In the process of my treatment of sinusitis, nasal polyps, I found that many patients do not understand the onset of this common disease, treatment, surgery, coupled with the inundation of the network and a variety of media advertising error induced, (we can see casually Baidu, claiming that a variety of advanced technology of advanced countries, can completely remove sinusitis nasal polyps, painless, fast, a cure, etc.). So many patients are unknown and are deceived into performing surgery that should not have been done, which not only fails to solve the problem, but also destroys the function of the sinuses and causes more symptoms; or after treatment in a regular hospital, they cannot get enough guidance, so they cannot cooperate well with the doctor and complete successful treatment of sinusitis. So I would like to focus on answering common clinical questions here, expecting to share my knowledge with my patients and friends, expecting them to get rid of sinusitis as soon as possible.
Important: I. Sinusitis surgery does not cure sinusitis, but with regular postoperative treatment and medication, the success rate reaches 90-95%.
Second, sinusitis surgery must be followed by postoperative review, cleanup and postoperative medication, which are necessary to determine the effectiveness of treatment.
Question 1: Is sinusitis completely cured after sinus surgery?
First of all we need to discuss an important concept, what is a cure? Using the patient’s idea of a complete improvement of his symptoms and never having a recurrence in the future is actually impossible and unrealistic. Because our functional surgery is to protect the function of the nasal sinuses, just like we unblock a blocked sink and fix a broken appliance, hoping it will continue to serve our body. (If we smash the sink and throw away the appliance of course it will not break again, but the broken appliance can be bought new, but the damaged sinus cannot be restored, and even the surgeon with the best surgical skills cannot restore the natural and unique ciliary and secretory function of the sinus mucosa.) So there is inevitably the possibility of continued damaged lesions, and our hope is that surgery and regular medication will restore the patient to a normal human state. For example, in the case of a cold, more than 80% of people will have symptoms of acute sinusitis, but they can get better quickly. So should successful sinusitis surgery. It is not possible to achieve a radical cure. Based on this, post-operative review and regular treatment is also very important.
Question 2: Why is it necessary to review and continue medication after sinusitis surgery?
First, we have previously described that for the majority of sinusitis, lesion removal and sinus opening are implemented, and we also know that sinusitis is not simply a blockage of the sinus opening, but there are many systemic factors involved, and even some of them we do not have a clear answer for at present. For example, why do nasal polyps develop?
Secondly, we talked about sinusitis surgery is to create conditions for drug treatment so that it can be smoothly drained and the drug can reach the diseased mucosa, and the sinus mucosa needs to be cleared during the recovery process for a period of time after surgery, such as some dry scabs, severe edema, and even some retained vesicles formed can obstruct the drainage of the sinuses, leading to recurrence of postoperative symptoms or even surgical failure.
Therefore, from the pathogenesis of sinusitis as well as the need for surgical recovery, post-operative review and medication are quite important, and it is important to come for review as scheduled, get in touch with the doctor in time for symptom changes and adjust the treatment plan. It is essential to ensure the effectiveness of the surgery. Therefore, for my post-operative patients, I will personally make an appointment with you for each post-operative review, and personally observe and carry out post-operative treatment in a systematic manner. Therefore, I urge you to make sure to keep your review appointment for your smooth recovery, and if you need to adjust it, please make sure to reschedule your appointment by getting in touch with me for a new time.