Nose Treatments



Endoscopic Pitutary Tumour Excision


The surgical management of pituitary tumors has evolved over time from the transcranial to endonasal transsphenoidal approaches. The latter approach is possible by using either a microscope or an endoscope. When an endoscope is used as the sole visualizing tool in place of the microscope during endonasal transsphenoidal surgery, the procedure is termed as the endoscopic pituitary surgery (EPS). 



Optic Nerve Decompression


Optic nerve decompression is a surgical procedure aimed at removing a portion of the bony canal (tunnel) which houses the optic nerve (See Figure: arrows point to optic canals). The optic nerve is the “nerve of vision” and extends from the brain, through your skull, and into your eye. A portion of the optic nerve is enclosed in a rigid, bony tunnel as it exits the skull. Because of this, any condition which causes swelling or compression of the optic nerve at this location may lead to a loss of vision or blindness because there is no room or space for the nerve to expand. The goal of optic nerve decompression is to remove a portion of the bony optic canal, thereby relieving some of the pressure on the optic nerve.



Endoscopic DCR


Endoscopic DacryoCystoRhinostomy (DCR) is used to treat patients diagnosed with lacrimal sac or nasolacrimal duct obstruction (NLDO). This can be caused by chronic stenosis of the nasolacrimal duct and can be congenital or acquired. NLDO is common but is not a serious condition. Procedure is done by endoscope through nose, so there will be no incision/cut visible over eye externally.



FESS(Funtional Endoscopic Sinus Surgery)


Rhinology and sinus surgery have undergone a tremendous expansion since the discourses of Messerklinger and Wigand in the late 1970s. [1, 2, 3] Imaging advances, increased understanding of the anatomy and the pathophysiology of chronic sinusitis, and image-guided surgery have allowed surgeons to perform more complex procedures with increased safety. Outstanding short- and long-term results have been reported in the literature. Senior et al reported that symptoms improved in 66 of 72 (91 



CSF RHINORRHOEA


Cerebrospinal fluid (CSF) rhinorrhea is a rare but potentially devastating condition that can lead to significant morbidity and mortality for the patient. Disruption of the barriers between the sinonasal cavity and the anterior and middle cranial fossae is the underlying factor leading to the discharge of CSF into the nasal cavity. The resulting communication with the central nervous system (CNS) can result in a multitude of infectious complications that impart significant morbidity and potentially disastrous long-term deficits for the patient.