Due to its good clinical effect and minimally invasive features, nasal endoscopic surgery is widely carried out in most hospitals, providing a new technical means for nasal polyps, chronic sinusitis and other rhinological diseases. So far, thousands of nasal endoscopic surgeries have been performed in our hospital, which are significantly better than traditional methods. However, some patients feedback that some symptoms are not well improved or relapse. The reason for this is that besides the stubborn and recurring characteristics of the disease itself, the most important point is that patients lack attention to postoperative follow-up and comprehensive treatment. Even individual doctors have similar doubts. In fact, this is a lack of understanding of the concept of nasal endoscopic surgery.
Nasal endoscopic surgery is to remove the lesion under the endoscope, improve and rebuild the nasal cavity and sinus ventilation and drainage function, and preserve the normal tissue and anatomical structure of the nasal cavity and sinus as much as possible, so as to cure the nasal disease. The object of its treatment is the bulk tissue structure in the nose, far from directly interfering with the cilia, glands and cellular level functions of the nasal mucosa, but creating a beneficial condition for the functional recovery of these fine tissue structures, so nasal endoscopic surgery is in a sense the beginning of disease treatment, and active postoperative follow-up and comprehensive treatment is an important guarantee for the efficacy of the surgery.
Some reactions will occur after nasal endoscopy, such as intra-nasal fibrinous membrane exudation, crusting, undesirable granulation, vesicles, mucosal swelling and adhesions, which need to be checked and treated in the follow-up until the surgical wound is completely epithelialized. It usually takes six months (less than 1 to 3 months) and even longer for some patients. The interval between follow-up visits can vary from a few days to a few weeks depending on the situation.
Post-nasal endoscopic medication is also necessary. Routine nasal irrigation is usually performed after nasal endoscopy to cleanse the nasal cavity, reduce crusting, and promote recovery of nasal mucosal function for a duration that depends on the intranasal situation. The flushing solution includes saline or specially prepared solution with antibiotics and other drugs. Decongestants (such as furosemide) can improve nasal obstruction, and oils (such as paraffin oil) can reduce crusting, but continued application should be limited to 10 days, otherwise irreversible damage to the ciliary function of the nasal mucosa can occur. Topical hormones can reduce mucosal swelling, inhibit or delay the recurrence of polyps, and systemic absorption is low, and can be used for a long time, so it is advocated as a routine medication, such as Burkitt sodium, Cochlear, and Renolcort. Oral medications include antibiotics, mucosal promoters, hormones and antihistamines. Among them, mucosal pro-discharge agents such as Janoton, Mucosolvan, Eucalyptus Pinene, etc., as well as proprietary Chinese medicines such as Nasal Abyss, Nasal Abyss, etc., can be used for a longer period of time, while other drugs can be used according to the situation.