ENT Nuffield Medical

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Sinus Surgery

Structural abnormalities of the face can result in chronic or recurring sinusitis – ask your ENT specialist about surgery to address the symptoms. 

Sinusitis happens when the hollow spaces inside your skull – forehead, between the eyes, behind the nose, and cheekbones – become swollen and inflamed. This can prevent mucous from draining properly, which causes the nose to become stuffy. Sinusitis becomes chronic if symptoms persist for 3 months or longer, so consult an ENT specialist to discuss treatment options.   

Sinusitis can affect both adults and kids

The condition has several causes, such as: 

  • Infection due to bacteria, fungi or viruses
  • Polyps, which are growths on the lining of the sinuses
  • Allergies
  • A deviated septum, that is, a crooked wall between your nostrils. Most people are born with a slightly deviated septum but it seldom results in problems. For others, it can result from injury.   

Consult a doctor when symptoms persist or recur

Common symptoms include: 

  • A stuffy or blocked nose
  • Thick white, yellow or green discharge from the nose
  • Pain in the teeth
  • Pain or pressure in the face, especially when you bend forward 
  • Fever
  • Cough
  • Pressure in the ear 
  • Headache
  • Weakened sense of smell 
  • Bad breath
  • Tiredness 

Pain and discomfort can last – and worsen other conditions such as obstructive sleep apnoea – until symptoms clear up. Although rare, untreated sinusitis can lead to meningitis, a brain abscess, or an infection of the bone. 

The treatment for sinusitis depends on the cause(s). A doctor can diagnose if yours is: 

  1. Acute (lasts less than 4 weeks)
  2. Subacute (lasts 4 to 12 weeks)
  3. Chronic (lasts more than 12 weeks)
  4. Recurrent acute (occurs 4 or more times a year, each lasting less than 2 weeks)

While sinusitis can be treated with antibiotics, decongestants or nasal sprays, surgery may become necessary for some

If sinusitis is due to structural issues such as a deviated septum or polyps, an ENT specialist may recommend surgery. Nearly 75% of people who don’t respond to medical therapies find symptom relief with surgery.

By enabling mucous to drain better, the following procedures can help to relieve symptoms:  

  • Functional endoscopic sinus surgery (FESS)

By widening the drainage passages between your nose and your sinuses, and removing bone or infected tissue. 

  • Balloon sinuplasty

A minimally invasive treatment where a small balloon is inflated to broaden the passageway to your sinuses.

  • Caldwell Luc surgery 

Here, a new opening from your maxillary sinus (it’s behind your cheek) to your nose is created.