What does nasal endoscopy mean? Surgical treatment of the nose or sinuses is performed using an optical endoscope. This procedure has a clear operative field, which can reduce postoperative dead space, observe comprehensively, and can clear the lesion more thoroughly. Indications: nasal polyps, chronic sinusitis, foreign bodies in the nose or sinuses, benign tumors of the nose or sinuses, cerebrospinal fluid rhinorrhea, deviated nasal diaphragm or partial excision of the inferior turbinate, etc. Xiao Jizhang, Department of Otolaryngology-Head and Neck Surgery in the working room What preoperative tests should be done? In addition to routine blood test, blood group, urine test, liver function, biochemistry, chest X-ray and electrocardiogram, CT examination of the nose should be done before surgery, because the field of view of surgery is narrow, it is necessary to determine the site and scope of surgery in CT film first, so that the surgical effect can be better. If necessary, blood should be prepared one day before the operation for use during the operation. What should I pay attention to after surgery? 1. It is normal for blood and water-like material to ooze out of the nasal cavity after nasal endoscopy. If bright red and bloody material oozes out of the nasal cavity, please report to the doctor and nurse even if there is bloody fluid in the mouth. 2.Please pay attention to any change of vision after surgery, and report to the medical staff in time if there is any visual haze or diplopia. 3.If bruising around the eyes occurs after surgery, it will generally dissipate on its own within a few days. Ice packs can be applied on the day of surgery, and hot packs can be applied 2~3 days later to disperse the bruises. 4. Generally, the nasal stuffing gauze can be removed 1~2 days after surgery, and attention should be paid to whether there is bleeding in the nasal cavity after the gauze is removed. However, it is common when there is bloody nasal discharge. 5.After surgery, nasal drops should be applied according to the doctor’s instructions to promote wound healing and recovery. 6.After gauze removal, nasal rinsing should be performed according to the doctor’s instruction to remove the scabs and blood stasis in the nasal cavity and promote the growth of nasal wound. How to perform nasal rinsing? When rinsing the nasal cavity, the water bag should be hung high and the water from the rinse tube should enter from the nasal cavity and nasopharynx of the healthy side to the rinsing side (the affected side), and blow the nose rhythmically one by one so that the scabs and secretions can be
This way, the scabs and secretions can be flushed out and satisfactory results can be achieved. About discharge and postoperative follow-up: To achieve good results in nasal endoscopy, in addition to good surgery, postoperative follow-up is also extremely important. The mucous membrane of the nasal cavity will continue to grow after the surgery, so if the nasal cavity is not cleaned in time, the perfect surgery will be abandoned and the ideal results will not be achieved. Therefore, it is necessary to follow up regularly and follow the doctor’s instructions after surgery, generally every 1~2 weeks within three months, and every 1-2 months from three months to six months.