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Functional endoscopic sinus surgery

Endoscopes are very popular in many branches of medicine recently. These can be described as hard or flexible cameras. We can see and manipulate many organs and pathologies with the help of them that normally are not possible. 

Endoscopes open a new era in ear, nose, throat diagnosis and treatment. 

“Endoscopic sinus surgey” is the name given to the operations done by the help of endoscopes in the nose. Advantage is that we can directly see the pathology and can treat with less trauma to the tissues. Besides results are more functional and better. 

They bring new techniques to treat sinusitis, vacuum headaches, polyps, tumors. Healing after the operation becomes very quick. 

You are getting an important operation even if there is no incision or swelling outside of your nose. 

These informations are prepared to help you to have a successful and comfortable operation. Whatever these informations are, if you have any question please do not hesitate to ask your doctor. 

Preparation for operation 

What to bring with us? 

Most patients return to home at the same day. Even low probability to stay at hospital bring your tooth brush and some other things you can need with you. 

If you use contact lenses, using glasses will be more comfortable after the surgery. 

Leave your valuable belongings at home. 

Bring your personal drugs if you have. 

Arrange your transport. Since you cannot drive car at least 24 hours after the operation, you may need someone to take you home. 

Avoid aspirin. Do not use aspirin or like drugs causing bleeding at leats one week before and after the operation. 

Operation day
Anesthesia: It is a branch of medicine that arranges patients to have operation without feeling any pain. Do not afraid of anesthesia. It is not fainting rather controlled sleeping and waking up by the anesthesiologist. During the surgery the specialist will beside you checking your respiration, heart beats, blood tension and other vital signs. 

Necessary tests will be performed before surgery. Patients undergoing general ensethesia should have an empty stomach, therefore you should not eat or drink at least 6 hours before surgery. If stop smoking five days ago, you will be more comfortable after the operation. 

Anesthesia will be according to your needs, heavy or light anesthesia means nothing. 

Patients just after anesthesia are sleepy even they can answer your questions, do not worry. 

After operation:
Patient stays at the rooom after the operation until doctors decide according to the situation of the patient. Patient is discharged at the same or the day after surgery.
Nasal pack: You most probably have a nasal tampon after the operation. Tampon changes according to the type of the operation. A gauze may be present under your nose just to suck the blood if comes from your nose. This is changed when filled with blood. Tampon in your nose will be taken out by your doctor when needed to be. 

Pain: There may be a little pain after the operation therefore pain killers are used. Please take the analgesic that is adviced, do not use any analgesic like aspirin or aspirin containing.
If you want we inform your familiy after the operation even if they are not with you at the time of the operation. 

Diet: There may be a little stomach upset after the operation. First 24 hours after the operation we advice you to eat light food mostly liquid. Do not eat spicy food to prevent sneezing. Also avoid very hot beverages. 

First week after the operation
Avoid heavy physical activities. They may increase the blood pressure and cause bleeding. 

Nasal care: Do not sneeze your nose first week. If mucous or blood accumulate in yoru nose, take them inside with a light breath and spit them out. You will see drainage of bloody mucous in your nose first week, do not afraid of it. If high amount of blood comes then contact to your doctor. Even sometimes scant amount of blood can come out of the nose in one month. 

Do not insert anything in your nose. If dry blood blocks the entrance of your nose, you can take it with cottons immersed with oxygen smoothly. 

Sneezing: If you have to sneeze do it as your mouth open, so you do not give any pressure to your nose. 

Flight: Air is dry in the planes therefore you need to moisture your nose while flying. You may feel pressure in your face also therefore ask your doctor to take decongestant drugs.
Drying of lips: Your lips may dry because of mouth breathing. You can use lipsticks or vaseline to moisture them. 

Discomfort after the operation: A little pain and pressure feeling occur rather than an intense pain. Swelling inside of the nose and secretions in the sinuses may cause pressure feeling. Raise your head while lying may ease the problem. 

First control after the operation: Your follow up and controls are very important for your healing. These controls are mostly painless do not afraid of them. 

First months after the operation
Physical activity: You can do aerobic after one week, try to not to get trauma to your nose first month. Do not swim first two weeks. 

Healing period: Your tissues will be best after after six weeks. Sometimes you can feel blockage of nose, this is normal. 

Do not forget, healing is a process not an event.

My persistent symptoms 31 May, 2013 - 12:14

I am writing to you from St. John's, Newfoundland (Canada). I have a sinus problem started in Nov 2008 upon working for more than a month in a gas plant. I did not have sinus problems prior to this date.

At that time, I may have been exposed to airborne asbestos and other irritants. In the place where I lived at that time, the Winter is so harsh. Temperature during Winter is normally at least 25 Cecilius below zero.

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