your living and eating habits, pay attention to keep warm and avoid inflammation of the nasal mucosa caused by frequent colds
4.Avoid long-term stimulation by tobacco and alcohol and intake of stimulating food, and eat more vegetables and fruits
5. Combine work and rest to ensure adequate rest time, proper exercise and physical fitness are important components to ensure long-term efficacy.
6, if accompanied by allergic rhinitis patients, pay attention to the prevention of contact or long-term exposure to allergens, targeted allergen detection, or even desensitization therapy, in addition to preventing the recurrence of polyps, but also to interrupt the process of allergic rhinitis to allergic asthma development, improve the quality of life
7. What is the approximate cost of surgery for nasal polyps and sinusitis? Can they be covered by medical insurance?
For routine surgery of chronic sinusitis and nasal polyps, the cost of local anesthesia surgery is about 7,000 yuan, and the cost of general anesthesia surgery is usually about 10,000 yuan. Depending on the extent of the lesion, the instruments and stuffing materials used during surgery may vary, so the charges may also be somewhat different, but most of the costs are covered by medical insurance.
What kind of anesthesia is usually used for nasal polyp and sinusitis surgery? Is it painful?
Local anesthesia: local use of cotton pads with anesthetic drugs in the nasal cavity
General anesthesia: intravenous/inhalation combination anesthesia
Advantages: low cost
1. The patient is asleep during the operation, so there is no tension and anxiety, and no significant fluctuation of vital signs.
2. Good exposure of the surgical field during the operation, less interference from the patient
3.No pain during surgery
4.Intraoperative controlled hypotension can be used to reduce the amount of bleeding
5. Good intraoperative airway protection, no accidental aspiration
Disadvantages
1.Wake state to receive surgery, easy to nervous anxiety
2.Intraoperative anesthesia may not penetrate deeply into all nasal mucosa
3.It may cause local painful irritation during surgery
4. Patients with hypertension or vascular disease may have blood pressure fluctuations due to tension, which may cause cerebrovascular accidents such as cerebral infarction and cerebral hemorrhage.
5.Blood and secretion will flow into the mouth during surgery due to the body position.
The blood and secretions will flow into the mouth during the operation due to the body position, which may cause nausea and vomiting, or even accidental aspiration into the trachea.
This will affect the operation process, increase bleeding and increase the risk of surgery.
The cost is about 2500 RMB higher than that of local anesthesia, of which about 500 RMB should be paid out of pocket.
X. Is the cost of general anesthesia self-paying?
A: Only about 500 yuan of it needs to be paid out of pocket.
Is it true that after general anesthesia, the brain will become dumber, memory will be diminished, and Alzheimer’s will be easily developed?
A: There is no scientific basis for this statement.
General anesthesia is one of the many ways of anesthesia, so that the whole body’s sensory perception and pain temporarily disappear for a while, there is no impact on human intelligence, let alone affect IQ, emotional intelligence or lead to dementia.