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Overview

Endoscopic Sinus Surgery: Treatment, Cost and Side Effects

What is the Endoscopic Sinus Surgery?

Endoscopic Sinus Surgery is a surgical procedure performed to treat a condition called sinusitis or inflammation of the sinuses. In this method, an endoscope inserted through the nose is used to see and perform the surgical procedure with small scale surgical instruments. The endoscopic sinus surgery is thus a minimally invasive surgical procedure.

Sinusitis or inflammation of the sinuses may occur due to blockage of the sinuses, which then fills up with fluids and may become infected. Sinusitis gives rise to symptoms like stuffy and runny nose, cough, fatigue, fever, pain in the face, dental pain, etc. Sinusitis may be acute where the symptoms appear suddenly and are short lived, or chronic where the symptoms stay for an extended period of time.

Sinusitis occurs due to blockage of the sinuses, which may be caused by a number of factors including common cold, allergic rhinitis or hay fever, small tissue growths of the nasal and sinus lining, or a shift in the nasal septum due to disease or trauma. Treatment involves draining out the accumulated fluid. Acute sinusitis is usually resolved on its own. However, chronic sinusitis requires treatment. Surgical procedures are followed if medications and other procedures are unable to resolve sinus blockage and drain out accumulated fluid.

How is the Endoscopic Sinus Surgery treatment done?

Medications are administered first to treat sinusitis. In case medications are unable to cure the condition, sinus surgery is advised, and most sinus surgeries are performed using endoscope. The endoscope is inserted into the nasal cavity through the nose to allow the sinuses o be visualized while the surgery is performed. Small scale surgical instruments as required according to the particular case being treated are inserted along with the endoscope to perform the surgery. Small tissue buildups, polyps, bones etc. may be removed by simple tools like scalpels and tweezers. Rotating burr like tools may be used to scrape off excess growing tissue. Lasers may be used in some cases to burn and remove excess tissue. Sometimes a balloon may be used to widen the sinus passage to facilitate draining.

All these procedures are minimally invasive and relatively simple and may be performed under general or local anesthesia.

Who is eligible for the treatment? (When is the treatment done?)

Sinusitis may be acute, where the symptoms are short term, or chronic, where the symptoms persist for a long time. Treatment is required for chronic sinusitis, where symptoms like abnormal nasal discharge, stuffy and runny nose, facial and dental pain, etc. persist for a long time. Surgical procedures are required for treatment only when medications or other treatment methods are ineffective.

Who is not eligible for the treatment?

Sinusitis is common and usually goes away without treatment. Acute sinusitis does not need to be treated with surgery. The chronic cases which are resolved through medications also do not need surgical treatment.

Are there any side effects?

Some side effects may appear with endoscopic surgery for sinusitis in rare cases. Complications may include nasal bleeding, perpetual nasal discharge, pain in the base of the skull and eyes, eye pain that increases when bending forward, etc. Surgery may be completely unable to cure the original sinus problem in very rare cases.

What are the post-treatment guidelines?

A number of post treatment guidelines are prescribed after endoscopic sinus surgery. These include taking prescribed antibiotics, gauze packing inside nose to absorb blood, using prescribed nasal spray to prevent inflammation, nasal washing and irrigation with saltwater or prescribed formulae, using humidifier to maintain moisture inside the room, avoiding heavy exercise for a few days, etc.

How long does it take to recover?

Complete recovery takes place in about two to four weeks after the endoscopic surgery unless further complications develop.

What is the price of the treatment in India?

Endoscopic Sinus Surgery costs between Rs. 20,000 and Rs. 30,000 in India, with the costs going higher if complications develop.

Are the results of the treatment permanent?

Longevity of the endoscopic sinus surgery results depend on the extent of the blockage treated and the nature of the blockage. In most cases the results are long term until further blockage occurs.

What are the alternatives to the treatment?

A number of alternative treatment practices exist for sinusitis. Herbal and traditional medications may be beneficial in reducing the blockages of the sinuses. Aromatherapy using essential oils have been found to be moderately effective in preventing and reducing blockages and inflammation of the sinuses. Breathing exercises like Pranayam are also recommended to keep the sinus passages free from blockage.

Safety: High Effectiveness: High Timeliness: Low Relative risk: Low Side Effects: Medium Time for Recovery: Low Price Range:

Rs. 20,000 - Rs. 30,000

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Popular Questions & Answers

What is the best cure of allergic rhinosinusities. Is endoscopic surgery is a solution?

Yes endoscopic surgery can be helpful in chronic rhinosinusitis. It helps in irrigating the sinuses and reducing congestion.

I heard that if I go for endoscopic sinus surgery it changes my nose shape. Please advice

Hello, endoscopic sinus surgery, also known as sinoscopy, is a minimally invasive surgical procedure used to remove blockages in the sinuses for recurring sinus infections. During the procedure, a thin lighted tube with a camera on the end is inse...
1 person found this helpful

I had sinus and deviated nasal septum, so I had a endoscopic nasal surgery one month back. 80% I have recovered. Can I drink alcohol now.

Hello and welcome to Lybrate. I have reviewed your query and here is my advice. Alcohol is always not good for your health. So quit alcohol. I suggest telephonic counseling for you. You can contact me for further advice and treatment options. Let ...

I got operated with Sinusitis 3 years ago. Now Sinus relapsed and I am getting pain , and nasal endoscopy shows that I am having sinus . Do I need to go for surgery again ? What could be the reason for relapsing ?

Hello, sinusitis can be because of many reasons. In case of allergic cause it ll reoccur whenever you exposed to allergens. So you hv to find that allergens. And if it is due to infections then you hv to built your body immunity. Because repeated ...

Table of Content

What is the Endoscopic Sinus Surgery?
How is the Endoscopic Sinus Surgery treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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