Preauricular Sinus excision for Preauricular Sinus – Infection

Simple sincectomy is the commonly used standard procedure for excising preauricular sinus. The skin surrounding the preauricular sinus tract is excised and dissected out along with the tract. Jensma technique is a surgical intervention for the excision of preauricular sinus. It is a modification of the classic sinusotomy procedure. A dye (GV paint) injected through a point identifies the tract. A circular incision is made to encircle the opening of the preauricular sinus and the whole sinus is observed using dye diffusion as a guide. The recurrence rate is very high in this technique. It is not a suitable approach in patients with infected preauricular sinus. A more radical approach called supra auricular approach is more popular technique due to its low recurrence rate. This surgery is performed using a comet incision. Incomplete removal of sinus tract is the commonest cause for recurrence in the surgical excision

Septoplasty – Deviated Nasal Septum

Septoplasty is a surgical procedure to correct the shape of the septum of the nose. The goal of this procedure is to correct deformities of the septum. Laser septoplasty is a simple, relatively new surgical procedure which is proved to be the best treatment for a minimal to moderate type of deviated nasal septum. But traditional septoplasty is the only treatment for major deformities. The surgical procedure of laser septoplasty is very simple and less time consuming and it involves minimal or no bleeding. This is very comfortable for both the patient and the operating surgeon. There are no post operative complications with the laser septoplasty. The removed cartilage allows the patient to have increased air-flow through their nose without the harmful effects of a regular septoplasty procedure. Septoplasty is performed to correct a crooked or dislocated septum, mostly as part of plastic surgery of the nose. Septoplasty is essential when the patient undergoes reductive rhinoplasty, since it reduces the amount of breathing space in the nose.

The space between the septum and turbinates allow the air to pass through the nose. But larger turbinates can contribute to nasal obstruction. The larger inferior turbinates projects in to air passage causing obstruction. There are many ways to shrink the size of the turbinates. Surgery is typically called turbinate reduction or turbinate resection. Most of the time, turbinate surgery is performed in conjunction with septoplasty, called septoplasty-turbinate reduction. It is important that the turbinate not be removed completely because its removal can result in a very dry and crusty nose. In the absence of a turbinate, the air may not be to adequately humidified and warmed. Some other methods rely on shrinking the turbinates without removing any of the turbinate bone or tissue. These methods include cauterization, Coblation, and radiofrequency reduction.

Functional Endoscopic Sinus Surgery (FESS) – Sinus pus removal, Sinus widening

Functional endoscopic sinus surgery is a range of diagnostic and treatment procedures carried out with the help of rigid nasal endoscopes. Aim of functional endoscopic surgery is to maintain physiological function and anatomical structure, re-establishing sinus drainage and mucosal recovery. Functional endoscopic sinus surgery (FESS) is the key surgical intervention for the treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute and chronic sinus problems.

During this surgery, a large raw area is left behind in the lateral nasal wall and often on the opposing lateral surface of the middle turbinate. This can lead to scarring and result in recurrence of the disease. This can be prevented by preserving mucosa during surgery and careful cleaning of the operated cavity. A limitation of the surgery is that FESS is not an excision surgery. The aim is to bring about healing without the excision. The limitation of the surgery is that healing may not occur as expected, resulting in the need for a secondary extension or revision procedure. FESS is mainly indicated in medically unresponsive chronic sinusitis and nasal polyposis. Ethmoidal polyp can be effectively removed by doing a complete Ethmoidectomy during FESS. FESS may also be employed for diagnosis; biopsy and treatment of fungal sinusitis. An antrochoanal polyp can be very easily removed. The sinus surgery cost varies considerably from country to country, although FESS is a very affordable surgery. Some computer-assisted surgeries are more expensive than other FESS surgeries. A sinus lift surgery adds bone to the upper jaw in the area of molars and premolars, specifically between the jaw and the maxillary sinuses, on either side of your nose. The sinus membrane is moved upward, or lifted to provide space for the bone. The sinus lift or sinus lift graft procedure is a relatively common form of oral plastic surgery that is designed to increase the height of the maxillary bone so that further reconstructive work, such as dental implants can be done.
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