Most sinus problems settle with medical treatment. Surgery is considered only for a smaller group of patients whose symptoms continue despite appropriate therapy, or whose scans show disease that medicines are unlikely to clear.
Medical treatment comes first
Chronic sinusitis is usually managed initially with nasal steroid sprays, saline rinses, allergy treatment and, where indicated, a course of antibiotics.
A reasonable trial of medical treatment, taken correctly and for long enough, is an important step before any surgical discussion.
Signs surgery may be discussed
Persistent nasal blockage, facial pressure, reduced sense of smell or repeated sinus infections that return soon after treatment.
Nasal polyps that continue to obstruct the nose, or CT findings showing blocked sinus drainage pathways.
Whether surgery is suitable depends on the individual condition, scan findings and overall health.
What the decision involves
A nasal endoscopy in clinic and, where needed, a CT scan of the sinuses help clarify the anatomy and extent of disease.
The aim of surgery is to restore sinus ventilation and drainage, and to allow medical treatment to work better afterwards.
Common questions
Is endoscopic sinus surgery done through the nose?
Yes. The procedure is performed with an endoscope passed through the nostrils, so there are no external facial cuts.
Will surgery cure my sinus problem permanently?
Surgery aims to improve drainage and symptoms. Ongoing medical treatment is often still needed, particularly where allergy or polyps are involved.
This article is general information and not a substitute for medical advice. Please consult a doctor about your own symptoms.
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