Sinusitis is a common and difficult disease in rhinology. The lesion is an acute or chronic purulent inflammation of the sinus mucosa. In severe cases, it not only affects the sinus mucosa involving the bone, but also can cause complications in the surrounding tissues and adjacent organs. Human sinuses, sinus opening is small, sinus mucosa is connected to the nasal cavity, and each sinus opening is adjacent to each other, these are not conducive to the drainage of inflammatory substances, and each sinus is infected with each other and repeatedly develops. Because you have chronic sinusitis, the mucosa of sinus is in long-term inflammatory stimulation, and its pathological changes are a series of irreversible phenomena such as tissue stasis, edema, thickening, vascular proliferation, lymphocyte and plasma cell infiltration, epithelial cilia shedding. Therefore, once you have a cold, an acute attack of chronic sinusitis can develop.
Based on our clinical experience, we recommend that you use a combination of topical and internal medications. The purpose of using topical medication for nasal cleansing intervention is to create a clean environment for the nasal cavity and sinuses by causing a smooth drainage of the nasal cavity and sinuses and repeated cleansing to promote the complete excretion of inflammatory substances. At the same time, the internal use of herbs that regulate qi and nourish blood and activate blood circulation to improve the diseased tissue mucosa and promote its reversal to normal mucosal tissue to protect the sinuses. Just like a big tree, the bark is intact so that the trunk does not rot, your sinusitis will be completely cured only when the nasal mucous membrane tissue is restored to normal. However, for severe cases, drugs are powerless and modern rhinology has chosen to make the cure rate much higher to 85-95% with nasal endoscopic sinus surgery.
Endoscopic sinus surgery was introduced into China in the early 1980s and has developed into a comprehensive minimally invasive surgical technique widely used in otorhinolaryngology and cephalic surgery.
Because of the hidden anatomy of the nasal cavity and sinuses, the tissues between the grooves, gaps, folds and twists, the scope of observation of the nasal cavity is limited by the conventional examination method, and blind areas are formed for the parts that cannot be reached by light and vision, so that the local situation cannot be clearly spied. Usually, the observation of sinus is inferred indirectly based on the source of secretion, but not the actual lesion in the sinus is directly observed under bright vision.
Sinus endoscopy, because of its strong light guide, multi-angle, and large field of view, can directly visualize many important parts of the nasal cavity (such as each sinus opening, each sulcus, sinus interior and other hidden narrow places) and subtle lesions in the nasopharynx.
Some people with chronic rhinitis and sinusitis that do not heal for a long time must have structural causes of their nasal cavity and sinuses, and this structural abnormality leads to their functional abnormality. By finding the cause of structural abnormalities through nasal endoscopy, it is possible to cure chronic rhinitis and sinusitis completely.
How is it treated? Under nasal endoscopy with specially designed surgical instruments, using endoscopic multi-view, the diseased tissues can be removed accurately and thoroughly, and the normal structure of the nasal cavity and sinuses can be maintained as much as possible to maintain their physiological functions, so that the traditional radical or destructive surgery is transformed into a functional surgery.
The indications for nasal endoscopic surgery are: 1, chronic and chronic recurrent sinusitis, where conservative treatment is ineffective; 2, nasal polyps; 3, mycosis fungoides; 4, chronic dacryocystitis; 5, good tumors of the nasal cavity and sinuses; 6, exploration of malignant tumors of the nasal cavity and sinuses; 7, pituitary adenoma; 8, transnasal repair of cerebrospinal fluid rhinorrhea; 9, nasal hemostasis; 10, orbital decompression; 11, optic canal decompression 12, nasal, sinus, intraorbital, skull base foreign body removal, etc. In addition, sinus endoscopic surgery can be extended to the field of nasal neurosurgery or nasal-ocular related surgery.