WHAT ARE ENDOSCOPE AND ENDOSCOPIC SINUS SURGERY (ESS)?
Endoscopes are instruments with light and optical lenses at the tip, allowing direct visualization of the image at one end when looked from the other end. Endoscopes allow us to see the dark spaces in the nose that cannot be directly seen and to operate within the sinuses without making any incision. Endoscopes are combined with a camera system, the image is simultaneously transferred to the computer and screen.
In which cases are Endoscopy and ESS performed?
Endoscopes are used in the diagnosis and surgical treatment of many diseases of the nose, sinus and their adjacent structures. These include
. Chronic Sinusitis (Unresponsive to medical treatment)
. Recurrent Sinusitis
. Nazal Polip
. Antrochoanal Polyp
. Concha Reduction
. Sinus Mucocele
. Nasal and Sinus Tumors
. Cerebrospinal Fluid Leak (Cerebrospinal Rhinorrhea)
. Dacryocystorhinostomy (Opening of the blocked tear duct)
. Choanal Atresia Repair
. Removal of Foreign Bodies in the Nose
. Nasal Bleeding Control
How is the postoperative recovery period and what are the points to consider?
There may be slight pain after the surgery, which can be easily relieved with painkillers. In endoscopic surgery, no change in the nose shape, swelling or bruising occurs. At the end of the surgery, absorbable packings are placed in the surgical site and the nostrils remain intact. However, if one or multiple procedures such as rhinoplasty (cosmetic nose surgery), septoplasty (deviation surgery) and concha surgery are performed in combination with endoscopic surgery, flexible packings (Doyle splint) made of soft silicone are placed in the nose. The removal procedure takes 10-15 seconds and is painless. You can stay in the hospital for 1 day on the day of operation depending on your follow-ups. There may be nasal bleeding in the form of leak for 1-2 days after the surgery, if you do a job that does not require effort and you have not experienced any postoperative problem, you can work and travel after the postoperative 5th day.
What are the results?
The results of endoscopic surgery vary depending on the disease. The success rate in chronic or recurrent sinusitis is between 80-90%. Nasal polyps tend to recur, the rate of recurrence is 20-30% in those with only polyps, 70% in those with polyp + asthma + aspirin allergy (Samter’s triad). The duration of recurrence varies from person to person. In some patients, polyps may recur within 6 months after the surgery, while in others, it may recur after 5 years. The mean success rate in antrochoanal polyp is 95%. In addition to the disease, the experience of the surgeon is very important in the results.