Advantages and Disadvantages of Endonasal Endoscopic Surgery
Endonasal endoscopic surgery is a minimally invasive surgical technique that allows surgeons to access the interior of the skull, sinuses, and brain through the nasal passages. This approach has revolutionized the field of neurosurgery and otolaryngology by providing a less invasive alternative to traditional open surgery.
Endonasal endoscopic surgery involves the use of an endoscope, a thin, flexible tube equipped with a light and camera, which is inserted through the nostrils. This allows the surgeon to visualize and operate on structures within the nasal passages, sinuses, and even the brain without making external incisions. The procedure is commonly used to treat such conditions as:
- Pituitary tumors
- Skull base tumors
- Endoscopic pilonidal sinus treatment
- Cerebrospinal fluid leaks
- Nasal polyps
Below are the advantages and disadvantages of endonasal endoscopic surgery:
| Advantage | Disadvantages |
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Notes:
- Endonasal endoscopic surgery considerations depend on various factors, including the type and location of the condition, the patient’s anatomy, overall health, and previous surgical history.
- Consulting with a specialized surgeon is essential to determine if this approach is suitable for a specific patient. For more details, please call our hotline at: (84-24) 3574 1111
Is endosal endoscopic surgery painful?
One of the most common concerns patients have about any surgical procedure is the level of pain they might experience. Endonasal endoscopic surgery is no exception. Understanding the pain associated with this procedure can help patients prepare mentally and physically for the surgery and recovery process.
During the Surgery
During endonasal endoscopic surgery, patients are typically under general anesthesia. This means they are completely unconscious and do not feel any pain during the procedure. The anesthesia team monitors the patients closely to ensure they remain comfortable and pain-free throughout the surgery.
Postoperative Pain
After the surgery, it is normal to experience some discomfort and pain as the body begins to heal. However, the pain associated with endonasal endoscopic surgery is generally less severe compared to traditional open surgery. This is due to several key factors:
- Minimally Invasive Nature: Since the surgery is performed through the nasal passages without external incisions, there is less tissue trauma, which typically results in reduced pain.
- Pain Management: Surgeons often prescribe pain medications to help manage postoperative pain. These may include over-the-counter pain relievers like acetaminophen or ibuprofen, as well as stronger prescription medications if needed.
- Swelling and Congestion: Patients may experience swelling and congestion in the nasal passages, which can cause discomfort. Nasal saline sprays and decongestants may be recommended to alleviate these symptoms.
- Individual Pain Tolerance: Pain tolerance varies from person to person. Some patients may experience more discomfort than others, but most find the pain to be managed with the prescribed medications.
Technical procedure of endonasal endoscopic surgery
The endoscopic nasal surgery procedure includes 6 steps:
Step 1: Patient Information
Before undergoing endosal endoscopic surgery, patients must undergo a thorough evaluation and preparation process. The surgeon will review the patient’s medical history and perform a physical examination to assess overall health and suitability for the procedure. Then, advanced imaging techniques, such as MRI or CT scans, are used to visualize the target area and plan the surgical approach.
In addition, patients will receive specific instructions on how to prepare for the surgery, including fasting guidelines, medication adjustments, and what to expect on the day of the procedure.
Step 2: Preparation of Anasthesia
The patient is placed under general anesthesia to ensure they are unconscious and pain-free during the surgery. Anesthesia is prepared in accordance with factors including the patient’s height, weight, and age.
Step 3: Anesthesia and Endoscopy
After general anesthesia is induced, the surgery will begin. The endoscopic surgical process takes 2 – 4 hours, possibly longer depending on the patient’s condition.
The surgeon inserts the endoscope through one or both nostrils to reach the target area. Advanced imaging and navigation systems may be used to enhance precision. Depending on the condition being treated, the surgeon may remove tumors, repair cerebrospinal fluid leaks, or address other issues. Specialized instruments are used to perform these tasks with minimal disruption to surrounding tissues.
Since there are no external decisions, there is no need for sutures. The surgeon may place nasal packing or dressings to support healing and reduce swelling.
Step 4: Recovery
Patients are taken to a recovery room where they are monitored as they wake up from anesthesia. Vital signs are checked, and pain management is initiated. Depending on the complexity of the surgery and the patient’s condition, further hospitalization may be required or the patient may be discharged after 1 week of recovery.
Step 5: Results & Consultation
After the surgery, the patient’s doctor will explain the process and results. In addition, the doctor will inform the patient of necessary post-operative notes to assist recovery.
In conclusion, endonasal endoscopic surgery brings many benefits and is painless for patients. At HFH Hospital, this procedure is carried out in accordance with the regulations of the Ministry of Health. Therefore, for more details about endonasal endoscopic surgery, please contact a specialist for advice.
