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Sinus Endoscopy
Sinus endoscopy is a fiber optic approach to opening the natural opening of the sinuses to promote better drainage and to remove soft tissue either in the nose or sinuses. There are no external incisions; the procedure is performed through the nasal passages. Most of the time there is no postoperative swelling or bruising. Unless there is excessive nasal bleeding, which only rarely occurs, there is usually no need for formal packing, but at the time of the procedure self-absorbing materials are placed which can aid in healing and reduce postoperative oozing. Despite this, one may anticipate seeing nasal bleeding for several days after the procedure.

The recuperation usually requires 5 days of rest. This does not necessarily mean bed rest, but light activity at home. For five days after procedure, one should avoid heavy lifting, straining, bending, and blowing of the nose. Nasal congestion is not uncommon and may last for 2-3 weeks after the procedure. Decongestants and antihistamines are allowed. Postoperative use of topical steroids nasal sprays should be avoided for at lest two weeks after procedure. It is recommended that the nose be kept must during the recuperation period. Use of over the counter nasal saline spray is highly recommended on a regular basis for at least two weeks. For the first three days, the use of Afrin nasal spray is also recommended to help with congestion and any nasal bleeding or oozing. Pain medications are always prescribed, but if the strong pain medicine is not required, Tylenol should be used. One should avoid Advil, Motrin, Aleve, ibuprofen, aspirin, and Naprosyn, as these medications can affect platelets, which can affect bleeding. The use of Afrin will not affect cardiovascular, blood pressure, or prostate issues and also will not interfere with other medications.

Complete healing occurs 6-8 weeks after procedure. The first 5 days are the most important for resting, and one can anticipate 2-3 weeks of nasal congestion. Patients may resume all pre sinus endoscopy medications, including asthma medication, immediately after the procedure, but should avoid using topical steroid nasal sprays for two weeks post operatively. Swimming post operatively is not a problem. Air flights should be avoided for two weeks, but if critical, air flight could occur after one week post operatively. It is recommended that patients be checked 2-3 weeks after procedure, unless there are any questions or concerns in the meantime, during which patients are encouraged to call at any time.

Unfortunately, in any procedure there are inherent risks. With sinus endoscopy there is exposure to a general anesthetic and small risk of bleeding or infection. The eye sockets are adjacent to the sinuses and there is an extremely small risk of injury to the eyes. Just above the sinuses is the brain and there is an extremely small risk of injury to the brain or developing a leak of fluid surrounding the brain. The latter two complications are extremely rare.

Sinus endoscopy is an excellent tool to help promote drainage and to prevent or minimize difficulty with sinus disease. This procedure has been performed since 1984. Statistically, 80-90% of patients notice a good improvement in their sinus disease.

If there are nay questions before or after procedure, please call at any time.
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Dr. Sawyer 300 Hebron Avenue
Glastonbury, CT
2800 Tamarack Road
South Windsor, CT
Telephone: (860) 659.2759