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Endoscopic Sinus Surgery

Welcome to our patient information page about endoscopic sinus surgery. You can learn more about what to expect when you are scheduled for an endoscopic sinus surgery. Find pre- and post-operative instructions here.

Have any questions about your upcoming endoscopic sinus procedure with Dr. Karamy?

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Patient Information for Endoscopic Sinus Surgery

What is Endoscopic Sinus Surgery?

Endoscopic sinus surgery is a minimally invasive procedure performed to treat chronic sinusitis and other sinus-related conditions. During the surgery, a thin, flexible tube with a camera (endoscope) is inserted through the nostrils to visualize and access the sinus cavities. The surgeon uses specialized instruments to remove blockages, polyps, and open wider the natural sinus openings, allowing for better drainage and improved airflow within the sinuses.

 

Indications for Endoscopic Sinus Surgery:

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Endoscopic sinus surgery may be recommended for the following conditions:

  1. Chronic Sinusitis: When medical treatments like antibiotics and nasal corticosteroids fail to provide relief for chronic sinusitis, surgery may be considered to address the underlying issues.

  2. Nasal Polyps: Endoscopic sinus surgery can effectively remove nasal polyps that obstruct the nasal passages and sinuses.

  3. Sinus Blockages: Structural abnormalities, such as a deviated septum or narrowed sinus openings, can be corrected during the surgery to improve sinus drainage.

  4. Fungal Sinusitis: In cases of fungal sinus infections, endoscopic surgery may be necessary to remove affected tissue and restore sinus health.

What Happens During Endoscopic Sinus Surgery?

Endoscopic sinus surgery is typically performed under general anesthesia, meaning you will be asleep during the procedure. The surgeon will insert the endoscope through the nostrils to visualize the sinuses and guide the surgical instruments.

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During the surgery, the surgeon may remove polyps, open blocked sinuses, and correct structural issues contributing to sinus problems. The procedure is minimally invasive, and there are no external incisions. The surgery usually takes 1-2 hours to complete.

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Pre-Operative Instructions for Endoscopic Sinus Surgery

Before endoscopic sinus surgery, you will receive specific instructions from your healthcare provider, including:

  • Medications: Inform your healthcare provider about any medications you are currently taking, including over-the-counter supplements. Certain medications, such as blood thinners, may need to be adjusted or temporarily stopped before the surgery.

  • Fasting: You will likely be instructed not to eat or drink anything for a specified period before the surgery, usually starting at midnight the night before the procedure.

  • Arrangements: Plan for someone to drive you home after the surgery, as you will be groggy from the anesthesia.

  • Downtime: You will need to plan for 7-14 days off work. Most people can resume light duty work after a week, however any thing physically strenuous or in a dusty environment will need 2 weeks.

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Post-Operative Care & Instructions

After endoscopic sinus surgery, you will need to follow specific post-operative care instructions:

  • Nasal Packing and Splints: Its rare that we place splints in for sinus surgery in our practice, however if we do these will need to be removed at the 1 week mark.

  • Pain Management: If you have pain, then taking acetaminophen and ibuprofen together are quite effective. We will prescribe additional opioids for breakthrough pain often needed in the first week.

  • Nasal Care: I generally recommend nasal saline rinses minimum three times per day in the first month. You can do additional rinses for comfort. You will start your nasal steroid spray post-operative day 1 as well. Add a pea size amount of polysporin ointment (not cream) into each nostril twice per day at the end of the regimen which helps with moisture.

  • Activity: Avoid strenuous exercise and lifting more than 20 lbs in the first 2 weeks. You will also need to avoid blowing your nose for 2 weeks. During this period if you sneeze, try to cough it out the sneeze instead.

  • Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your progress and address any concerns.

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Potential Complications and When to Seek Medical Attention:

While endoscopic sinus surgery is generally safe, complications can occur.

 

Contact your healthcare provider if you experience:

  • Excessive bleeding: Some mild bleeding is normal after the surgery. If you are bleeding like a faucet or soaking a 4x4 gauze underneath your nose every 30 minutes, thats too much and should go to the ED.

  • Fever: A low-grade fever is common after surgery, up to 38.5 celcius, but a high fever may indicate an infection. 

  • Severe pain or swelling or visual changes: If you experience worsening severe pain or progressive visual loss seek medical attention.

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If you are experiencing concerning symptoms or have any questions after a procedure with Dr. Karamy, please contact us​. For emergencies, please go to the emergency department.

Disclaimer

The information provided on this webpage is for educational purposes only and should not replace medical advice. Please consult with a healthcare professional for a proper diagnosis and individualized treatment recommendations.

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