Complex sinus surgery includes the maxillary, ethmoid, frontal and/or sphenoid sinuses. At Northwest ENT Surgery Center, we utilize a technique known as Functional Endoscopic Sinus Surgery (FESS). This minimally-invasive procedure allows us to remove or correct diseased tissues in the obstructed sinus areas. By re-establishing normal sinus drainage pathways, nasal function is greatly improved.
Septoplasty, also called deviated septum surgery, may be performed at the same time to further improve nasal function and breathing.
Under general anesthesia, the natural openings of the sinuses are first enlarged. Any abnormalities in the sinuses are removed. The entire procedure is done through the nostrils with no external incisions. Surgery takes approximately 60 minutes, with patients ready to leave 3 to 4 hours after.
Image-Guided Sinus Surgery
An image guided computer assisted system is often used for complex sinus surgery. The result is a more accurate and more effective sinus surgery.
Patients may experience minor discomfort for the first two to three days, but this should resolve over the next few days (Pain score: 3/10). Nasal bleeding is common the first day. Swelling and crusting inside the nose is common but gradually improves over several weeks. There is usually no swelling or bruising of the face. No nasal packing is used.
Gradually resume normal activity 2-3 days after the procedure. Avoid exercise or heavy lifting for one week.
Out of town patients are cleared for travel the next day. We generally recommend a follow-up with an ENT specialist within one to two weeks after the procedure, although this may not be necessary in select cases.