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Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

CPT4 code

Name of the Procedure:

Total Ethmoidectomy with Frontal Sinus Exploration
Common name(s): Ethmoidectomy with Frontal Sinus Surgery, Sinus Endoscopy with Ethmoidectomy
Technical/medical term: Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed.

Summary

This surgical procedure involves using an endoscope to look inside the nasal and sinus passages. During the operation, the surgeon removes part or all of the ethmoid sinuses and may explore and remove tissue from the frontal sinuses to improve drainage and alleviate symptoms.

Purpose

This procedure addresses chronic sinusitis, nasal polyps, and other sinus-related issues that haven't responded to medical treatment. The goal is to reduce sinus infections, improve breathing, and enhance overall sinus function.

Indications

  • Chronic sinusitis unresponsive to medications
  • Recurrent acute sinusitis
  • Nasal polyps
  • Sinus infections causing complications
  • Nasal obstruction causing breathing difficulties

Preparation

  • Fasting for 6-8 hours before the procedure
  • Medication adjustments per physician's advice (e.g., blood thinners)
  • Preoperative diagnostic tests: CT scan or MRI of the sinuses, nasal endoscopy, blood tests

Procedure Description

  1. Anesthesia is administered, typically general anesthesia.
  2. The surgeon inserts an endoscope into the nasal passages to visualize the sinus structures.
  3. Using specialized surgical tools, the surgeon removes diseased tissue from the ethmoid sinuses.
  4. The frontal sinuses are explored, and any obstructions or pathological tissues are removed to restore drainage.
  5. The endoscope helps guide all steps, ensuring precision and minimizing damage to surrounding tissues.

Duration

The procedure typically takes between 1 to 3 hours, depending on complexity.

Setting

The procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

  • Otolaryngologist (ENT surgeon)
  • Anesthesiologist
  • Surgical nurses
  • Possibly an assistant surgeon or surgical technician

Risks and Complications

  • Bleeding
  • Infection
  • Cerebrospinal fluid leak
  • Injury to the eye or brain
  • Scarring inside the nose
  • Persistent sinus issues
  • Reaction to anesthesia

Benefits

  • Relief from chronic sinus infections
  • Improved nasal airflow and breathing
  • Reduction in sinus-related symptoms like headaches and facial pain
  • Enhanced quality of life Benefits might be noticed within weeks as inflammation subsides and healing progresses.

Recovery

  • Rest and avoid strenuous activities for a few days post-surgery
  • Pain management with prescribed medications
  • Saline nasal rinses and possibly nasal corticosteroids
  • Follow-up appointments for post-operative assessments
  • Full recovery typically occurs within 4-6 weeks

Alternatives

  • Medical therapy (antibiotics, nasal corticosteroids)
  • Balloon sinuplasty
  • Endoscopic sinus surgery without ethmoidectomy Pros of alternatives: less invasive, less recovery time
    Cons of alternatives: may be less effective for severe cases

Patient Experience

During the procedure, patients will be under general anesthesia and will not feel any pain. Post-operatively, they might experience nasal congestion, mild pain, and some bleeding. Pain management includes medications, and comfort measures involve keeping the head elevated and using ice packs. Recovery experiences vary but generally include improving symptoms within a few weeks.

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