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Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia. The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization. A flexible guide wire is then introduced into the targeted sinus to confirm access.
Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses. Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
To date, retail clinics have provided care through more than 35 million patient visits and have the capacity to provide care through over 10 million patient visits per year. It is estimated that the number of retail clinics will increase dramatically in the near future, with the total number of clinics surpassing 2,800 by 2017. [4]
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to create an artificial passage into the maxillary sinus through the nose; puncture medial wall of inferior meatuses Tilly's antral bur: to enlarge the artificial passage into the maxillary sinus through the nose made by the harpoon trochar; dilate and smoothen the antrostomy opening Freer's double-ended mucoperichondrium elevator
It was described by George Caldwell in 1893 and Henry Luc in 1897. They describe the operation of maxillary sinus diseases via canine fossa. Functional endoscopic sinus surgery is the standard surgery for maxillary sinusitis nowadays. [10]
Pleural effusions collect in the costodiaphragmatic recess when in standing position, [2] and present on plain X-rays as "blunting" of the costophrenic angle.. A thoracocentesis (pleural tap) is often performed here while a patient is in full expiration because of less risk of puncturing the lungs and thereby causing pneumothorax.
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