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Sinus Surgery

Sinus problems are among the most common health issues people face, and while many can be treated with medication or other non-invasive methods, some conditions require surgical intervention. Sinus surgery can be a daunting prospect for many patients, but with the help of an experienced surgeon and proper post-operative care, it can provide significant relief from chronic sinusitis and other related conditions. In this article, we'll take a closer look at sinus surgery and what patients can expect before, during, and after the procedure.

Introduction to Sinus Surgery: Treating Chronic Sinusitis and Nasal Polyps

Sinus surgery is a surgical procedure used to treat chronic sinusitis, nasal polyps, and other conditions involving the sinuses. By removing inflamed tissue or debris that crowds the space inside the sinuses, this surgery can open up the sinuses and improve airflow and sinus drainage. Endoscopic sinus surgery, which uses surgical tools and a small endoscope inserted into the nose, is the primary approach used today for the surgical treatment of chronic sinusitis. This minimally invasive procedure can remove polyps, tumors, and other obstructions that block the sinus openings. Overall, sinus surgery aims to relieve symptoms and reduce the frequency of sinus infections, making it a helpful option for those struggling with persistent sinus issues.

Benefits of Sinus Surgery

Sinus surgery offers a range of benefits for those suffering from chronic sinusitis and nasal polyps. It provides relief from sinus pressure and pain while also improving altered smell, nasal congestion, and nasal drainage. Endoscopic sinus surgery is the most common type of surgery performed on the sinus. This procedure involves removing blockages in the sinuses that cause pain, infections, nasal breathing problems, and loss of smell.


The procedure opens the natural drainage passageways, allowing for proper ventilation and medication delivery, ultimately relieving your symptoms and reducing the frequency of infections. While less invasive medical treatments are considered first, sinus surgery can provide long-term relief for those who require it. 

Endoscopic Sinus Surgery and Balloon Sinuplasty

Endoscopic Sinus Surgery and Balloon Sinuplasty are both effective treatments for chronic sinusitis that have not been successfully treated by medication alone. Both procedures aim to alleviate the symptoms of sinusitis, such as facial pain, pressure, congestion, and headaches. Endoscopic sinus surgery involves the use of small tools to enlarge the sinus openings, while Balloon Sinuplasty is a minimally invasive procedure that uses a small balloon catheter to expand the sinus passages.


While both methods are considered safe and effective, the decision of which method to use depends on the severity of sinus blockage and the underlying cause of the sinusitis. Patients preparing for either procedure should consult with a specialized Ear, Nose & Throat surgeon to determine which method is right for them.

Restoring Functionality with Endoscopic Sinus Surgery

Endoscopic sinus surgery is a minimally invasive technique used to restore sinus ventilation and normal function. The procedure aims to enlarge sinus ostia, restore adequate aeration, and open up natural drainage pathways. This helps to restore functionality in the sinuses and allows patients to breathe easier.

Steps of Sinus Surgery

The steps of sinus surgery involve a series of carefully planned procedures to treat chronic sinusitis and nasal polyps. The surgery begins with decongestion of the nose and infiltrating the lining with a topical anesthetic. A thorough nasal endoscopy is then performed using a thin, rigid tube with a 0 or 30-degree scope to visually guide the surgeon through the nasal cavity. Tissue obstructing the sinus cavities is removed to create natural openings for proper drainage.


The surgery is performed on the sinuses that are causing problems and may progress from the maxillary sinuses to the ethmoid sinuses, sphenoid sinuses, and frontal sinuses. Each surgery is carefully modified to match the patient's unique requirements and the extent of their condition. 

When is Sinus Surgery Necessary?

When is sinus surgery necessary? This is a question asked by many people suffering from chronic sinusitis or nasal polyps. The answer lies in the severity of the condition, how it is affecting their quality of life, and the response to medical therapy. In most cases, sinus surgery is only recommended when all other treatment methods have failed. If someone is experiencing frequent sinus infections or has significant blockages in their nasal passages, surgery may be necessary. It's important to note that sinus surgery is not always a cure for sinusitis but can improve symptoms and restore normal breathing and drainage. A qualified ENT specialist can evaluate your symptoms and determine if sinus surgery is necessary.

Preparing for Sinus Surgery

Following pre-procedure instructions for sinus surgery is an essential step toward ensuring a successful procedure. Before the surgery, the physician may prescribe medications to optimize the condition of the sinuses for surgery. It is crucial to gather supplies before the surgery, which includes a sinus rinse kit to flush out the sinuses after the procedure. It is also advisable to take a bath or shower before coming into the surgery facility. On the day of the surgery, the patient should not eat or drink anything after midnight the night before. Any medications approved by the physician can be taken on the morning of the surgery. By following these preparations, patients can ensure a smooth and successful procedure.

Postoperative Care and Recovery from Sinus Surgery

After sinus surgery, it is crucial to take proper care and follow the recommended recovery guidelines to ensure a smooth recovery. You may have a small drip pad under your nose for the first few days, and you should avoid activities that can increase bleeding, such as bending, lifting, or straining. Moisture is critical to proper healing, so moisturize and rinse your nose with saline for at least 2-3 weeks after surgery. It is essential not to blow the nose initially. Keeping your head elevated can help reduce bleeding and swelling, so sleeping with your head elevated for a few days after surgery allows for better nasal airflow. It is also recommended to take time off from work to recover, with the amount of time depending on the job's physical demand.

Potential Complications of Sinus Surgery

While sinus surgery can bring relief to those suffering from chronic sinusitis or nasal polyps, it is important to understand the potential complications that can arise. Some risks include pain, bleeding, scarring, and even damage to the eyes or base of the skull. Many of these complications are rare, especially as surgical technology and experience have improved, but you should be aware of the potential adverse effects of surgery. Your caring ENT will discuss these potential complications with you prior to surgery.

Post-Surgery Care: Recovery and Prevention of Future Sinus Issues

After sinus surgery, patients can expect to feel tired for the first week after surgery, and most plan on taking at least one week off work to fully rest and recover. Follow-up care is essential to ensure that the sinuses heal correctly, and patients may need to continue taking some medications to prevent a recurrence of infection. For more information on sinus surgery and restoring functionality, patients are encouraged to consult their healthcare provider.

Conclusion

Sinus surgery can provide significant benefits for those suffering from chronic sinusitis and nasal polyps. Endoscopic sinus surgery has been shown to improve quality of life for patients with chronic rhinosinusitis and effectively treat nasal congestion and drainage. While sinusitis can often be managed through medical intervention, surgical intervention may be necessary for cases that are refractory to medical therapy. Preparation and postoperative care are important factors in ensuring a successful recovery from sinus surgery, and potential complications should be discussed with your ENT surgeon beforehand. With proper care and management, sinus surgery can restore functionality and prevent future sinus issues.

Medical Reviewers

Last Review Date: March 2023


Content Reviewers:


  • Dr. Jeffrey Nau, MD
  • Dr. Joseph J. Creely, MD
  • Dr. Bryan Murphy, MD
  • Dr. Thomas Higgins, MD, MSPH
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