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Sinus Surgery

Functional Endoscopic Sinus Surgery (FESS)

Developed in the 1950s, the nasal endoscope has revolutionized sinusitis surgery. The use of an endoscope is linked to the principle that the best way to obtain normal healthy sinuses is to open the natural pathways to the sinuses. Once an improved drainage system is achieved, the diseased sinus mucosa has an opportunity to return to normal.


FESS involves the insertion of the endoscope, a very thin fiber-optic tube, into the nose for a direct visual examination of the openings into the sinuses. Abnormal and obstructive tissues are then removed. The surgical procedure is performed entirely through the nostrils, leaving no external scars. There is little swelling and only mild discomfort.


The advantage of the procedure is that the surgery is less extensive, there is often less removal of normal tissues, and can frequently be performed on an outpatient basis. After the operation, the patient will sometimes have nasal packing. Ten days after the procedure, nasal irrigation may be recommended to prevent crusting.


Balloon Sinus Surgery

In recent years there has been a trend toward minimally invasive surgical techniques. In 2006, balloon sinuplasty was developed to help open up the sinus passages (in a similar manner to how balloon angioplasty is used to open up blocked arteries in the heart). With the new technology, we are now able to open up patient’s sinus passages in our office under local anesthesia. These patients can now get immediate relief without having to go to the operating room and are able to avoid general anesthesia.


Watch a video on Balloon Sinuplasty:


Balloon Sinuplasty