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:
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:
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.
You will be asked to change out of your clothes and into a gown. A nurse will start an IV through which you will get fluids and medicine during the procedure. You might be given a sedative to help you relax. After you have spoken with the anesthesiologist and your surgeon, you will be given the anesthesia that will let you sleep through the operation.
During the procedure, your surgical team will thread a thin tube through your nose and sinuses to shine a light and a camera on the spot where they need to operate. The camera relays images to a monitor in the operating room during the surgery. Specially designed tools will also be inserted through the nose to cut out and remove tumors or other problem areas.
Some steps might be slightly different from those outlined above. Talk with your healthcare team about what might happen during your procedure.
After your operation, your nose and sinuses may be packed with bandages. These are usually removed within a week after the surgery. You also will be given antibiotics to fight infection. If you feel pain or discomfort, let your healthcare providers know. Most people spend 1 to 2 days in the hospital before going home.
Once you are discharged, take any prescriptions you are given as instructed and follow all postoperative instructions.
Call your healthcare provider if you are confused about how to take the recommended medicines or if any of the following occur:
Your healthcare team may give you other instructions about what you should do after your procedure.