Endoscopic / endonasal, or so-called “functional”, surgery of the nose and sinuses represents the modern approach to the management of chronic sinusitis. In the past, sinus surgery was to some extent destructive and focused primarily on removing diseased tissue. Current techniques are based on a different philosophy: creating optimal conditions within the nose and sinuses that allow the disease process to gradually settle over time.

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The primary aim of surgery is to improve ventilation and drainage of the sinuses.

 

Your cooperation is essential in achieving the desired outcome, and patience is required during the post-operative period. While some symptoms may improve almost immediately, others can take longer to resolve. Certain aspects of the disease may only fully settle after 4–6 months. In cases of polypoidal disease or allergy, ongoing treatment with a steroid nasal spray may be necessary for a prolonged or even indefinite period to control the underlying factors that contributed to the condition.

 

Occasionally, chronic sinusitis cannot be completely “cured”, and the goal of treatment is therefore meaningful improvement and long-term control.

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The operation is usually performed as a day procedure, although an overnight hospital stay may occasionally be required. The surgery is generally surprisingly painless. It is important to be diligent with your prescribed post-operative medications, which will include a nasal douche (rinse).

 

Post-operative care is critical and, if neglected, may compromise the final outcome. You will need to return on scheduled days for nasal cleaning (“nasal toilet”) and examination. The cost of initial post-operative follow-up care is included in the surgical fee, so please do not feel hesitant or embarrassed about attending these visits.

 

With regard to costs, it is important to understand that modern sinus surgery is a highly specialised procedure performed under carefully controlled anaesthetic conditions. While it is not inexpensive, the long-term benefits usually justify the cost, which is comparable to that of other specialised procedures such as reconstructive dentistry.