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Procedure Name

Endoscopic antrostomy
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Surgery Type

Minimally Invasive
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Hospital Stay

Nil
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Duration of Surgery

1-2 Hours
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Type of Anaesthesia

General Anesthesia/Local Anesthesia
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Full Recovery

4-6 Weeks

Overview

Endoscopic antrostomy is a surgical procedure designed to address issues in the maxillary sinuses, which are located in the cheekbones. This minimally invasive technique helps to improve sinus drainage and alleviate symptoms associated with chronic sinusitis and other sinus-related conditions. In this blog, we will explore what endoscopic antrostomy involves, its indications, procedure, benefits, and aftercare.

What is Endoscopic Antrostomy?

Endoscopic antrostomy is a procedure that uses an endoscope—a thin, flexible tube with a camera and light source—to create an opening in the maxillary sinus. This opening, or antrostomy, improves sinus drainage and allows for better access to the sinus for treatment. The procedure is typically performed by an ENT (ear, nose, and throat) specialist.

Indications for Endoscopic Antrostomy

Persistent inflammation of the maxillary sinuses that does not respond to medication or other treatments.

Growths within the sinus cavity that obstruct normal drainage and cause symptoms.

Recurrent infections that lead to significant discomfort and do not resolve with standard treatments.

Structural abnormalities or blockages that prevent proper sinus drainage.

To evaluate and treat sinus issues in preparation for other sinus surgeries or as part of a broader sinus management strategy.

The Endoscopic Antrostomy Procedure

1. Preparation

Consultation and Evaluation

  • Medical History Review: The ENT specialist reviews the patient’s symptoms, medical history, and previous treatments.
  • Physical Examination: An examination of the nasal passages and sinuses is conducted using an endoscope or imaging studies like CT scans to assess the condition of the sinuses.

Pre-Procedure Instructions

  • Medication Review: Review and adjust medications as necessary, especially anticoagulants.
  • Anesthesia: The procedure is typically performed under general anesthesia, but local anesthesia with sedation may be used for less extensive cases.

2. Procedure Steps

Anesthesia and Positioning

  • Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free during the procedure.
  • Positioning: The patient is positioned with their head tilted backward to provide optimal access to the sinus area.

Endoscopic Access

  • Insertion of Endoscope: A thin endoscope is gently inserted through the nasal passages to reach the maxillary sinus. The camera on the endoscope provides a clear view of the sinus cavity on a monitor.
  • Creating the Antrostomy: The ENT specialist uses specialized instruments to create an opening in the maxillary sinus. This involves removing obstructing tissue or enlarging the natural sinus drainage pathway.

Inspection and Treatment

  • Evaluation: The specialist inspects the sinus cavity to ensure that the new opening is clear and functioning properly.
  • Treatment: If needed, additional treatments such as removal of polyps or debris may be performed.

Completion

  • Endoscope Removal: The endoscope and instruments are carefully removed.
  • Post-Procedure Instructions: The patient is given instructions on post-operative care and what to expect during recovery.

Benefits of Endoscopic Antrostomy

Performed through the nasal passages without external incisions, leading to less pain and quicker recovery.

Enhances the drainage of the maxillary sinuses, reducing symptoms of chronic sinusitis and improving overall sinus health.

Provides direct visualization of the sinus cavity, allowing for accurate diagnosis and effective treatment of abnormalities.

Most patients experience a faster recovery compared to more invasive sinus surgeries.

Risks and Complications

Some bleeding from the sinus or nasal passages can occur.

There is a risk of infection at the site of the new sinus opening.

Unintentional damage to nearby structures, such as the nasal septum or teeth roots, may occur.

In some cases, symptoms may persist or recur if underlying issues are not fully addressed.

Recovery and Aftercare

1. Immediate Post-Procedure Care

  • Monitoring: The patient is monitored for a short time after the procedure to ensure there are no immediate complications.
  • Pain Management: Mild pain or discomfort can be managed with prescribed medications or over-the-counter pain relievers.

2. Post-Procedure Instructions

  • Nasal Care: Patients are advised to avoid blowing the nose forcefully and to use saline nasal sprays as recommended to keep the nasal passages moist.
  • Activity Restrictions: Avoid strenuous activities and heavy lifting for a few weeks to prevent stress on the healing sinus area.
  • Follow-Up Appointments: Regular follow-up visits with the ENT specialist to monitor healing and ensure the sinus remains clear and healthy.

3. Long-Term Care

  • Symptom Monitoring: Patients should monitor for any new or worsening symptoms and report them to their healthcare provider.
  • Avoid Irritants: Avoid exposure to irritants such as smoke or allergens that could affect sinus health.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital and the finest doctor, for endoscopic antrostomy at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin! 

The power of Medfin in patient’s words

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“ Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin”

Suresh Menon Hyderabad 8 days ago
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“ After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made”

Radhika Iyer Mumbai 8 days ago
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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

Deepa Shree Bangalore 8 days ago
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