How painful is endoscopic sinus surgery?

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asked Aug 26, 2023 in Pain by Luckytere (2,100 points)
How painful is endoscopic sinus surgery?

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answered Jun 9 by Gugliemini (5,600 points)
Endoscopic sinus surgery is not painful as you will be under general anesthesia although there can be some moderate to low levels of postoperative pain.

Your doctor may given you or prescribe you some pain medication to take to control the pain.

Endoscopic sinus surgery takes between 1 hour to 3 hours and is done in the operating room with you being under general anesthesia.

You may also need to spend the night in the hospital although sometimes you may be able to go home within a few hours of the endoscopic sinus surgery.

After endoscopic sinus surgery you should not do any strenuous activity for at least 7 days after the surgery, do not strain or lift more than 20 lbs of weight, do not bend over at your waist to pick things up and instead bend at the knees with your head up.

Also after endoscopic sinus surgery do not blow your nose, go swimming until at least 7 days or more after the endoscopic sinus surgery or until it has fully healed.

After endoscopic sinus surgery you may have minor bleeding, congestion, pain, discharge and fatigue which usually goes away within 1 week to 3 weeks.

You are asleep for endoscopic sinus surgery as you will be under general anesthesia which puts you to sleep during the endoscopic sinus surgery which is an outpatient procedure.

Endoscopic sinus surgery is not a major surgery and is considered to be a minor surgery that is minimally invasive.

Endoscopic sinus surgery is considered a minor surgery and is minimally invasive.

The complications of endoscopic endonasal approach are electrolyte and hormone disturbances caused by pituitary dysregulation, meningitis, visual changes and cerebrospinal fluid leaks.

Endoscopic surgery takes on average of 2 hours although sometimes it may take as long as 4 to 6 hours.

Endonasal surgery takes around 2 hours although more complex endonasal surgery procedures can take 4 to 6 hours to complete.

The purpose of endoscopic endonasal surgery is to allow the surgeon to operate on areas at the front of the brain and top of your spine.

Endoscopic endonasal surgery for brain tumor is a minimally invasive surgical technique where the surgeon uses a thin tube called an endoscope that is thread through the nose and sinuses to operate on areas at the front of your brain and the top of your spine.

After endonasal surgery you should expect to feel tired for 7 to 10 days and expect to have some drainage from the back and front of the nose.

You might also have some blood tinged mucus drainage that lasts for 4 days to 5 days after endonasal surgery and drainage and even light bleeding is common after endonasal surgery and should decrease each week.

The recovery time for endoscopic endonasal brain surgery is 6 to 8 weeks for full recovery.

After 6 to 8 weeks you should be fully recovered from endoscopic endonasal brain surgery and your nose should be fully healed.

You may also feel tired for 7 to 10 days after the endoscopic endonasal brain surgery and you should limit activities such as walking or climbing stairs for the first 2 days after the surgery.

The endonasal procedure is a minimally invasive surgical procedure that allows the surgeon to go through your nose to operate on areas at the front of your brain and the top of your spine.

During an endonasal procedure a thin tube that is called an endoscope is thread through the nose and sinuses.

An endonasal procedure is also called endoscopic endonasal surgery.

Endoscopic endonasal surgery can be used to remove tumors in areas near the base of your brain or skull, and at the top of the spine.

The endonasal procedure can also be used to treat problems with the sinuses.

This approach allows the surgeon to reach these areas without the need for large incisions or removal of parts of the skull.

For routine cases, endonasal surgery often takes two hours from the time anesthesia is administered.

More complex cases may take from four to six hours.

After the endonasal surgery you may experience nasal congestion, nausea, headaches, and pain after surgery.

However, these symptoms will be managed by medication.

If your vital signs (heart rate, breathing rate, blood pressure, and temperature) require closer monitoring, you may spend a night in the intensive care unit (ICU).

The risks of endonasal surgery include.

Reactions to the anesthesia.
Excessive bleeding.
Hematoma (a pooling of blood in the wound site)
Damage to veins, arteries, nerves, and other structures in the area.
Cerebrospinal fluid leaking from the nose.
Infection.
Slow healing.
Blood clots.

You should expect some nasal and sinus pressure and pain for the first several days after the endonasal surgery.

This may feel like a sinus infection or a dull ache in your sinuses.

Extra-strength acetaminophen should relieve mild discomfort.

Endonasal surgery is typically performed with monitored anesthesia care (MAC), a form of intravenous sedation that relaxes you and induces "twilight sleep."

Because of this, you need to take the same dietary precautions as with any other type of anesthesia.

You will have to sleep with your head elevated for 24-48 hours after endonasal surgery to help the bleeding slow down and help the swelling resolve.

Prior to the endonasal surgery, set up your bed with at least two pillows so you can prop your head up at night.

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