Endoscopic Sinus Surgery


If you suffer from recurrent sinus problems or are tired of repeatedly having to take sinus medications including antibiotics, nasal sprays, and decongestants, you may be a candidate for Endoscopic Sinus Surgery (ESS). Other common criteria for ESS include the presence of nasal polyps, obstructed sinus openings, fungal sinusitis, mucoceles (expanding cysts within the sinuses), and tumors.

ESS uses video micro-endoscopic guidance through the nose to access the sinuses. This technique allows the enlargement (“unblocking”) of the natural opening to the sinuses without creating “unnatural” holes in the sinus. ESS also allows the removal of polyps, scar tissue, and the infected lining of the sinuses, which may harbor bacteria or fungus. The sinuses are also “washed out” of infected debris.

The total time for this procedure may take from 45 minutes to a couple of hours depending on the complexity. ESS is performed using general anesthesia (you are asleep throughout the procedure) and you should anticipate going home the same day unless other medical conditions complicate recovery.

Dr. Pasha may also recommend a septoplasty and/or partial turbinate reduction in order to allow you to breathe better through your nose as well as making it easier to access the sinuses using endoscopic instruments.

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