What to know before and after nasal endoscopic sinusitis surgery

Functional sinus endoscopic surgery (FESS) has become the most important procedure for the treatment of nasal polyps in chronic sinusitis, with a success rate of between 80 and 90%. The content of functional nasal endoscopic surgery has been introduced within the topic of otolaryngology online nasal endoscopic surgery treatment, and the following are some precautions to take before and after surgery.

1, before nasal endoscopy surgery, especially when accompanied by nasal polyps, the doctor may instruct the patient to take some medications before surgery, these medications include antibiotics and hormones. The purpose is to improve the surgical condition of patients with sinusitis. Patients should strictly follow the medical advice and adhere to the medication. In addition, do not take blood aspirin analgesics (Bamil, Fenbendazole, Naproxen, etc.), vitamin E, garlic, ginkgo, ginseng, ergotamine, etc. for at least two weeks prior to surgery, as these drugs can thin the blood, thus making it easier to bleed during and after surgery. However, Tylenol is safe and can be taken by children and adults at any time before and after surgery without any significant effect on the procedure. If the patient smokes, do not smoke for at least 3 weeks prior to surgery. A detailed examination of the nose by the surgeon is required prior to surgery, and the patient is encouraged to remember the medication history and bring medical records from previous visits. CT is one of the mandatory tests for nasal endoscopy, which can help to understand the extent of sinusitis for surgical reference, and those who have a history of other serious organic diseases and bleeding disorders are not suitable for sinus endoscopy.

2, surgery and anesthesia: severe sinusitis or with nasal polyps, general anesthesia may be used, need to pay attention to 10 hours of fasting before surgery, 4 hours of water, 6 hours after general anesthesia, as the patient is not fully awake, please family members do not give the patient food to avoid the danger. There are no special dietary contraindications for patients under local anesthesia. However, some anesthesiologists also advise patients to fast and abstain from food and water appropriately.

3.After the surgery: The medication needs to be changed regularly after the surgery, and the doctor will remove the nasal stuffing on the 1st and 2nd day after the surgery. Within 6 weeks after surgery, you need to come to the hospital at least 3-4 times for medication change, the specific time will be arranged by the doctor according to the recovery of your operation cavity, mainly to clean up the nasal cavity secretion scab and new granulation, to prevent the nasal cavity adhesions cause nasal cavity non-ventilation and protect the effect of surgery. 3-4 months later, the nasal cavity will be fully recovered, at this time, just pay attention to the follow-up and 1-2 times a year checkup. Please follow the doctor’s prescription for post-operative medication.

4.Nasal endoscopic surgery, like other surgeries, has the possibility of complications, which are related to the medical level of the hospital and the anatomical variation of the patient itself. It has been reported that the individual differences of patients have become one of the most important reasons for complications of nasal endoscopy. Domestic hospitals that carry out successful sinus endoscopic surgery treatment please refer to: nasal endoscopy for sinusitis and nasal polyps hospital recommendations 5. The recurrence rate of nasal endoscopic surgery has been very low, but there are still very few recurrence possibilities. A good ENT surgeon will try to reduce the risk of recurrence after your surgery.