Endoscopic sphenoidotomy (anesthesia and hospitalization costs not included)

Endoscopic sphenoidotomy is a minimally invasive surgical procedure aimed at opening and draining the sphenoid sinus using endoscopic techniques. The procedure is performed through the nasal cavity without external incisions and allows elimination of inflammation, restoration of sinus ventilation, and drainage of pathological contents.

Indications

• Chronic sphenoiditis
• Acute sphenoiditis unresponsive to conservative treatment
• Cysts and polyps of the sphenoid sinus
• Mucocele
• Suspected neoplasms
• Impaired drainage of the sphenoid sinus
• Complicated course of sinusitis

Procedure / duration

The surgery is performed endonasally using an endoscope. Through the natural nasal passages, the surgeon enlarges the sphenoid sinus ostium, removes pathological contents, and, if necessary, altered tissues.

Average duration is 30–60 minutes. It may be performed under local or general anesthesia depending on the clinical situation.

Contraindications

• Acute infectious diseases
• Coagulation disorders
• Severe decompensated systemic diseases
• Uncontrolled arterial hypertension
• Contraindications to anesthesia

Rehabilitation / limitations

• Mild nasal congestion and discomfort in the first days
• Limitation of physical activity for 7–10 days
• Avoidance of sauna and overheating
• Regular nasal irrigation as prescribed by the doctor
• Follow-up visits with an ENT specialist

Full recovery usually takes 1–3 weeks.

Sources:

https://pubmed.ncbi.nlm.nih.gov/20599088/
https://www.optecoto.com/article/S1043-1810(14)00017-7/fulltext
https://www.sciencedirect.com/science/article/abs/pii/S0194599896700955
https://my.clevelandclinic.org/health/treatments/17478-functional-endoscopic-sinus-surgery