Sinusitis Treatment: Endoscopic Sinus Surgery

For some, medical therapy will not provide lasting relief from the symptoms of chronic or recurrent sinusitis. And balloon sinus dilation may not be an option.

In these instances, our doctors may suggest endoscopic sinus surgery, or ESS. The goal of ESS, like balloon sinus dilation, is to expand the sinus drainage pathways to help restore drainage and heal the sinus mucosa.

How endoscopic sinus surgery works

A doctor uses an endoscope, inserted through your nostrils, to view the passageways and sinus openings, and a series of micro-cutting instruments to remove obstructive or abnormal tissue. This tissue removal expands the openings to the sinuses and the pathways through which sinuses drain, helping clear sinuses and promote healing.

Gregory A. Hogle, DO

Board Certified Ear, Nose, & Throat Specialist

Clinical benefits of endoscopic sinus surgery

In multiple studies, patients who receive functional endoscopic sinus surgery show a statistically significant improvement in symptoms and quality of life following
surgeryImpact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhino sinusitis. Damm M, Quante G, Jungehuelsing M, Stennart E. Laryngoscope. 2002 Feb: 112(2): 310-5
.
There are a number of approaches to ESS. Should you be a candidate for ESS, Dr. Hogle will discuss the option they recommend for you, as well as the risks associated with ESS.

Recovery from endoscopic sinus surgery

Recovery times for ESS vary, based on the extent of the procedure. Many people return to normal activities within one to two weeks following
surgery"2Pain treatment and recovery after endoscopic sinus surgery. Kemppainen TP, Tuomilehto H, Kokki H, Seppa J, Nuutinen J. Laryngoscope. 2009 May-June: 321-327
.