How long does the stay for ENT

Sinus surgeries

Important NOTE:
The description of the interventions was compiled with the greatest care. However, it can only be an overview and does not claim to be complete. The websites of the service providers and the personal consultation with the doctor or the surgical explanation in the respective operating facility provide further information.
The persons responsible for the content of this website do not guarantee the completeness and correctness of the information, as constant changes, further developments and specifications are made as a result of scientific research or adaptation of the guidelines by the medical societies.

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The nose has the important task of regulating, humidifying, warming and cleaning the air we breathe. Nasal breathing can be permanently impeded by benign growths of the mucous membrane that grow from the paranasal sinuses into the main nasal cavity, by chronic inflammation of the paranasal sinuses or curvatures of the nasal septum. This has far-reaching consequences. Increased mouth breathing puts more strain on the mucous membranes of the throat, windpipe and bronchi, which can lead to increased sore throats and inflammation of the deeper airways (bronchi). Furthermore, the paranasal sinuses may be obstructed by polyps, which leads to ventilation problems. This repeatedly results in sinus infections. Since nasal breathing is also important for ventilating the ear, it can also lead to ear infections and hearing problems.

Nasal polyps can usually be removed on an outpatient basis. Operations on the sinuses often require an inpatient stay.

What happens during this procedure?

The nasal polyps are removed with the so-called "polyp loop". This is a kind of metal loop that the doctor inserts through the nose and places over the polyp. The loop is then pulled together until the polyp is severed. Alternatively, the polyps can also be removed with the laser. After the ablation, the nose is "tamponized" for 1 - 2 days to stop the bleeding.
If there is also a chronic inflammation of the paranasal sinuses, the excretory ducts of the frontal and maxillary sinuses may also be widened so that more air can get into the paranasal sinuses and purulent secretion can flow away better.
If the paranasal sinuses are involved, polyp treatment alone is sometimes not enough and diseased mucous membranes must be removed from the sinuses at the same time (so-called sinus rehabilitation). This procedure is now also carried out through the nose with an endoscope (mirror device), but an inpatient stay of about a week is recommended. If the sinus inflammation is not treated, there is a risk that the polyps will reappear.

When does the doctor advise you to have this procedure?

As long as the polyps are not causing any symptoms, they do not need an operation. Attempts are often made to treat the polyps with nasal sprays containing cortisone. However, as soon as negative consequences of the polyps become noticeable, such as permanently impaired nasal breathing, sinus infections or increased respiratory infections, the doctor will recommend surgical removal of the polyps.
In the case of unilateral polyps in particular, the possibility of a malignant tumor must also be considered. The removed polyp tissue is therefore always examined in fine tissue.

Which stunning method is usually used?

Individual polyps can be removed under local anesthesia. General anesthesia is usually necessary for a sinus rehabilitation.

How long does the procedure take on average?

If only polyps are removed, the procedure only takes a few minutes. If further measures are required to improve nasal breathing, such as straightening the nasal wall, cleaning the paranasal sinuses or laser treatment of the sinuses, the procedure can take one to two hours, depending on the anatomy.