Hello, I’m Hakan Cıncık, MD. I am an ear, nose, throat, head and neck surgery specialist.
Today I will talk about chronic sinusitis and its treatment. Chronic sinusitis is a sinus disease that lasts longer than three months. However, not every patient whose disease has passed three months is operated immediately. Firstly, the patient’s diagnosis for chronic sinusitis has to be definite. For this, tomography is taken. The most useful technique in the diagnosis of chronic sinusitis is sinus tomography. When sinus tomography is taken, if the mucous membranes in the sinuses are thick, full of inflammation and they cannot be opened and cleaned, then surgery is considered. Whether the sinus ostium that open into the nose are closed or open is the most important factor in the surgery decision. Apart from inflammation and infection, chronic sinusitis may be associated with polyps, allergies, cystic fibrosis, cilia movement disorder. When this happens, the treatment plan changes accordingly.
The treatment in chronic sinusitis is endoscopic sinus surgery. By protecting the patient’s nose, sinuses and mucous membranes as much as possible, it is ensured that the disease exits flowing from the sinuses to the nose in the best way or that the sinuses are ventilated. With endoscopy, treatment is performed by working inside the nose with a camera system, expanding the ostia of the sinuses. Here, the method called navigation that guides us, is important. Navigation, just like it shows you how to find the way to your home, shows us the way to enter sinuses. It is the most helpful method for surgery in the sphenoid sinus called the intracranial sinus and the frontal sinus called the forehead sinus. In addition, a shaver is used. It can be thought of as a kind of shaving device. Especially when there are polyps in the nose, it was not possible to work comfortably in the past due to both bleeding and the softness of the polyps themselves. Now we open the sinus ostium more easily by aspirating the blood and shaving the polyps with the shaver device. And we get the result we want.
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