Endoscopic Sinus Surgery

Endoscopic sinus surgery is a surgical procedure used to remove blockages in the sinuses which can cause sinusitis and other sinus-related problems. Using nasal endoscopes, this minimally invasive technique allows surgeons to enter the nasal passages and sinuses without external incisions.

Philosophy: The philosophy behind endoscopic sinus surgery is to restore the normal drainage and function of the sinuses with minimal tissue removal. It emphasizes the preservation of mucosal tissue and sinus anatomy to promote natural healing processes and maintain normal sinus function.

Investigations: Before surgery, comprehensive investigations are conducted to diagnose the extent of the sinus issue. This often includes:

• Nasal Endoscopy: To directly visualize the nasal passages and sinuses.
• CT Scan: To provide detailed imaging of the sinus anatomy and identify areas of blockage.
• Allergy Testing: To determine if allergies contribute to chronic sinusitis.
• Cultures: To detect any bacteria or fungi that may be causing infection.

Equipment: The equipment used in endoscopic sinus surgery typically includes:

• Rigid Nasal Endoscopes: Fiber-optic instruments that provide a detailed view of the nasal passages and sinuses.
• Microdebriders: Rotating blade devices used to remove tissue with precision.
• Suction and Irrigation Tools: To clear the surgical site of blood and debris.
• Image Guidance Systems: To navigate the complex sinus anatomy safely during surgery.

By allowing for a more targeted approach and reduced recovery time, endoscopic sinus surgery represents a significant advance in the treatment of sinus disorders. The goal is always to alleviate symptoms while preserving natural structures and function.

Indications: Endoscopic sinus surgery is indicated for chronic sinusitis that doesn’t respond to medical therapy, as well as for other sinus conditions, such as:

• Nasal Polyps: Noncancerous growths in the lining of the sinuses.
• Sinus Mucoceles: Mucus-filled cysts within the sinuses.
• Fungal Sinusitis: Sinus infection caused by fungi.
• Deviated Nasal Septum: When the septum is significantly displaced to one side.
• Sinus Tumors: To remove benign or malignant growths.