Endoscopic Sinus Surgery

The sinuses are air-filled cavities located on our forehead, under the eyes, in the cheek area, at the root of the nose and in the nape area. Sinuses have duties such as reducing the weight of the skull, protecting the brain against blows, and contributing to the moistening of the nose with their secretions. They also plays a role in the resonance of our voice.

Inflammation of the sinuses is called “sinusitis”. Short-term infections are called “acute”, frequently recurring ones are “recurrent” and infections lasting longer than 3 months are called “chronic sinusitis”. Headache, post-nasal drip, a feeling of intense pressure in the head when getting up and bending over, and nasal congestion are the most prominent complaints.

Surgical treatment can also be used to treat chronic cases resistant to drug therapy. Surgery is decided after the patient’s history, endoscopic nasal examination, and tomographic examination of the sinuses is done.

In recent years, “functional endoscopic sinus surgery” with the abbreviation FESS, that is, surgery that respects physiological mucosal structures with the help of an endoscope and aims to eliminate only the basis of chronic sinusitis has been at the forefront in terms of treatment.

The operation is usually performed under general anesthesia and takes 1-2 hours. After taking the tampons, which can stay in place for 1-2 days, the patient is followed up on an outpatient basis. The person can return to work in an average of 7 days.

Long-term follow-up of the patient is very important, especially in allergic and asthmatic patients who are at risk of recurrence.