Endoscopic Sinus Surgery

Diagnostic Nasal Endoscopy is a medical procedure used to examine the nasal and sinus passages. This minimally invasive procedure is often performed by otolaryngologists (ENT specialists) to diagnose conditions affecting the nasal cavity and sinuses.
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Indications for Endoscopic Sinus Surgery

ESS is typically recommended when sinus conditions do not respond to medical treatments such as antibiotics, nasal steroids, or saline irrigations. Conditions that may require ESS include:

  1. Chronic Sinusitis: Inflammation of the sinuses lasting more than 12 weeks despite medical treatment.
  2. Recurrent Acute Sinusitis: Multiple episodes of acute sinus infections within a year.
  3. Nasal Polyps: Benign growths in the nasal passages or sinuses that can obstruct airflow and drainage.
  4. Sinus Fungal Infections: Infections caused by fungi that require surgical removal.
  5. Sinus Tumors: Benign or malignant growths that need to be biopsied or removed.
  6. Deviated Septum or Other Structural Issues: Anatomical problems that contribute to sinusitis.

Procedure

During the procedure, the patient is typically under general anesthesia. The surgeon inserts the endoscope through the nostrils to access the sinuses. Specialized instruments are then used to remove blockages, such as polyps or thickened mucous membranes, and to widen the natural sinus openings to improve drainage.

Benefits

  1. Minimally Invasive: No external incisions are needed, leading to less scarring and quicker recovery.
  2. Improved Visualization: The endoscope provides a clear view of the sinus anatomy, allowing for precise surgical interventions.
  3. Symptom Relief: Effective in relieving symptoms of chronic sinusitis and improving the patient’s quality of life.
  4. Reduced Recurrence: By addressing the underlying causes of sinus blockage, the surgery can reduce the likelihood of recurrent infections.