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Sinus surgery should be considered if medication fails to adequately relieve
symptoms and the individual's quality of life continues to suffer. The need
for surgery may be due to recurrent attacks of acute Rhinosinusits or longer
term symptoms associated with Chronic Rhinosinusitis. Most sinus operations
are now performed utilizing an endoscope placed inside the nose through the
nostril and a tiny TV camera which enables the surgeon to view structures and
tissue on a TV screen. The term applied to such sinus procedures is Endoscopic
Sinus Surgery, or ESS. Patients are generally asleep for the procedure. This
will be discussed with you. The goal of the surgery is to correct any structural
problems within the nose and sinuses as well as to eliminate blockage by removing
thickened tissue creating wider drainage channels. This will invariably improve
nasal and sinus function.
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Computer assisted sinus surgery as seen during a sinus operation.
Right lower quadrant is a picture of an instrument in a sinus cavity. The remaining 3 quadrants d
emonstrate the location of this same instrument on the actual CT scan of this patient.
As the instrument moves during surgery the location on the scan also changes.
This is a real time event.
Click here to view the video format
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Various microsurgical instruments are used during the surgery and
Computer
Assisted Techniques are available. Unless there are unusual circumstances you
will go home the same day. The outside of the nose and face does not swell and
there is no visible black and blue. Most of our patients can work within a few
days, in some instances the next day. The postoperative care will be discussed
in more detail in the office. Suffice it to say, the recovery is generally not
difficult and surprisingly painless. For approximately 4-6 weeks you will be
seen in the office at intervals to clear the nose of mucous and secretions to
improve your breathing. More detail will be provided concerning the postoperative
care.
Computer Assisted Sinus Surgery (CASS) or Image Guided Sinus Surgery
(IGS) is a system that which integrates a high speed computer and
the surgical instruments. This equipment, in combination with an
endoscope and TV monitor, permits the surgeon to visualize the surgical
instruments at all times within the sinuses based on the anatomy
of the CT scan taken before surgery. This tracking system also correlates
movement of these instruments. The surgeon therefore obtains instant
feedback concerning the location of the surgical instruments within
the various sinuses correlated to the individual's preoperative
medical images, or CT scan. This real time information permits more
thorough and precise surgery.
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brochure Copyright © 2004 Dr. Joseph B. Jacobs
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