SINUS SURGERY. A Patient Guide to the Sinuses and Nose. William A. Portuese, M.D. Ballard Ear, Nose & Throat and Allergy Clinic
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1 SINUS SURGERY A Pin Guid o h Sinuss nd Nos Bllrd Er, Nos & Thro nd Allrgy Clinic Willim A Porus, MD
2 SIGNS & SYMPTOMS OF CHRONIC SINUSITIS Fcil Hdchs Fcil Prssur / Pin Allrgis nd Hyfvr Rpiiv Sinus infcions Nsl Congsion / Obsrucion Yllow / Grn dischrg from nos - Chronic or Inrmin Dcrs in Smll Dcrs in Ts Troubl Flying in Airpln / Scub Diving Pos Nsl Drip, Dring Chronic Cough / Bronchiis Endoscopic sinus surgry is dsignd o rliv hs bov sympoms
3 ENDOSCOPIC SINUS SURGERY Endoscopic Sinus Surgry is dlic chniqu using vry fin, lighd, fibropic lscops insrd in h nos / sinuss, whil dircing insrumns o opn up sinuss nd rmov polyps Visulizion of h dissd sinuss is prformd hrough h ndoscop nd sinuss r clnd ou, opnd up nd polyps rmovd In mny insncs dvid spum is lso corrcd h sm im nd nlrgd urbins r md surgiclly smllr o improv irflow hrough h nos All incisions r plcd insid h nos Nsl Endoscop
4 NORMAL SINUS ANATOMY FRONTAL ETHMOID TURBINATES SEPTUM MAXILLARY FRONTAL ETHMOID SPHEMOID SIDE VIEW OF NORMAL
5 DEVIATED SEPTUM This crs nsl obsucion nd cn cus hdchs ACUTE SINUSITIS This is cusd by bcril inflmion of sinus SINUS POLYPS FRONT VIEW SINUS POLYPS SIDE VIEW Polyps dvlop in sinuss from long rm infcions, llrgis nd sinusiis
6 SINUS SURGERY DEVIATED SEPTUM POLYP REMOVAL Non-srucurl crilg or bon my b rmovd o rshp nd srighn h spum Th iny forcps r insrd nx o h ndoscop o rmov h polyps nd opn windows ino h sinuss for dring Bony priions of hmoid sinuss r rmovd o cr pssg for mucus o drin Polyps r lso rmovd CT of Norml Sinuss CT of Dissd Sinuss Polyps
7 THE SURGERY Endoscopic sinus surgry is usully prformd s n oupin procdur in our inoffic, Mdicr Crifid Surgry Cnr Bord Crifid Physicin Anshsiologiss from Swdish Mdicl Cnr prform h nshsi Surgry normlly ks n hour o prform nd pins hn go o h rcovry r for bou n hour Onc mdiclly sbl, hy r dischrgd o rsponsibl crgivr Th following insrucions r bsd on xprinc wih mny similr procdurs nd r dsignd o nswr qusions h my ris rgrding pos-opriv cr Pls follow h insrucions hos who do gnrlly hv h smoohs posopriv rcovry Do no hsi o cll us should you hv ddiionl qusions THE DAY OF SURGERY 1 Wsh your hir nd fc wll, brush your h nd rmov ll cosmics 2 Do no pply loion o your fc 3 Do no wr conc lnss h dy of surgry 4 Do no or drink nyhing fr midnigh h nigh prior o your surgry 5 Wr shir h is buon or zip fron, comforbl pns nd fl, slip-on shos 6 Pls lv vlubls nd jwlry hom nd rriv on im 7 Follow h prprion insrucions givn o you your pr-op visi nd b sur o bring your prscribd mdicions wih you o your surgry 8 Pls bring h phon numbrs of whr you will b sying fr h surgry, s wll s h nm nd phon numbr of your crgivr WHAT TO EXPECT AFTER SURGERY Hdch, pin nd nsl congsion r common fr nsl / sinus surgry Typiclly pins cnno brh ou of hir nos for h firs wk Thr is NO pcking plcd insid h nos or sinuss All incisions r plcd insid h nos Thr is usully no swlling or bruising on h ousid of h nos unlss Rhinoplsy is prformd h sm im Pins r sn bck in h offic pproximly 7 dys fr surgry Sinus dbridmns / cln-ous r prformd h firs nd scond wk fr h surgry This is don o rmov blood, mucus nd cruss h build up in h sinuss o llow mximum hling POST-OPERATIVE CARE Do no pricip in ny civiy h will ris your blood prssur or puls for wo wks following surgry Sy uprigh s much s possiblavoid bnding ovr or lifing hvy objcs for on wk Slp wih your hd lvd 30 dgr ngl for 3-5 dys Tk pin mdicion s prscribd I is OK o subsiu Tylnol if h pin mdicion is oo srong or cuss nus I is imporn o sy wll hydrd fr surgry
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