Endoscopic nasal surgery, nose jobs without incisions

Written by: Dr. Humbert Massegur Solench
Edited by: Top Doctors®


What is endonasal endonasal surgery?

As its name suggests is the surgery we do inside the nose by using the endoscope, which is this instrument that carries a light and allows us to see and work inside these pits and also within the cavities that surround them, which are the so-called paranasal sinuses, but also allows us to work in the orbit, allows us to work in the lacrimal ways and allows us to work in collaboration with the neurosurgeon in the pituitary gland and in all the pathologies or tumors that are in contact with what we call the base of the skull, that is, near the nostrils. The advantages of nasal endoscopic surgery are that we work through a natural cavity, so we do not need to make any type of incision, as was the case when incisions were made next to the nose, incisions under the lip or even incisions above of the skull having to lift the entire cranial cavity to access this area, when the most logical is to access from the nostril itself to the pathology that appears in this area.

What pathologies can be treated with this type of surgery?

It can treat all types of pathologies, from small deviations from septum to sinusitis, polyposis, benign tumors, malignant tumors very limited, pathologies of the lacrimal pathologies, pathologies of the orbit as orbital decompressions or orbital tumors and with the help of the neurosurgeon can be operate tumors of the pituitary, tumors of the skull base from the brain such as meningiomas, meningoceles, cerebrospinal fluid fistulas, chordomas, etc.

What type of anesthesia will be used?

Normally general anesthesia is used, there are only some pathologies and surgeries in which local anesthesia is used, such as laser surgery of the lacrimal pathways and some very circumscribed pathology in the sinuses, but usually general anesthesia.

How is the postoperative of the patients?

It can be said that most patients are surprised at how little annoying the postoperative period is. From the start they are not more than one night and they can even leave the same day according to what type of surgery and in the cases of skull base tumors, which we do in collaboration with the neurosurgeon, we have reduced the stay from practically 10-15 days to 2, 3 or 4 days maximum in the clinic.


*Translated with Google translator. We apologize for any imperfection

By Dr. Humbert Massegur Solench

Eminence of the specialty of Otorhinolaryngology, Dr. Massegur is a pioneer in Spain in nasosinusal and skull-based endoscopic surgery. Doctorate with Cum Laude Qualification from the Autonomous University of Barcelona, ​​as an expert in his field he has written several articles and has directed several courses. He has been Head of the ENT Service at the Sta. Caterina Hospital in Girona and currently combines private practice with public practice at the Hospital de Sant Pau in Barcelona. He has also been Secretary of the Catalan Society of ENT and Secretary of the External Relations Commission of the Spanish ENT Society (Period 1997-2005). He teaches at the Medical University of Girona and teaches Internal Doctors and Residents of the ENT Service of the Hospital of Sta. Creu and St Pau.

*Translated with Google translator. We apologize for any imperfection

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