Know all about : Endoscopic Sinus Surgery

INDICATIONS

1. Chronic bacterial sinusitis unresponsive to adequate medical treatment.
2. Recurrent acute bacterial sinusitis.
3. Polypoid rhinosinusitis (diffuse nasal polyposis).
4. Fungal sinusitis with fungal ball or nasal polypi.
5. Antrochoanal polyp.
6. Mucocele of frontontoehmoid or sphenoid sinus.
7. Control of epistaxis by endoscopic cautery.
8. Removal of foreign body from the nose or sinus.
9. Endoscopic septoplasty.

 

ADVANCED NASAL ENDOSCOPIC TECHNIQUES

1. Removal of benign tumours, eg. inverted papillomas or angiofibromas.
2. Orbital abscess or cellulitis management
3. Dacryocystorhinostomy.
4. Repair of CSK leak.
5. Pituitary surgery.
6. Optic nerve decompression.
7. Oribital decompression for Graves’ disease,
8. Control of posterior epistaxis (endoscopic clipping of sphenopalatine artery).
9. Choanal atresia.

CONTRAINDICATIONS

1. Inexperience and lack of proper instrumentation.
2. Disease inaccessible by endoscopic procedures, e.g. lat­eral frontal sinus disease and stenosis of internal opening of frontal sinus.
3. Osteomyelitis,
4. Threatened intracranial or intraorbital complication.

 

COMPLICATIONS

 

Major	Minor
1.Orbital haemorrhage	1.Periorbital ecchymosis
2.Loss of vision/blindness	2.Periorbital emphysema
3.Diplopia	3.Postoperative epistaxis
4.CSF leak	4.Postoperative infection:
5.Meningitis	rhinitis or sinusitis
6.Brain abscess	5.Adhesions
7.Massive haemorrhage	6.Stenosis of maxillary or
requiring blood transfusion	frontal sinus opening
8.Intracranial haemorrhage	7.Exacerbation of asthma
and direct brain trauma	8.Hyposmia
9.Anosmia	9.Dental pain
10.Injury to internal carotid
artery in sphenoid sinus
11.Injury to nasolacrimal duct
and epiphora
12.Death