Sinus infections impact 31 million people in the United States. For those with frequent sinus issues, it can be hard to enjoy scents or even breathe easily.
While medications can help temporarily, reoccurring sinus infections or growths that block your sinuses might require sinus surgery.
This article will explain more about endoscopic sinus surgery and how the procedure works. It will also explore questions or concerns you may wish to consult your healthcare team about when considering this type of surgery.
Endoscopic sinus surgery is a procedure to remove blockages in the sinuses. Doctors may also refer to it as functional endoscopic sinus surgery.
During this procedure, your doctor will use an endoscope, a thin camera rod with a light at the end, to better see the sinuses.
They’ll also typically insert special surgical equipment through the nostrils during the procedure. This allows for the opening of your natural drainage pathways, removing any blockage.
Doctors may use endoscopic sinus surgery to address:
- chronic and recurrent sinus inflammation or infections
- nasal polyps, which are noncancerous growths
- nasal tumors
- nasal congestion and obstruction
Goals of endoscopic sinus surgery can include:
- reducing the frequency and intensity of sinus infections
- increasing the amount of airflow through the nose
- improving the sense of smell
- delivering medication and nasal rinses to the sinus cavities
Doctors generally recommend functional endoscopic sinus surgery when there are significant physical problems to address. In cases where a doctor is just hoping to facilitate drainage, they may do a balloon sinuplasty to enlarge a blocked sinus passage.
Doctors may suggest a balloon sinuplasty because they can typically perform it in their office, while functional endoscopic sinus surgery is generally an outpatient surgery. The recovery time for a balloon sinuplasty is also usually shorter.
Not all doctors recommend balloon sinuplasty, though, because they may not believe it’s an adequate surgical option. It’s also not appropriate when the doctor needs to remove tissue.
Endoscopic sinus surgery is minimally invasive because doctors perform it entirely through the nostrils. Most individuals can return home the same day.
The surgery presents a
There are also some other risks to be aware of, including:
- excessive bleeding
- developing a hole through the septum
- vision loss
- the need for future surgeries
Doctors typically use general anesthesia during this procedure, which also carries some risks. Your healthcare team will discuss these with you before your surgery.
According to an older article from 2012, endoscopic sinus surgery showed a success rate of
A key factor influencing
Advancements in the area of endoscopic sinus surgery continue to make it more effective. For example, researchers have found that the surgery appears to have better results when paired with treatments like the nasal spray triamcinolone.
After surgery, you can expect the following:
- Swelling around your nose, upper lip, cheeks, and eyes.
- You may feel like you have a bad head cold.
- You’ll also have a drip pad under your nose to collect mucus and blood.
- Avoid putting anything in your nose following the procedure and avoid blowing your nose for 2 weeks
- Congestion and swelling should significantly improve within a week or two. You may be ready to return to work or school a week or so after the procedure.
- Your doctor may ask you to use large amounts of saline wash to irrigate the sinuses, and they may prescribe medication to help with potential pain and infections. These might include topical and oral steroids.
- Alternatively, a doctor may place stents that gradually release steroids into the nose, sinuses, or both at the time of surgery and remove them after the postoperative period. You should check with your doctor before using any over-the-counter medications.
- Your sense of smell will typically not be as good after surgery but should return within a month or two.
- It’s a good idea to avoid lifting anything heavier than 10 pounds in the first week after surgery. Additionally, you should avoid flying for at least 2 weeks and swimming for 6 weeks.
- Most people feel back to themselves again within a month or two of the procedure, but your doctor may continue to follow up with you for 3 to 4 months to make sure your sinuses are healing properly.
Part of the reason for this wide variation is that endoscopic sinus surgery may include a number of procedures that cause the surgery to take longer and require additional supplies.
The exact cost can also depend on where you have the surgery and the health insurance you have.
Insurance codes for this procedure vary depending on diagnosis, whether one or both sides of the nose receive treatment, and any removals needed. You may see multiple procedure codes ranging from 31231 to 31298 on your bill.
If you are experiencing recurrent sinus infections or have a blockage in your sinuses that impacts your ability to smell and breathe, your doctor may suggest endoscopic sinus surgery. This outpatient surgery involves inserting a camera scope through your nostril along with any surgical equipment needed to clear out your sinus pathways.
Any medical procedure has a variety of risks. You’ll want to consult with your doctor and care team about any concerns you have before the surgery and follow any directions for your recovery afterward.