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Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses. Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
However, patients with isolated sphenoid sinusitis may complain of occipital or vertex headache, retro-orbital pain, otalgia, drowsiness, or meningitis-like symptoms. [7] A potential complication of sphenoidal sinusitis is cavernous sinus thrombosis. [7] If a fast-growing tumor erodes the floor of the sphenoidal sinus, the vidian nerve may be ...
Surgeons use this method to reach the cavernous sinus, lateral sphenoid sinus, infra temporal fossa, pterygoid fossa, and the petrous apex. Surgery includes a uninectomy (removal of the osteomeatal complex), a medial maxillectomy (removal of maxilla), an ethmoidectomy (removal of ethmoid cells and/or ethmoid bone), a sphenoidectomy (removal of ...
Transsphenoidal surgery is a type of surgery in which an endoscope or surgical instruments are inserted into part of the brain by going through the nose and the sphenoid bone (a butterfly-shaped bone forming the anterior inferior portion of the brain case) into the sphenoidal sinus cavity. Transsphenoidal surgery is used to remove tumors of the ...
Specially designed long nozzles had been developed to use postoperatively to deliver steroids into those areas after sinus surgery for polyps. [20] Surgery lasts approximately 45 to 60 minutes and can be done under general or local anesthesia. [19] Most people tolerate the surgery without much pain, though this can vary from person to person.
Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia. The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization. A flexible guide wire is then introduced into the targeted sinus to confirm access.
The human nose is the first organ of the respiratory system.It is also the principal organ in the olfactory system.The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum, which separates the nostrils and divides the nasal cavity into two.
Above the attachment of each greater wing is a broad groove, curved something like the italic letter f; it lodges the internal carotid artery and the cavernous sinus, and is named the carotid sulcus. Along the posterior part of the lateral margin of this groove, in the angle between the body and greater wing, is a ridge of bone, called the ...