Sinus Surgery in Patna: Endoscopic Sinus Surgery (FESS)

Sinus surgery is a procedure used to improve drainage and ventilation of the sinuses when medical treatment does not adequately control chronic or recurrent sinus problems. The most commonly performed modern approach is Functional Endoscopic Sinus Surgery (FESS). It uses a small nasal endoscope to access the sinus openings through the nostrils, without an external facial incision.

Sinus surgery may be considered when symptoms persist despite appropriate medical treatment or when there are structural or disease-related problems affecting sinus drainage. Common situations include: Chronic rhinosinusitis Recurrent sinus infections Nasal polyps Blocked sinus openings Certain anatomical abnormalities Fungal sinus disease in selected cases Complications of sinus disease Persistent symptoms despite appropriate medical treatment The decision for surgery depends on symptoms, nasal endoscopy findings, imaging such as CT of the paranasal sinuses, and response to medical treatment.

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive sinus procedure performed through the natural nasal passages. An endoscope provides a magnified view inside the nose and sinuses. The surgeon removes or corrects diseased tissue or obstruction while aiming to preserve healthy mucosa and restore normal sinus drainage.

Before surgery, the ENT specialist evaluates the nose and sinuses, usually with nasal endoscopy and, when indicated, a CT scan.During surgery: The patient receives appropriate anaesthesia. A nasal endoscope is introduced through the nostril. The blocked or diseased sinus pathways are identified. Diseased tissue, polyps or obstructing structures may be treated. Natural sinus drainage pathways are opened or enlarged where required. The nose is examined for bleeding or other issues before completion. The exact procedure depends on the patient's diagnosis and CT/endoscopic findings.

Yes. Most modern endoscopic sinus surgeries are performed through the nostrils using specialized instruments and an endoscope. This means there is generally no external facial incision or visible facial scar from standard FESS.

Depending on the underlying condition, surgery may help: Improve sinus drainage Reduce nasal blockage Improve nasal breathing Reduce recurrent sinus infections Treat nasal polyps Improve sinus-related facial pressure Improve access for ongoing medical treatment Surgery is not a guarantee that sinus disease will never return. Some patients, particularly those with chronic inflammatory disease or nasal polyps, may continue to require medical treatment and follow-up.

Recovery varies according to the type and extent of surgery and the underlying disease. Patients may experience temporary nasal blockage, mild discomfort, blood-stained nasal discharge or crusting during the early recovery period. Your ENT specialist may recommend: Saline nasal irrigation Prescribed nasal medications Follow-up nasal endoscopy Avoiding nose blowing for a specified period Temporary restriction of strenuous activity Regular postoperative follow-up is important for cleaning, healing assessment and long-term disease control.

Like any surgical procedure, sinus surgery has potential risks. These can include: Bleeding Infection Persistent or recurrent symptoms Adhesions or scarring inside the nose Need for further treatment or surgery Rare injury to structures around the sinuses, including the orbit or skull base Your surgeon will discuss the risks and expected benefits based on your individual condition.

Yes. Many patients with sinusitis can be managed without surgery. Treatment may include appropriate medications, saline irrigation, nasal corticosteroid sprays and management of contributing factors. Surgery is generally considered when symptoms or disease persist despite appropriate medical management, or when specific anatomical or disease-related indications are present.

If you have persistent nasal blockage, recurrent sinus infections, facial pressure, reduced sense of smell or nasal polyps, an ENT evaluation can help determine the underlying cause. At Care Infinity ENT & Maternity Centre, Patna, patients can undergo evaluation for nasal and sinus conditions, including nasal endoscopy and assessment for endoscopic sinus surgery where appropriate. Book a consultation with {{Dr.Baban kumar}} in to discuss your sinus symptoms and treatment options.