The maxillary sinus surgery is the method indicated in the cases of jaw sinus diseases. To be more proactive in treating yourself, patients should know the information about maxillary sinus surgery in the article below.
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What is a jaw sinusoscopy?
If you have sinus problems, jaw sinusoscopy is the most effective treatment. In essence, this is a laparoscopic surgery to help the jaw sinus can drain. From there, restore the clearing activities of the hairy – mucous system, bring the sinus mucosa back to a normal state.
Cases indicated surgery to endoscopic sinus cavity
The jaw sinusoscopy is usually indicated for those with sinus diseases. As follows:
- Patients with jaw sinusitis , due to fungus
- Defects in the jaw sinuses
- Sinusitis recurs many times
- Have maxillary sinus polyps (including Killian polym or nasal sinus solitary polym)
- Cases of cysts, benign sinus tumors
- Sinusitis recurs many times
- The cases of absolute contraindications to maxillary sinus surgery: Suffering from severe medical conditions, decompensated such as blood diseases, kidney failure
- Case indications relative: Acute sinusitis, sinusitis with bone marrow …
Prepare for an endoscopic sinus surgery
Before surgery, both the patient and the doctor need a careful preparation. As follows:
Being doctors who specialize in ear – nose – throat specialist I and above. Be sure to have training in endoscopic sinus surgery.
Necessary means and tools:
- To have endoscopic sinus surgery kit, first need to have endoscopic surgery kit.
- The necessary drugs such as: anesthetics (lidocaine + adrenalin 1 / 10,000), vasoconstrictors (naphazolin, oxymetazolin, …)
On the patient side:
- Indicated for endoscopic examination of the ear – nose – throat, full implementation of tests: Basic blood clotting, blood count, liver and kidney function
- If conditions allow, the patient is performed nasal sinus computed tomography in two positions are coronal and axial.
- The doctor will examine before surgery, anesthesia.
- Consultation and explanation of surgical procedures and possible complications.
Before surgery, the doctors need to complete the medical records according to the hospital’s regulations.
How is sinus surgery performed?
After the preparation is complete, a maxillofacial sinus surgery is performed through the following steps:
Depending on the case, doctors will decide whether to perform local anesthesia or general anesthesia.
- The surgeon will stand on the right side of the patient, and the assistant will stand above the patient’s head or left.
- Patient lies on his back with his head knee about 10 – 15 degrees higher than chest
Steps to be followed:
- Nasal wicks impregnated with vasoconstrictor naphazolin or oxymetazolin, .. will be placed
- Carry out injections to anesthetize the submucosal area at the following points: the mucosa of the apical hook, the lower back, the exits of the upper palate nerve.
- The hook tip is cut from back to front with pliers used for reverse cutting or using a hammer blade to cut from front to back.
- Jaw opening is enlarged by suction knife or reverse cutting pliers, covers (Micro debrider, hummer)
- Proceed to clean the lesions in the sinuses through the sinus opening. Depending on the size of the foreign body, the doctor will take them in different ways. If the solution is thick, a few drops of salt water or medicine may be required to help dilute the solution. After a few minutes, use a special tool to suck them out. The straw used should be sufficient in diameter so that air can pass through the space between the straw and the troca barrel. Where the barrel of the troca is full will put pressure on the sinuses and cause pain for the patient.
Monitoring and care after laparoscopic jaw surgery:
- Merocel will be withdrawn after 24 or 48 hours after surgery.
- The doctor will conduct suction blood, scabs or fake, using nasal sinus medicine daily.
- About 3 days after surgery, the patient can wash the nose – sinuses.
Accidents and handling:
Possible complications from the maxillary sinus surgery include:
- Bleeding: Wicking
- The tear duct was injured
Some things to note after laparoscopy of the jaw
The maxillofacial sinus surgery is a fairly complex treatment method. Therefore, the first thing to do is to find a reputable site to do. This will help the patient avoid undesirable problems during the treatment. And yet, for the wound to heal quickly, proper care is also important. So what should be noted after laparoscopic jaw surgery? Here are a few things patients should know:
- After surgery, the patient will be transferred to rest in the recovery room. There will be nursing nurses here, the thing to do is to follow the instructions that the doctor has instructed.
- Should spit out all secretions, blood in the mouth.
- After surgery, nurses will regularly measure pulse, blood pressure. If you feel uncomfortable or you see abnormal body manifestations, immediately notify medical staff to promptly handle them.
- Can drink water after surgery. However, do not take too much as it can induce vomiting.
After seeing that the health has stabilized, the patient can go home. At this time, flu-like symptoms may appear because the nasal mucosa is swollen. The patient will feel mucus or see blood flowing from the nose to the throat. This can last up to 3 months after surgery so there is no need to worry.
- Should not be exposed to cigarette smoke, dust. Going on the street or working in polluted areas, wear a mask to prevent dust.
- Do not blow your nose vigorously, especially after washing your nose to damage the wound.
- After laparoscopy of the jaw, do not do any heavy work, including exercise.
- Avoid contact with people suffering from respiratory diseases such as flu, sinusitis …
- Do not swim and dive after surgery.
- Stay away from alcohol, other stimulants, hot spicy foods, easily irritating so as not to damage the wound.
- Not exposed to allergens that cause allergies such as dust, animal hair, and pollen.
- Supplement the body of green vegetables, fresh fruits, anti-inflammatory foods to enhance resistance.
Above are information to know about maxillary sinus surgery and some things to note. Endoscopic surgery of the jaw is usually prescribed for cases of the jaw sinus disease. Understanding this method will help the patient’s treatment be more favorable.