Sinusitis and Nose Surgery

Headaches, nasal congestion, post-nasal drip and facial pressure are all parts of sinusitis that are improved following nose surgery. Inflammation and blockage that prevents sinus fluid from keeping the sinuses moist and clean is improved through nose surgery. These symptoms of sinusitis often prevent our noses from sifting out debris that is lodged in the nose. Therefore, people with sinusitis are prone to infection. Inflammation and obstruction may also occur. Sinusitis obstruction usually affects the ethmoid sinus, region but may affect the maxillary, frontal, and sphenoid sinuses Sinusitis symptoms are often related to allergies.

Physicians may use nose sprays antibiotics, decongestants, nasal steroid sprays, antihistamines, and nasal flushing techniques to relieve the signs of sinusitis. Sometimes, the symptoms are unmanageable and polyps form. In these cases, nose surgery may be the only course of action to relieve the symptoms associated with sinusitis. Over 30 million people in the U.S. have chronic sinusitis.

Solution: Endoscopic Nose Surgery

Endoscopic nose surgery, also known as Functional Endoscopic Sinus Surgery, involves the use of an endoscope to guide the surgeon through the nose to the treatment area. Using an endoscope, the surgeon is able to clearly view all four sinus cavities which allows for greater precision in nose surgery. During endoscopic nose surgery, the surgeon will insert the endoscope into the nasal cavities to remove unhealthy excess tissue and allow for proper function of the sinuses. Endoscopic nose surgery is usually performed under general anesthesia and is less invasive than traditional nose surgery offered years ago. The procedure may require one to three hours of time. People usually return to work immediately, but there may be restrictions on certain activities in the weeks following nose surgery.

Alternatives to endoscopic nose surgery are image guidance nose surgery and Caldwell-Luc nose surgery. Image guidance nose surgery uses computer tomography (CT scan) to guide the surgeon’s instruments through the sinus cavities. The Caldwell-Luc approach is designed to treat sinusitis located in the maxillary sinus located beneath the eye. Surgeons that treat sinusitis are most often Otolaryngologists. Some otolaryngologists have advanced training in aesthetics and may be facial plastic surgeons. In order to determine the appropriate treatment plan, people with sinusitis should undergo a thorough examination that may include: computed tomography (CT) scan, nasal physiology and blood tests.


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