What are the types of Nose Surgeries?
Septoplasty:
The nose comprises two nasal cavities separated by a bony cartilaginous partition called a septum. The function of the nose is to enable the passage of air, filter off harmful particles and micro-organisms and regulate the temperature of inhaled air. Deviation in the nasal septum causes narrowing of air passage, resulting in nasal obstruction, and crusting and a few cases can also result in nasal bleeding.
Septoplasty is a surgery done to correct the deviation and improve the nasal airflow. It can be combined with other nasal surgeries for an approach inside the nose.
Read Also: Ear Surgeries : Addressing Hearing and Ear Health Concerns
Septorhinoplasty:
The nose is shaped by bones and cartilage, it is lined by skin above and mucosa inside. The surgery is done to improve the airflow (Septoplasty) and the appearance of the nose (Rhinoplasty). The surgeon performs the surgery with general anaesthesia, a cut is made in the nasal mucosa and removal/ realignment of bone and cartilage is done to correct the deviation and deformity. Subsequently, the nose is packed and supported by a nasal splint for a few days.
Endoscopic Dacryocystorhinostomy (DCR):
The tears from the eyes drain through the tear ducts on the inner side of the eye into the nose. Repeated infection or injury to the tear duct can lead to a medical condition known as Dacryocystitis.
This results in excessive watering of the eye and even pain and swelling in the inner side of the eye. The condition is best treated surgically by an endoscopic nasal approach of creating a new opening above the obstruction into the nasal cavity.
Read Also: Infection of The Middle Ear (Chronic Otitis Media)
Endoscopic Sinus Surgery:
It is a surgery performed to clear the disease and establish the drainage and ventilation of the sinuses into the nose. The surgery is done for various kinds of tumours, infections and inflammatory conditions of the nose and paranasal sinuses. It is performed with the aid of a nasal endoscope, and powered instruments which enable scar-free surgery, less morbidity and shorter hospital stays.
Balloon sinuplasty:
This is a minimally invasive daycare procedure performed to clear off the obstruction of the various sinuses. A balloon is introduced over the guidewire to open the sinus ostium. It is a minimally invasive surgery with faster recovery.
Read Also: All About Sinonasal Tumours: Types, Symptoms and Treatment
Orbital Decompression:
The eyeball along with its muscles and fat is housed in a closed bony area called the eye socket. The eye socket is in proximity to the nasal cavity and the maxillary sinus. In various eye conditions, expanding tumours of the orbit can cause compression of the eyeball leading to vision loss, bulging of the eye and pain. The eye socket lesions can be approached through the endoscopic nasal approach which enables the release of eye pressure into the nose and the removal of disease without creating external scars and orbital morbidities. However, an experienced Sinus surgeon is required by selection of cases for endoscopic nasal surgery for better outcomes.
Optic Nerve Decompression:
The optic nerve is the nerve of vision that travels from the eye to the brain. It is enclosed in the bony canal housed in the lateral wall of the sphenoid sinus.
Conditions like head injury and skull fracture can sometimes lead to injury, compression or oedema of the optic nerve in the canal leading to blindness.
Optic nerve decompression is a minimally invasive surgery to relieve pressure on the optic nerve by removing bone around the nerve. This delicate surgery is done with the help of an endoscope through the nose and sinuses.
Read Also: Juvenile Nasopharyngeal Angiofibroma: Symptoms and Treatment
Endoscopic Pituitary Surgeries:
It is a minimally invasive endoscopic nasal approach for tumours of the pituitary. The Pituitary gland is present on the floor of the brain, located on the roof of the sphenoid sinus, and can be accessed by using the natural nasal corridor. The surgery is performed along with the neurosurgeon.
The ENT surgeon creates a passage to the bone cavity housing the pituitary gland in the sphenoid sinus, a small opening is made and the neurosurgeon expels the tumour. This approach has less complication, shorter hospital stay and better visualization than the traditional open cranial approach.
The field of otorhinolaryngology is fast changing. With the latest technology and surgeon experience, the morbidity associated with surgery is minimal.
If you are looking for cutting-edge technology, and a better treatment experience, book an appointment with the best ENT specialists in Delhi NCR, Dr. (Lt. Col.) Ravi Roy.
Dr. Ravi Roy is a highly experienced ENT specialist with over 20 years of clinical practice, specializing in CSF rhinorrhea and endoscopic sinus surgeries. Currently serving as a Senior Consultant in ENT at Yashoda Hospital & Research Centre in Nehru Nagar, Ghaziabad, Dr. Roy brings his extensive expertise in otolaryngology to provide exemplary patient care.
