What is endoscopic medial maxillectomy?
Endoscopic medial maxillectomy (EMM) is a radical procedure that involves removal of the uncinate process, the bulla, the inferior turbinate, the middle turbinate, and the medial wall of the maxilla (including the nasolacrimal duct) to provide access to the maxillary sinus.
How long does endoscopic sinus surgery take?
Endoscopic sinus surgery usually takes between one and three hours and is done in the operating room with the child under general anesthesia.
How is a maxillectomy performed?
Your surgeon will need to cut through your upper jaw (maxilla) to remove the tumour. The operation involves removing of some of the bone in your maxilla, part of the roof of your mouth, and possibly some of your teeth. This will allow your surgeon to remove the tumour and a margin of healthy tissue around it.
What is fess protocol?
Functional endoscopic sinus surgery (FESS) is a minimally invasive procedure which uses nasal endoscopes to enlarge the nasal drainage pathways of the paranasal sinuses to improve sinus ventilation and allow access of topical medications.
What is modified medial maxillectomy?
The modified medial maxillectomy entails removing a large portion of the medial maxillary wall to gain wide access to the maxillary sinus. It is primarily used for the removal of benign tumors, such as inverted papillomas and juvenile nasopharyngeal angiofibromas.1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12.
What is a total maxillectomy?
Total maxillectomy removes your entire maxilla on one side of your face, along with your hard palate and orbital floor. It requires major reconstructive surgery and prosthetic devices.
Is endoscopic sinus surgery a major surgery?
Functional endoscopic sinus surgery (FESS) is minimally invasive surgery for serious sinus conditions. Healthcare providers use nasal endoscopes — thin tubes with lights and lens — to ease your sinus symptoms without making incisions in or around your nose.
Can you walk after sinus surgery?
You can resume 50% of your regular exercise regimen at 1 week after surgery and your normal routine 2 weeks after surgery. Aspirin or Non-steroidal Anti-inflammatory (NSAIDs) medications: Aspirin and NSAIDs such as Motrin, Advil, and Aleve should be stopped 2 weeks prior to surgery.
How long does a maxillectomy surgery take?
No further liquids after 06.30 am. The operation will take approximately two hours.
How long is recovery from a maxillectomy?
Your recovery depends on the type of maxillectomy. Initial recovery may include: Hospital stay of up to two weeks, especially if you have an extensive reconstruction. Medications for pain and to prevent blood clots and infection.
How successful is endoscopic sinus surgery?
The results after FESS are good, with most studies reporting an 80 to 90 percent rate of success. Good results also have been obtained in patients who have had previous sinus surgery. The procedure is considered successful if the majority of the patient’s symptoms are resolved.
What is Ethmoidectomy surgery?
An ethmoidectomy removes infected tissue and bone in the ethmoid sinuses that blocks natural drainage. The surgeon views your ethmoid sinuses with an endoscope, a thin flexible tube with a very small camera and light at the end of it.
What is radical Maxillectomy?
Bilateral rostral radical maxillectomy is the most aggressive maxillofacial procedure performed in cats and dogs. This procedure is indicated for extensive malignant tumors of the rostral maxilla which across the midline and extend caudally and dorsally into the nasal cavity.
How long is recovery from endoscopic sinus surgery?
You will probably be able to return to work or school in about 1 week and to your normal routine in about 3 weeks. But this varies with your job and the extent of your surgery. Most people feel normal in 1 to 2 months. You will have to visit your doctor regularly for 3 to 4 months after your surgery.
Is sinus surgery risky?
The primary risks are bleeding or infection in the area of the septum; numbness of the front teeth; the development of a hole through the septum (septal perforation); brain fluid leak; or recurrence of septal deviation. There is a very small risk that such occurrences could alter the external appearance of the nose.
How should I sleep after endoscopic sinus surgery?
Raise your head with three or four pillows. This can reduce swelling. Try to sleep on your back during the month after surgery. You can also sleep in a reclining chair.
How long do I have to sleep sitting up after sinus surgery?
You will have to sleep with your head elevated for 24-48 hours after surgery to help the bleeding slow down and help the swelling resolve.
What is radical maxillectomy?
What is maxilla bone?
Each maxillary bone has the shape of a pyramid, it’s base adjacent to the nasal cavity, its apex being the zygomatic process, and its body constituting the maxillary sinus. [3] The maxilla connects with surrounding facial structures through four processes: alveolar, frontal, zygomatic and palatine.
Is sinus surgery worth the risk?
The majority of people that have sinus surgery report their symptoms improve greatly afterward. They have easier breathing, fewer infections, and increased sense of smell. To many people who have repeated sinus infections and difficulty breathing, this surgery is well worth the minimal risks it carries.
Is endoscopic sinus surgery painful?
Pain: You should expect some nasal and sinus pressure and pain for the first several days after surgery. This may feel like a sinus infection or a dull ache in your sinuses. Extra-strength Tylenol is often all that is needed for mild post-operative discomfort.
Do you get black eyes after sinus surgery?
Recovery. After sinus surgery, it is normal to experience pain (usually a headache or a slight burning sensation in the mid-face region), nosebleeds, and bad breath for the first 24 to 72 hours. Less commonly, you may develop a black eye or have temporary numbness or tingling in the face or gums.
How long does a maxillectomy last?
Do they break your nose for sinus surgery?
The nose is not broken during surgery. The operation takes between 30 and 90 minutes. Afterward, the doctor may insert splints or soft packing to hold nasal tissue in place, prevent nosebleeds and prevent the formation of scar tissue.
Which is a major complication of endoscopic sinus surgery?
If you require septoplasty, there are additional risks associated with this procedure. The primary risks are bleeding or infection in the area of the septum; numbness of the front teeth; the development of a hole through the septum (septal perforation); brain fluid leak; or recurrence of septal deviation.