Nasal endoscopic surgery, incisionless nose jobs

What is endoscopic endonasal surgery?

As its name suggests is the surgery we do inside the nose through the use of the endoscope, which is this instrument that carries a light and allows us to see and work within these pits and also within the cavities that surround them, which are called paranasal sinuses, but it also allows us to work in the orbit, it allows us to work in the tear ducts and it allows us to work in collaboration with the neurosurgeon in the hypophysis 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 endoscopic nasal surgery are that we work through a natural cavity, so we do not need to make any kind of incision as it happened before when incisions were made on the side of the nose, incisions under the lip or even incisions above the skull, having to lift the entire cranial cavity to access this area, when the most logical thing 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?

All types of pathologies can be treated, from small septal deviations to sinusitis, polyposis, benign tumors, very delimited malignant tumors, pathologies of the lacrimal ducts, pathologies of the orbit such as orbital decompressions or orbital tumors and with the help of the neurosurgeon can be operated pituitary tumors, tumors of the skull base from the brain such as meningiomas, meningoceles, also fistulas of cerebrospinal fluid, chordomas, etc..

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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 tear ducts and some very limited pathologies in the sinuses, but normally general anesthesia is used.

How is the postoperative period of the patients?

It can be said that most of the patients are surprised at how uncomfortable the postoperative period is. In the case 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 at the clinic at the most.