What is nasal endoscopic surgery ?
As its name suggests is the surgery we do inside the nose by using an endoscope , an instrument that carries a light that allows us to work inside these pits and the cavities that surround them ( paranasal sinuses ). In addition, it allows us to work in the orbit and in the lacrimal ways. With the collaboration of the neurosurgeon , we can even treat the pituitary gland and all the pathologies and tumors that are in contact with the so-called skull base , that is, near the nasal passages.
The advantages of nasal endoscopic surgery are that we work through a natural cavity , so we do not need to make any kind of incision, as was the case when incisions were made on the side of the nose, under the lip or even above the skull having to lift the entire cranial cavity to access this area. The most logical thing is to be able to access from the own nostril to the pathology that appears to us in this area.
What pathologies can be treated with this type of surgery?
It can treat all types of pathologies, from small deviations of the septum to sinusitis , polyposis , benign tumors, highly defined malignancies , pathologies of the lacrimal pathways, pathology of the orbit such as orbital decompressions or orbital tumors.. With the help of the neurosurgeon you can operate tumors of the pituitary gland , tumors of the skull base from the brain such as meningiomas, meningoceles, and also cerebrospinal fluid fistulas, chordomas, among others.
What type of anesthesia will be used?
It is customary to use general anesthesia , since there are only some pathologies and surgeries in which local anesthesia is used, such as laser surgery of the lacrimal ways and some very circumscribed pathology in the breasts.
How is the post-operative of the patients?
Most patients are surprised at how little annoying the post-operative is. Of entrance they are not more of a night and they can even leave the same day in according to what type of surgery and in the cases of tumors of base of skull. What we do in collaboration with the neurosurgeon, we have reduced the stay from practically 10 or 15 days to 2, 3 or 4 days maximum in the clinic.