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What are the types of Nasal Polyps Surgery Available?

Should you wish to avail of surgery for nasal polyps, then there are three kinds available,

  • Polypectomy
  • Functional Endoscopic Sinus Surgery
  • Image Guided Endoscopic Surgery

Nasal Polypectomy

This is an operation that is used to remove nasal polyps that have developed in the nasal passages, causing a resulting obstruction. On rare occasions, this procedure is used to lessen the risk of cancer. In preparation for the procedure, the patient will be asked to observe a total dry fast ( food and drink ) from the evening before the day of the polyps surgery. Some medications will interfere with your body’s ability to clot blood, and as such they must not be taken in the lead up to the polyp surgery. These medications include..

  • Blood thinners
  • Aspirin
  • Some anti-inflammatories

The procedure begins with the insertion of packing material that has been dampened with anaesthetic fluid. In addition to the use of the anaesthetic solution, several places in the head are injected with the solution to decrease any pain the patient may experience. The packing is then removed and via the use of the endoscopic device, the polyps are removed. This process is repeated until all the polyps have been removed from the nasal cavity.

After the nasal polyps operation the patient will experience some pain, bleeding and swelling, which are managed via the use of pain medication (opiate style medication ) and ice packs. The recovery time for the surgery is usually about two weeks, during which the patient may not attempt any physical or strenuous activity like sports or lifting heavy objects, and is advised to seek as much rest as possible.

Functional  Endoscopic Polyps Surgery

Functional endoscopic sinus surgery, also known as FESS, is a minimally invasive surgical procedure used to remove nasal polyps. It utilises a narrow fibre optic device which is inserted into the sinus cavity in order to visualise the sinus anatomy and diagnose the afflicted areas of the nasal cavity. By the use of this diagnostic equipment, a delicate surgical instrument is used to remove the polyp growths. This allows drainage of the sinus cavity and the healing of the inflamed areas.

This type of nasal polyp surgery is usually performed as day surgery under general anaesthetic and while patients usually experience some discomfort, they are able to return home that day and are usually able to resume work within a few days. This kind of nasal polyp operation is generally lower risk compared to other sinus treatments, with complications usually at a minimum.

Image-Guided Endoscopic Sinus Surgery

This is an enhanced version of Functional Endoscopic Surgery that uses a three dimensional mapping system to provide information about the exact location of the surgeon’s instruments during surgery. As the sinuses are in close proximity to the eyes, the brain and important arteries, it’s always a cause for concern when any procedure is attempted in that area. Image guided endoscopic sinus surgery helps greatly in this regard, giving surgeons the ability to navigate their surgical equipment through a delicate environment with greater ease.

It’s most commonly used in patients that have severe forms of chronic sinusitis or patients with structural abnormalities of the sinuses.

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