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Overview

Endoscopic Sinus Surgery: Treatment, Cost and Side Effects

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?

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.

Popular Questions & Answers

Sir / mam I have diagnosed with chronic sinus .doctor gave me medicine like coriminic tablet, ryltras spray, antibiotic but after 15 day uses it does not go. And my medicine is ended .so can I continue coriminic tablet for longer use .as it relive my eye ,cheek pressure of sinus.

MBBS, MS - ENT
ENT Specialist, Lucknow
Dear lybrate-user, relax.as far as chronic sinus problems are concerned medicines have little to no role to play. You must explore surgical option as in fess (functional endoscopic sinus surgery. That done and your eye cheek pressure would get res...

Hi. I have been suffering from a constant ringing sound in my right ear since the last two months. Have also had a ct scan of the brain which showed I have sinus. Have been prescribed with trinergic l and otocap to be eaten once a day. But my condition hasn't improved. What should I do next?

MBBS, MS - ENT
ENT Specialist, Lucknow
Dear lybrate-user, you most likely have chr. Sinusitis the treatment for which is surgical fess {functional endoscopic sinus surgery}. This may relieve your tinnitus[ringing in ear].

She suffered with sinus infection. She contacted doctor and used some medicine. She is doing fine. But now again she is suffering with Sinus infection. Give some best Suggestions for her. Hopefully waiting for your Positive Responses.

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Bangalore
Septal deviation is one of the reasons for a sinus involvement. Get a CT scan of the sinuses done to confirm that the sinuses are affected. Enlarged inferior turbinates blocks the sinus openings thereby affecting the normal functioning of the sinu...

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