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The otolaryngologist performs the surgery after the fungal lesion is detected

The otolaryngologist performs the surgery after the fungal lesion is detected

The procedure was performed after checking for the presence of fungi in the patient’s maxillary sinus

In winter it is common to hear an increasing increase in the incidence of sinusitis and other respiratory ailments. However, a maxillary sinusectomy, a surgical procedure that involves removing inflamed or blocked tissue within the maxillary sinuses, which are the hollows in the cheekbones, has drawn attention as to why it is necessary. The procedure performed by an otolaryngologist Dr. Felipe Trento At the São José Hospital Surgical Center, it was described as a fungal lesion, as opposed to the more common lesions treated by a specialist.

“In this case, the patient had an indication for dental implants in the upper arch and the dentist found a change on the panoramic x-ray. Then a CT scan of the facial sinuses was ordered and this CT scan showed complete fullness of the maxillary sinus. “The picture was suggestive of a fungal lesion, and when it came to this type of lesion, we opted for surgical treatment,” explains Dr. Felipe Trento.

Even when surgical intervention is required, the treatment does not require any greater care, just drainage and cleaning of the site so that the maxillary sinus remains open to improve ventilation. As for the patient placing dental implants, this will make the treatment better and the implant adheres to the face better.

“During the surgery, we opened the maxillary sinus, cleaned it out and kept it ventilated, so the fungi have a harder time coming back. These fungi usually enter by inhalation through the airways, and there is no more careful way to prevent them from getting in there. There is Other cases are for patients with weakened immunity, which facilitates the multiplication of fungi, but this will be a different profile for the patient. The surgery is performed under general anesthesia, lasts about one hour and is considered to have a low comorbidity rate. The patient returns home after a few hours”, praises the specialist.

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According to Dr. Felipe, as a precaution for this procedure, the patient should avoid physical exertion, such as sports, for about a month and frequent washing with saline. “As a precaution, keep your nose well ventilated. Mushrooms love warm, damp, enclosed spaces, hence the importance of ventilation. Washing with saline, at least once a day, makes a difference too.”

Collaboration: Jessica Pereira / Press Relations