What Is Chronic Sinusitis?
The sinuses are typically responsible for helping to drain mucus and other fluid. When someone gets a cold, sometimes the cold can develop into a sinus infection. Unlike these mild infections, however, chronic sinusitis occurs when the sinuses are chronically unable to drain and, in turn, swell and become infected. People with allergies or asthma are more prone to develop this condition. While treatment typically depends on the underlying cause, functional endoscopic sinus surgery (FESS) is one treatment option for chronic sinus infections.
FESS vs other sinus surgery
People who struggle with chronic sinus infections may be candidates for sinus surgery. The primary way that functional endoscopic sinus surgery (FESS) differs from other surgeries is in the use of an endoscope. Typically, using the endoscope to see inside the nasal cavity and sinuses can bypass the need for an incision. This method of surgery allows for better visualization of the sinuses and can give surgeons a more unobstructed view of the problem.
What to expect
Before surgery, patients will need to stop taking any non-steroidal anti-inflammatory drugs (NSAIDs) for at least 5 days and not eat or drink anything on the day of surgery. In some cases, the surgeon will prescribe steroids or antibiotics before the procedure.
During surgery
FESS is typically a simple procedure, and patients experience little to no discomfort. The operation can be done with some anesthesia, either local or general. The surgeon uses the endoscope and tiny instruments to remove diseased or obstructed tissue in the nasal passage and sinuses. Most patients stay awake during surgery. FESS can usually be done as an outpatient procedure.
Recovery time
Patients can expect some bloody postnasal discharge to occur for about 2 weeks after surgery. For the first 4-7 days, patients should avoid blowing the nose. Typically, surgery patients will have follow-up appointments with the surgeon in weekly intervals after the procedure until the area heals. During these visits, the surgeon can remove scar tissue and monitor healing.
Will surgery cure my sinus infections?
While patients may still get a sinus infection after having the surgery, the frequency significantly diminishes in most cases. Patients who had allergies or polyps that played a role in the chronic sinusitis may still need to take medications to prevent a recurrence.
Are there other treatment options?
Surgery is typically a last resort for any condition. Before surgery, most ear, nose, and throat (ENT) specialists will recommend nasal corticosteroids to reduce inflammation and provide symptom relief. Some patients may also benefit from a saline spray or nasal irrigation treatment to flush out the sinuses. For more information about chronic sinus infections and treatment options, speak with a healthcare provider.
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“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
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“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
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“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
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“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
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