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Surgery details for nasal polyp and chronic sinusitis, - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1764 Questions
User :   Dear User, You have started the test chat with our doctor. The duration of the test chat is 10 minutes. After the trial period, you will be redirected to the Payment page...
Doctor :   hi
Doctor :  
how can i help you?
User :   Hello Doctor

Doctor :  
please proceed with your health query
User :  
at winter time i have breathing problem
Doctor :  
ok
User :  
i meet with doctors earlier
Doctor :  
ok
User :  
they took xray of my scalp
Doctor :  
ok
User :  
and they found polip in my left nose
Doctor :  
ok
User :  
i guess it is a piece of tumer
User :  
they advice me to operate that
User :  
may i get your advice
User :  
?
Doctor :  
i will explain
User :  
ok
Doctor :  
Nasal polyps are polypoidal masses arising mainly from mucous membranes of nose and paranasal sinuses
User :  
ok
Doctor :   These are overgrowths of mucosa that frequently accompany allergic rhinitis. They are usually freely moveable and are non-tender.
Doctor :   the cause for them is still unknown
User :  
ok
Doctor :  
they are treated with combination of steroid drugs and surgery
User :  
so if i operate that then will i be cure?
Doctor :  
a CT csan best shows the extent of the polyps
Doctor :  
and is best to do before operation to know the extent and to operate it in right way
User :  
ok
Doctor :  
after surgery your symptoms will resolve but
User :  
ok
Doctor :  
you wil need to take post surgery care
Doctor :  
and medications that will continue for sometime
User :  
how doc?
User :  
ok doc
Doctor :  
functional endoscopic sinus surgery (FESS) is most reliable surgery once the extent of the polyp is confirmed
User :  
what will be the duration for surgery?
Doctor :   have you folowed what i have said?
Doctor :  
ok
User :  
yes i followed
Doctor :  
the duration can vary from 1 hour to say about 3 hours depending on the extent and other growths attached to it
Doctor :   is there anything else i can help you with?
User :  
what is the relation between Polyp and sinus?
User :  
ok doc
Doctor :  
i will help you in answering that
Doctor :  
first let me tell you that the surgery usually takes approximately 45 minutes to 1 hour, but if the growth is more or extensive then it may take longer
User :   ok doc

Doctor :  
sinues are air spaces that we have in us
Doctor :  
they are lined my mucosa
Doctor :  
or a tissue lining
Doctor :  
which when inflamed
Doctor :  
gives rise to polyps
Doctor :  
which then presents with increasing nasal congestion, hyposmia to anosmia, changes in sense of taste, and persistent postnasal drainage
Doctor :   blocked nose
Doctor :  
and other symptoms
User :  
i guess that xray shows that
User :  
there are some caugh are cloted into the sinus in my scalp
Doctor :  
ok
Doctor :  
xray will just show the minimal details
User :  
how to clean that?
User :  
ok
Doctor :  
CT scan or a MRI scan will be able to give more extensive details related to bone, and tissues involvement bu=y the polyps
Doctor :  
*by
Doctor :  
the cough like thing in sinues are a sign of chronic sinusitis
Doctor :  
in case it is not getting resolved with medications and antibiotics, these will need surgical drainage too
Doctor :  
Is there any thing else I can help you with?
User :  
just a minute doc
User :  
for cleaning the cough, need any surery
Doctor :   in case it is not getting resolved with medications and antibiotics, these you will need surgical drainage to drain the pus/cough present in sinuses
User :  
may i know what will be the overall expenditure?
Doctor :  
plese give me a moment
User :  
ok
Doctor :  
i will need to check and tell you
User :  
sure doc
Doctor :  
in a charitable hospital the cost will come upto 12-15k
Doctor :  
in private hospitals it will be above 25-28k
User :   Thanks you Doc

User :  
thanks for your time
Doctor :  
this will include both the surgeries
Doctor :  
the nasal polyp and sinus drainage surgery
User :  
ok Doc
Doctor :   Is there any thing else I can help you with?

User :  
no DOc
Doctor :   Please fill the feedback form say done when done.
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