Endoscopic Sinus Surgery in India

The purpose of endoscopic sinus surgery is to open the passages of the sinuses allowing for proper drainage to the nose. It is called an endoscopic procedure because the physician uses an endoscope (a small, flexible tube with a light and a camera lens at the end) to view the inside of the nose. Small incisions or cuts are made to allow the scope to pass. The cuts are usually made inside of the nose. The physician may create new passages or open existing ones by removing polyps, cysts, or thickened mucous membranes.


Sinusitis Surgery in India

Sometimes to correct the sinus problem surgery is required. When medications do not correct nasal obstruction surgery has to be performed inside the nose, behind eyebrows, under the upper lip or near the nose or scalp.

Functional endoscopic Sinusitis Surgery is suggested for many deformities in the sinus. A thin fiber optic tube called the endoscope, is inserted inside the nose. The surgeon looks inside the nose with the endoscope and removes the diseased tissues and clears up the channels between the sinuses. The surgery is performed through the nostrils and this results in no scarring.

Image Guided Surgery is generally recommended for those patients who suffer from serious form of sinusitis. The anatomy of the patient’s nose is usually very unusual. Navigation of the nasal passage is done through images. It is a three-dimensional image mapping system. This system shows the surgeon the exact location of the surgical instruments while performing the surgery.

The Caldwell Luc Surgery is a surgery that requires the surgeon to create a passage through the upper jaw, above one of the second molar teeth. It is performed to clear the passageway to improve drainage and to remove any malignancy in the Maxillary Sinus. 

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What Are The Risks And Complications Of Sinus Surgery?

The following complications of sinus surgery have been reported in the medical literature. This list is not meant to be inclusive of every possible complication. It is here for your information only – not to frighten you – but to make you aware and more knowledgeable concerning potential aspects of sinus surgery.

  • Failure to resolve the sinus infections or recurrence of sinus problems and/or polyps.
  • Bleeding. In very rare situations, a need for blood products or a blood transfusion. You have the right, should you choose, to have autologous (using your own stored blood) or designated donor blood prepared in advance in case an emergency transfusion is necessary. You are encouraged to consult with your doctor regarding these issues if you are interested.
  • Chronic nasal drainage or excessive dryness or crusting of the nose.
  • Need for further and more aggressive surgery.
  • Need for allergy evaluation, treatments, or environmental controls. Surgery is not a cure for or a substitute for good allergy control or treatment.
  • Failure to improve or resolve concurrent respiratory illness such as, but not limited to, asthma, bronchitis, or cough.
  • Failure to resolve associated “sinus or nasal” headaches. The exact cause of headaches can be difficult to determine or have many different causes.
  • You may require consultation with another specialist such as a neurologist.
  • Damage to the eye and its associated structures (very rare).
  • Damage to the skull base with resultant meningitis, brain abscess, or leakage of spinal fluid (very rare).
  • Permanent numbness of the upper teeth, palate, or face.
  • Nasal obstruction due to failure to control infection or polyps.
  • Prolonged pain, impaired healing, and the need for hospitalization.
  • Failure to restore or worsening of the sense of smell or taste.

What Happens During Surgery ? 

In the operating room, the anesthesiologist will usually use a mixture of a gas and an intravenous medication to put you to sleep and to maintain your anesthetic at a safe and comfortable level. During the procedure, you will be continuously monitored including pulse oximeter (oxygen saturation) and cardiac rhythm (EKG). The surgical team is prepared for any emergency. In addition to the surgeon and the anesthesiologist, there will be a nurse and a surgical technician in the room. The whole procedure usually takes several hours. Your doctor will come to the waiting room to talk with any family or friends once you are safely to the recovery room .

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