Can I Choose Nasal Endoscopy After Previous Nose Surgery?

Q: Can I Choose Nasal Endoscopy After Previous Nose Surgery?

Hello： 1. <br>If the nasal passages are not narrowed due to surgery, it is still possible to proceed with the surgery. <br>2. <br>If it is a newly discovered condition, close monitoring is recommended. <br>If it has been monitored multiple times and is stable, an annual check-up

Nasogastric endoscopy

Hello, doctor.
I would like to ask, I had an upper gastrointestinal endoscopy through my mouth over two years ago because my nose was too narrow for the procedure at that time, as I had not yet undergone minimally invasive surgery for my deviated septum and nasal polyps.
Recently, I have been experiencing gastrointestinal discomfort again and would like to have another endoscopy.
Since I completed the surgery for my deviated septum and nasal polyps two years ago, can I now choose to have a transnasal endoscopy? Or is it not an option after having had surgery? Additionally, I would like to know if having a hepatic hemangioma means I need to have check-ups every six months.

Miss Gong, 20~29 year old female. Ask Date: 2017/12/01

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
If the nasal passages are not narrowed due to surgery, it is still possible to proceed with the surgery.
2.
If it is a newly discovered condition, close monitoring is recommended.
If it has been monitored multiple times and is stable, an annual check-up is sufficient.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/12/01

More Info

When considering the option of undergoing a nasal endoscopy after having had previous nasal surgeries, it is essential to understand both the technical aspects and the potential implications for your health. Based on your history of undergoing a minimally invasive surgery for nasal septum correction and polyp removal, you may indeed be eligible for a nasal endoscopy, provided that your current nasal anatomy allows for it.

Nasal endoscopy is a procedure that allows doctors to examine the nasal passages and sinuses using a thin, flexible tube with a camera and light at the end. This procedure can be particularly useful for diagnosing issues such as chronic sinusitis, nasal polyps, or other abnormalities in the nasal cavity. Since you have had prior surgery, it is crucial to consult with your ENT specialist to evaluate the current state of your nasal passages. They will assess whether there is sufficient space and whether any anatomical changes from your previous surgery could affect the procedure.

In general, having had previous nasal surgery does not automatically disqualify you from undergoing a nasal endoscopy. However, the success and safety of the procedure will depend on the extent of the previous surgery and the current condition of your nasal passages. If your nasal passages are clear and well-healed, a nasal endoscopy can be performed without significant issues. Your ENT doctor will likely perform a physical examination and may use imaging studies, such as a CT scan, to determine the best approach.

Regarding your question about the necessity of regular check-ups for a liver hemangioma, it is important to follow your healthcare provider's recommendations. Liver hemangiomas are generally benign tumors composed of blood vessels. In most cases, they do not require treatment unless they cause symptoms or complications. The recommendation for follow-up every six months is typically based on the size of the hemangioma and any associated symptoms. Regular monitoring helps ensure that any changes in size or symptoms can be addressed promptly.

If your liver hemangioma is small and asymptomatic, your doctor may suggest less frequent monitoring, while larger or symptomatic hemangiomas may warrant more frequent imaging studies. It is essential to have an open discussion with your healthcare provider about your specific case, including the size of the hemangioma, any symptoms you may be experiencing, and your overall health status. They can provide personalized recommendations based on your medical history and the latest clinical guidelines.

In summary, you may be able to undergo a nasal endoscopy after your previous nasal surgeries, but it is crucial to consult with your ENT specialist to evaluate your current nasal anatomy. Additionally, regular monitoring of your liver hemangioma should be guided by your healthcare provider's recommendations, taking into account your individual circumstances. Always prioritize communication with your healthcare team to ensure the best possible outcomes for your health.

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