Endoscopic sinus surgery is a new method of operating on the sinuses to relieve the symptoms of chronic sinusitis

It is performed on an outpatient basis and its purpose is to restore the natural function of the nose and sinuses. Telescopes are used to visualize the inside of the nose and sinuses so that small amounts to infected or obstructive tissue can be removed.

It differs significantly from conventional types of sinus operations which often require incisions on the face or under the lip and the removal of larger amounts of tissue. Conventional surgery requires hospitalization and the procedures do not restore normal sinus function.

Most sinus problems can be successfully treated without surgical intervention

Most patients with sinus problems do not require surgery. Various forms of medication including antibiotics, decongestants and cortisone nasal sprays often will control symptoms. Treatment for allergies and environmental control of exposure to dust and cigarettes may also help.

However, persistent sinus infections which do not clear with appropriate medical treatment or infections which recur after treatment with antibiotics may be an indication that surgery is necessary.

One common symptom of chronic sinusitis is frequent headaches

These may occur in the forehead, cheeks, either side of the nose or around the eyes.

Other symptoms of chronic sinusitis can include a feeling of pressure or fullness in the face, difficulty breathing through the nose, or a persistent and foul postnasal drainage.

People with chronic sinus disease or severe headaches may benefit greatly from this procedure

Endoscopic sinus surgery can offer significant relief of symptoms in patients who have failed to respond to standard medical treatment or older techniques of sinus surgery by restoring normal pathways for drainage of the sinuses. The fundamental theory of Endoscopic sinus surgery is that the sinus function will usually improve spontaneously once obstruction to airflow or to mucous drainage is relieved.

You will be carefully evaluated by Dr. Nathan before surgical treatment is elected

An informed decision can be made concerning the need for Endoscopic surgery by Dr. Nathan through a combination of medical history, examination of the interior of the nose with nasal telescopes and a CT scan of the sinuses. With this information, Dr. Nathan is able to focus specifically on the area of obstruction and therefore preserve much of the normal tissue.

At this time, be certain to inform Dr. Nathan if you are taking any medicines, but especially aspirin, Motrin©, Advil©, arthritis drugs, or blood thinners (anticoagulants). These medicines need to be discontinued 1-2 weeks before surgery, as they may prolong bleeding time.

Surgery can frequently be performed on an outpatient basis

This surgery can be performed using either a local or general anesthetic. In most cases, you can return home a few hours after the surgery is performed. Nasal packing is usually not used. Although some complain of stuffiness and a feeling of pressure in the nose, there is usually no severe pain. A small amount of nasal bleeding may occur for the first few days following the operations and in the subsequent two weeks intermittent drainage may occur from the nose and down the back of the throat. Many patients return to normal activities within two to four days after the operation, though vigorous physical activity and nose blowing should be avoided for approximately two weeks.

The follow-up procedure is simple but important

Postoperative care of the operative site is performed by Dr. Nathan's office with the telescopes. You will need to be examined several times during the three weeks following surgery. This will facilitate healing and prevent scar formation.

Endoscopic surgical techniques may reduce many of the risks associated with conventional sinus surgery

The use of telescopes greatly improves the visibility inside the nose and sinuses and therefore may decrease the risks of conventional intranasal sinus surgery.

Serious health risks are extremely rare

As in all types of sinus surgery, complications are possible. Bleeding is a potential risk and on occasion, may require termination of the operation or require nasal packing. Visual complications or a leakage of cerebral spinal fluid from the nose following sinus surgery are rare, but possible. Excessive tearing, a black eye, or infection following surgery are also possible, although unlikely complications.

Drs. Nathan will discuss these potential problems in detail with you when surgery is scheduled.