Endoscopic nasal surgery is a major surgery done to remove tumors from the brain and top of the spinal cord. To minimize the complications and early recovery, the patient should undergo such surgery from the best neurosurgeon in Faridabad.
What Is Endoscopic Endonasal Surgery?
Endoscopic endonasal surgery is a type of minimally invasive surgery. This surgery involves the access of the brain through the nose. This surgery is done to remove the tumor and lesions of the brain situated at the front part of the brain and the top of the spinal cord. The surgery uses the ‘inside out approach’ in which the surgery starts directly from the tumor and there is outward removal of the tumor. This surgery does not involve removing or displacing the critical structures of the rain to get access to the tumor or lesion. This surgery allows the surgeons to treat those tumors which were earlier inoperable because of their hard-to-reach characteristic.
When Endoscopic Endonasal Surgery Is Advised?
Endoscopic endonasal surgery is advised in cases where the tumor is present at the front part of the head and on the top of the spinal cord. This approach makes possible the removal of those tumors which were not accessible through conventional therapy. As this is a minimally invasive surgery, neurosurgeons prefer this surgery, wherever possible, over conventional surgery. This surgery is less painful, with reduced complications and quicker recovery time. This approach is applied to remove various brain, pituitary and skull base tumors. The tumors generally removed through this surgery are adenocarcinoma, acromegaly, meningioma, neurofibroma, chondrosarcoma, chondroma, Nasopharyngeal Carcinoma, Pituitary Adenoma (Pituitary Tumor), Olfactory Neuroblastoma, and neurofibroma.
What Are The Risks Associated With Endoscopic Endonasal Surgery?
Endoscopic endonasal surgery is considered major surgery. As with other major surgeries, it carries a risk of complications. It is a minimally invasive surgery, thus the complications and risks associated with this surgery are less as compared to conventional surgery. Following are the risk associated with this surgery:
- The patient may have reactions to anesthesia.
- As the brain is accessed through the nose, there might be a leak of cerebrospinal fluid through the nose.
- There may be some vascular risks such as damage to blood vessels, the formation of a blood clot, hematoma, and excessive bleeding.
- The patient is also at risk of damage to nerves.
- Infection and slow healing may also occur.
- Any underlying medical condition may also increase the risk of complications. Inform the surgeon about your medical health and any undergoing treatment.
How Should I Prepare For Endonasal Surgery?
Once the neurosurgeon advises you for endoscopic endonasal surgery, a comprehensive health evaluation is done by the anesthesiologist and your primary physician. Various tests such as MRI and CT scan are done before issuing a medical clearance for surgery. To reduce complications during surgery and accelerating the recovery process after surgery, you should follow the below guidelines:
- Avoid taking pain-relieving medications such as aspirin or ibuprofen at least 2 weeks before surgery.
- Do not take vitamin E 2 weeks before surgery.
- Avoiding eating or drinking at least 8 hours before surgery. The exact time may be advised by your surgeon.
- Do not forget to inform the surgeon about the medications you are currently taking.
- Quit smoking at least 2 weeks before surgery.
What Is The Procedure For Endoscopic Endonasal Surgery?
The surgery may be scheduled in two stages spreading over different days. In the first stage, the tumor is exposed. The removal of the tumor is done in the second stages which are done a few days later. The duration of surgery depends on the size of the tumor and the complexity involved in removing the tumor. Generally, the surgery takes around two hours, however, in complex cases, it may require anywhere between 4 four hours to six hours. After the anesthesia is given, a thin tube along with a small camera is inserted through the nose. The light shines on the spot that needs to be operated. The camera relays the image and the special instruments are inserted to remove the tumor based on those images.
How Should I Feel After Endoscopic Endonasal Surgery?
The surgeon packs the nose with bandages which can be removed within one week. The doctor may also prescribe antibiotics to reduce the risk of infection. You can go home 1-2 days after surgery. During the recovery process, if you have a fever, chilling sensation, swelling, chest pain or nasal drainage, you should immediately consult with the doctor.
What Would Be The Recovery Period After Endoscopic Endonasal Surgery?
The recovery period depends upon the complexity of the surgery. If the surgery is limited to pituitary where the lining is not opened, the patient may expect complete recovery within a few days. However, if the internal structure of the brain is accessed by removing the lining, it may take a few weeks to get completely normal.