Our Summary

This research paper looks at how sinus surgery impacts sinus irrigation, the process of cleaning the nasal passages with fluid. The researchers used computer simulations to analyze CT scans taken before and after a patient had sinus surgery. They found that the surgery improved irrigation of the frontal sinus (the area behind your forehead), but actually resulted in less fluid reaching the maxillary and ethmoid sinuses (behind your cheeks and between your eyes, respectively). This could be due to part of the nasal septum (the wall dividing the nostrils) being removed during the surgery, causing the fluid to exit too early. The study suggests that these computer simulations could be a useful tool for figuring out the best surgical approach or irrigation strategy for each individual patient.

FAQs

  1. Does sinus surgery improve sinus irrigation?
  2. How does the removal of part of the nasal septum during sinus surgery affect sinus irrigation?
  3. Can computer simulations help determine the best surgical approach or irrigation strategy for individual patients?

Doctor’s Tip

A helpful tip a doctor might tell a patient about sinus surgery is to follow post-operative care instructions carefully, including using saline nasal irrigation as recommended. This can help keep the nasal passages clear and aid in the healing process. Additionally, maintaining good nasal hygiene, staying hydrated, and avoiding irritants like smoke and strong odors can also help promote healing after sinus surgery.

Suitable For

Patients who are typically recommended sinus surgery are those who have chronic sinusitis that does not improve with other treatments such as medication or nasal sprays. Chronic sinusitis is characterized by inflammation of the sinuses that lasts for at least 12 weeks, and can cause symptoms such as facial pain or pressure, nasal congestion, and difficulty breathing. Other conditions that may warrant sinus surgery include nasal polyps, a deviated septum, or a sinus infection that keeps coming back.

Sinus surgery is usually considered a last resort when other treatments have been ineffective, and is performed to remove blockages in the sinus passages, improve drainage, and reduce inflammation. The goal of the surgery is to improve the patient’s quality of life by relieving their symptoms and reducing the frequency and severity of sinus infections. It is important for patients to discuss the risks and benefits of sinus surgery with their healthcare provider to determine if it is the best course of action for their individual situation.

Timeline

  • Before sinus surgery: The patient experiences chronic sinusitis symptoms such as nasal congestion, facial pain or pressure, headaches, and difficulty breathing. They may have tried various medications and treatments without success.

  • Consultation with an ENT specialist: The patient meets with an ear, nose, and throat (ENT) specialist to discuss their symptoms and medical history. The specialist may recommend imaging tests such as a CT scan to determine the extent of sinus blockage and inflammation.

  • Pre-operative preparation: The patient undergoes pre-operative tests and evaluations to ensure they are healthy enough for surgery. They may be instructed to stop taking certain medications or to avoid eating or drinking before the procedure.

  • Sinus surgery: The patient undergoes endoscopic sinus surgery, a minimally invasive procedure performed through the nostrils using a thin, flexible tube with a camera attached. The surgeon removes blockages, polyps, or damaged tissue to improve sinus drainage and airflow.

  • Post-operative recovery: The patient may experience nasal congestion, mild pain or discomfort, and nasal drainage for a few days after surgery. They will be prescribed pain medications, nasal sprays, and instructions for caring for their nasal passages.

  • Follow-up appointments: The patient will have follow-up appointments with their ENT specialist to monitor their recovery and assess the effectiveness of the surgery. They may be advised to continue using nasal irrigation or other treatments to maintain sinus health.

  • Long-term outcome: The patient experiences improved sinus drainage, reduced symptoms of sinusitis, and better quality of life after surgery. They may need periodic follow-up appointments or treatments to manage any recurring sinus issues.

What to Ask Your Doctor

  1. What specific type of sinus surgery will be performed and why is it recommended for my condition?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the expected recovery time and what can I do to promote healing?
  4. How will sinus surgery impact my ability to breathe through my nose?
  5. Will I need to continue using sinus irrigation or other treatments after the surgery?
  6. How long will it take to see improvement in my sinus symptoms after the surgery?
  7. Are there any lifestyle changes or precautions I should take after the surgery to prevent complications or recurrence of sinus issues?
  8. Are there any alternative treatment options or conservative measures that could be considered before opting for surgery?
  9. Will I need any follow-up appointments or monitoring after the surgery?
  10. Can you provide me with more information or resources about sinus surgery and what to expect during the process?

Reference

Authors: Zhao K, Craig JR, Cohen NA, Adappa ND, Khalili S, Palmer JN. Journal: Laryngoscope. 2016 Mar;126(3):E90-6. doi: 10.1002/lary.25666. Epub 2015 Oct 15. PMID: 26467934