Nose Endoscopic Removal

Endoscopic endonasal surgery is a minimally invasive technique that allows a surgeon to go through the nose to operate on areas at the front of the brain and the top of the spine.

A thin tube called an endoscope is thread through your nose and sinuses. This gives your surgeon access to parts of your brain that would be hard to reach using traditional surgical approaches and often require large incisions and removal of parts of the skull.

Endoscopic endonasal surgery can be used to remove tumors in areas near the base of the brain or skull, and at the top of the spine. It can also be used to treat problems with the sinuses. This approach allows the surgeon to reach these areas without the need for large incisions or removal of parts of the skull. This often makes recovery quicker and less painful.

Any major surgery carries some risk. Most people get through this surgery and heal without problems, but complications can develop. Possible risks include:

• Reactions to the anesthesia
• Excessive bleeding
• Hematoma (a pooling of blood in the wound site)
• Damage to veins, arteries, nerves, and other structures in the area
• Cerebrospinal fluid leaking from the nose
• Infection
• Slow healing
• Blood clots
• Pneumonia

The procedure may carry other risks, depending on your specific medical condition. Be sure to discuss any concerns with your surgeon before the procedure.

You will be under general anesthesia for this surgery. That means you will be asleep and won’t feel anything. If you have any questions about the anesthesia or about any other aspect of the procedure, be sure to ask your medical team in advance.

You can increase the chances for success by preparing correctly. In general, pre-surgery preparation involves these steps:

• If you smoke, quit at least 2 weeks before your surgery. This will make anesthesia more successful and help with healing.
• Don’t take over-the-counter pain relievers for 2 weeks before your surgery. This includes common products like aspirin and ibuprofen.
• Don’t take vitamin E for 2 weeks before the surgery.
• Make sure to tell your healthcare provider about any medicines you are taking, any other health problems you have, and any problems you’ve had with previous operations.
• Don’t eat and drink anything for about 8 hours before your surgery, or as advised by your healthcare provider.
• You should arrive for surgery at least an hour before your procedure or as instructed by the surgery center. Check in at the admissions desk to fill out any necessary forms, including a consent form that must be signed before the surgery can begin.

Your surgical team will give you more specific directions to follow in advance of the procedure. Some of these might be slightly different from those listed above.