Endoscopic
Sinus Surgery in Patna, Bihar
Chronic sinusitis, characterized by
persistent infection and inflammation in the nasal passages and sinuses, can
lead to a range of distressing symptoms such as facial pressure, nasal
congestion, frequent discharge, and the bothersome sensation of
"post-nasal drip."
While most cases of sinusitis can be
effectively managed with medications, there are instances where more intensive
interventions are necessary, including endoscopic sinus surgery.
This surgical procedure, available at Big
Apollo Spectra Hospital in Patna, Bihar, involves the use of an endoscope, a
thin, flexible tube with a camera on its tip, to provide a clear view of the
sinus passages.
Accompanied by specialized surgical
instruments, this technique allows skilled medical professionals to address
obstructions and inflammation within the sinuses, offering relief to patients
who have exhausted other treatment options.
Understanding
Endoscopic Sinus Surgery
Endoscopic sinus surgery, a minimally
invasive procedure, has proven highly effective in treating chronic sinusitis
that has not responded well to conventional medical treatments. At Big Apollo
Spectra Hospital in Patna, this procedure is performed by inserting an
endoscope into the nasal passages, affording the surgeon a magnified and
illuminated view of the internal structures.
When necessary, surgical instruments are
introduced alongside the endoscope to address obstructions, which might involve
the removal of bone or other tissues that block the sinus openings. In some
cases, a laser is employed to safely eliminate obstructing tissue.
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)
When
to Seek Medical Attention
Patients experiencing persistent and
worsening symptoms of sinusitis are advised to consult a medical professional
in Patna, Bihar. Indicators that warrant medical attention include a reduced
sense of smell, a high fever, chronic nasal congestion or discharge, persistent
headaches, unrelenting fatigue, and a lingering cough. If these symptoms
persist or worsen over an extended period, seeking medical evaluation becomes
imperative.
Booking
an Appointment at Big Apollo Spectra Hospital, Patna
To initiate the journey towards relief and
improved sinus health, individuals can request an appointment at Big Apollo
Spectra Hospital in Patna. This can be accomplished by dialing 0612-3540100,
allowing patients to secure a consultation with a medical specialist who will
assess their condition and recommend the most appropriate course of action.
Risks
Associated with Endoscopic Sinus Surgery
As with any surgical procedure, endoscopic
sinus surgery carries certain risks and potential complications that patients
should be aware of. These include:
- Excessive
Bleeding: While rare, there exists a possibility of post-operative bleeding,
which might necessitate nasal packing to control.
- Blood
Transfusion: In exceptional cases, a blood transfusion might be required,
though this comes with a slight risk of allergic reactions or infection spread.
- Cerebrospinal
Fluid (CSF) Leakage: A potential complication, though infrequent, is the
leakage of cerebrospinal fluid.
- Vision Issues:
Though uncommon, there's a remote chance of experiencing vision problems or
even vision loss post-surgery.
- Anesthesia
Risks: Anesthesia carries inherent risks, including allergic reactions, which
are a consideration for some patients.
- Nasal Septum
Reconstruction: The procedure might require nasal septum reconstruction in
certain cases.
- Loss of Sense of
Smell: While a possibility, the sense of smell generally improves after the
procedure.
Preparation
for Endoscopic Sinus Surgery
To optimize the surgical experience and
ensure the best possible outcomes, it's essential to follow these preparatory
steps:
- Fasting: Refrain
from eating for at least 8 hours prior to the surgery.
- Avoid Alcohol
and Check for Fever: Abstain from alcohol and assess your body temperature to
ensure you're fit for surgery.
Arrangement
for Post-Surgery
Plan for someone to accompany you and take
you home after the procedure.
On
the Day of Surgery
Meeting with the anesthesiologist before the
procedure is crucial, allowing them to tailor the anesthesia administration to
your unique needs. Depending on the complexity of your case, the surgery's
duration may vary.
Post-Surgery
Guidelines
Following a successful endoscopic sinus
surgery, most patients are discharged on the same day. Adhering to post-surgery
instructions is vital for a smooth recovery. Common recommendations include
rest, keeping the head elevated, and using cold compresses to manage bleeding
or swelling.
Recovery
Timeline
Generally, patients experience pain and
discomfort for approximately 3 to 5 days following surgery. Adhering to medical
advice and taking prescribed medications will facilitate a smoother recovery
process.
In
Conclusion
Endoscopic sinus surgery is a valuable
option for those who suffer from chronic sinusitis, providing relief and
improved sinus health. The procedure, offered at Big Apollo Spectra Hospital in
Patna, Bihar, presents a minimally invasive solution to persistent sinus
issues. While risks exist, the benefits of this surgery are substantial, often
alleviating long-standing discomfort and enhancing the overall quality of life
for patients. Should symptoms persist despite conventional treatments, seeking
medical attention and considering endoscopic sinus surgery may be the key to
long-lasting relief.