Sinus Surgery | Sinusitis

Sinus Surgery

When there are blockages within the nasal passages and sinuses, sinus surgery may become necessary to improve breathing function and relieve conditions such as chronic sinusitis. Dr. Sigari uses state-of-the-art endoscopic sinus surgery techniques in order to open the sinuses so they drain freely, and removes any nasal polyps or other blockages.

What can sinus surgery do for me?

Endoscopic nasal sinus surgery can help:

  • Remove nasal blockages, such as nasal polyps or tumors
  • Improve breathing
  • Relieve symptoms of chronic sinusitis
  • Improve sinus drainage
  • Correct nasal deformities, such as deviated septum

How is endoscopic sinus surgery performed?

During endoscopic sinus surgery, a long, thin and flexible tube, called an endoscope, is inserted through the nostrils to gain access to the sinuses. The endoscope is equipped with advanced fiber optic technology, allowing the surgeon to see inside the nasal passages and sinuses. Surgical instruments are used together with the endoscope to remove blockages and improve sinus drainage.

What is the recovery after endoscopic sinus surgery?

Recovery depends on many factors, including the size, location and extent of the blockages, as well as the overall health of the patient. Most patients will be discharged the same day as their surgery, and mild discomfort is tolerated well with prescribed pain medication.

Will the nasal polyps grow back after sinus surgery?

Unfortunately, nasal polyps can and often do return after sinus surgery, and there’s no way to know how quickly they will return. In some cases, polyps can return after three years, in other cases, nasal passages can remain clear for ten years or longer. There are a number of options that may be helpful in delaying the recurrence of nasal polyps, including post-surgical antibiotic irrigations, as well as topical steroids.


Over 40 million Americans suffer from sinusitis every year. Sinusitis is an inflammation in the lining of the sinuses, which prevents mucus from draining properly and can lead to a moist environment that fosters the growth of bacteria and other infections. Sinusitis attacks make you feel miserable, with a wide range of symptoms that can include difficulty breathing, headaches and pain behind the eyes and cheeks, persistent nasal discharge, fever and fatigue. Beyond the discomfort of these symptoms, if sinusitis is left untreated, in rare cases it can lead to severe medical problems and even death.

While most people will suffer from a relatively short-term infection that may clear up after a few weeks, others can develop chronic sinusitis that, despite treatment, lasts more than eight weeks or keeps returning. Chronic sinusitis, also known as chronic rhinosinusitus, can also be associated with the development of nasal polyps. While chronic sinusitis can be difficult to treat, there are measures that can help manage the disease, treat nasal polyps, and help you get relief.

What are sinuses?

The sinuses are four pairs of air-filled spaces located on the sides of the nose, behind the eyes, in the forehead and at the back of the nasal cavity. Sinuses help to moisten air as we breathe it in, while producing mucus to help trap dust and germs. When the linings of the sinuses become inflamed, the tiny openings that help to drain the sinuses can become blocked, preventing mucus from draining. This trapped mucus creates an environment in which infection can take hold.

What causes sinusitis?

One of the reasons sinusitis is difficult to treat is because it’s often hard to determine the exact causes for a specific case of sinusitis. While allergies and infection often play a role in exacerbating nasal inflammation, in many cases they are not the root cause of the condition. That is why chronic sinusitis often can’t be cured with antibiotics and allergy treatments alone.

Some causes of chronic sinusitis may include:

  • Allergies
  • Bacterial or fungal infection
  • Nasal polyps or tumors
  • Deviated nasal septum or other deformity in nose and sinuses
  • Respiratory tract infections
  • Other medical conditions, such as gastroeshophogeal reflux or immune disorders
  • Irritation of sinus lining from chemical or environmental factors, such as smoking
  • Medication side effects

Symptoms of sinusitis may include:

  • Trouble breathing through nose
  • Persistent nasal discharge, often yellow or green in color
  • Cough, which may be worse at night
  • Headache
  • Pain behind the eyes, forehead and cheeks
  • Altered sense of taste and smell
  • Aching in the upper jaw and teeth
  • Puffy eyes
  • Bad breath
  • Sore throat
  • Ear pain
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