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The Risks of Functional Endoscopic Polyp Surgery

Like any surgery , functional endoscopic polyps surgery carries some degree of risk. The procedure is performed by first inserting a microscopic camera into the sinus cavity to enable the surgeon to view the nasal polyps growth in better detail. Via this enhanced positioning , the surgeon utilises surgical instruments to repair any nasal polyp growths within the sinus cavity.

Bleeding and Nasal Discharge
Unfortunately bleeding is a relatively common side effect of functional endoscopic polyp surgery. Because the ENT surgeon operates on the nasal cavities ( which contain numerous blood vessels ) , its a strong possibility that some bloody nasal discharge will occur. Despite the surgeons best efforts , it’s an unfortunate fact that although the amount of bleeding is limited , patients may awaken to find their nose bleeding. Should this occur, the bleeding will generally subside after the first week of surgery.

With certain patients scar tissue may develop as a result of a nasal polyp operation. Typically the scarring isn’t much to worry about and is minor , but nevertheless it can effect a patients breathing and ability to smell. Should these symptoms persist it is advisable to see a doctor as soon as possible.

Orbital Hematoma
During the nasal polyps surgery , there is a possibility of puncturing of the Orbital Hematoma. The Orbital Hematoma is a thin film which divides the orbit of the eye and the sinuses.  Should the ENT specialist accidentally damage this dividing film , it may cause bleeding into the orbit from the sinus , the blood collects to form a ‘hematoma’ . Should this happen , it’s a possibility that the hematoma can cause permanent damage to  the patients vision.

Vision Changes
Similar to the risk of developing orbital hematoma , because the surgeon is operating close to the thin film separating the orbit of the eye and the sinuses, double vision is a possible risk of functional endoscopic nasal polyps removal. This can occur as the surgeon runs the risk of damaging the muscles of the eye , resulting in an imbalance between how the eye muscles function together.

As a consequence of any nasal polyps operation, there is a possibility of cerebral spinal fluid leakage. This can be caused by damage to the bone that is located at the top of the sinuses.In most cases , ( when it occurs ) the leakage is minor and corrects itsekf without any medical treatment. However , if cebral spinal fluid leakage persists , patients are at risk of developing meningitis, an inflammatory brain infection. Meningitis is a very serious condition that can threaten the patients life if not dealt with promptly and correctly. Symptoms of meningitis include development of a stiff neck , a throbbing headache or high fever. It is of the utmost importance that the patient contact a doctor immediately should he or she develop any of these symptoms after nasal polyp surgery.

Its common for a sinus infection to develop as a result of nasal polyp removal. Typically while the patient may experience some congestion , this usually subsides following a course of antibiotics.

Impaired Smell
Inflammation in the nose is a common side effect of functional endoscopic surgery for nasal polyps. Consequently, blockage of the sinuses can occur. In addition to this , blood may dry up over the noses smell receptors resulting in an impaired sense of smell.

However , these symptoms are temporary and will subside in a few days or weeks.

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