Sinusitis can also be referred to as rhinosinusitis. It occurs when the paranasal sinuses become inflamed. There are many causes of this inflammation, but the most common are an infection, allergies and autoimmune deficiencies. Most cases are due to a viral infection and resolve over the course of 10 days. When these infections reoccur several times throughout the year, you have recurrent acute sinusitis. When the infections don’t go away, you may be suffering from chronic sinusitis and additional treatment may be required.
Chronic sinusitis surgery is often recommended when another medical treatment has not cured or improved chronic sinus infections.
The aim of treating chronic sinusitis is to:
Appropriate medical management to reduce the symptoms and causes of chronic sinusitis should be attempted before considering surgery. This includes:
Surgery is recommended if you have chronic sinusitis symptoms. The following factors indicate that surgery should be considered:
Surgery may also be needed if:
If chronic sinusitis persists after receiving four to six weeks of antibiotics, nasal steroids, and nasal saline irrigations, chronic sinusitis surgery is usually recommended.
Dr. Bennett individualizes every patient’s care. A minimum of half an hour is needed to fully understand your expectations and to get a complete history and evaluation of the inside and outside of your nose. Knowing what to expect will make the entire experience more pleasant and increase your satisfaction with the surgical results. Dr. Bennett will discuss the cosmetic and functional expectations of your surgery in detail to make sure all of your questions are answered. Depending on whether you have functional/breathing issues insurance may cover part of your surgery.
If you and your doctor agree that surgery is right for you, endoscopic surgery is almost always the preferred method for chronic sinusitis.
Endoscopic surgery has been very effective in treating chronic sinusitis, with positive feedback given by patients who have had this procedure. These patients “report significantly improved quality of life following minimally invasive endoscopic sinus surgery”, according to a study led by Oregon Health & Science University (OHSU). Quality of life was significantly improved over patients who received medical management alone. Patients typically experience better breathing, less nasal discharge, and a better overall feeling of health.
Endoscopic surgery has been found to improve symptoms in about 90 out of 100 people. A nasal endoscope, which is a thin, flexible or rigid tube with an attached light, is inserted into the nose. This provides the doctor with an inside view of your sinus passages.
Surgical instruments are inserted alongside the endoscope. These instruments allow the doctor to remove small amounts of bone or other material, such as growths (polyps) of the mucous membrane that block the sinus openings. Enlarging a narrow sinus opening also may aid drainage. Depending on the source of the obstruction, various other instruments may be used. Local or general anesthesia is both options.
The surgery, which takes 30 to 90 minutes, is performed by our practice in an ambulatory surgery center with anesthesia provided by a board certified anesthesiologist. Chronic sinus surgery may also be done in a hospital, a doctor’s office or a clinic.
Balloon Sinuplasty is a surgical technique using a guide wire that is inserted into the sinus and a balloon that is then inflated to open the blocked sinus. This technique can provide immediate relief of sinus pressure. The tissue is not removed during balloon sinus surgery and a swollen sinus opening may reclose in patients not chosen appropriately. Having nasal polyps without polyp removal is a contraindication for balloon sinus surgery.
With Dr. Bennett’s advanced surgical techniques, patients experience a more rapid and comfortable recovery period. Dr. Bennett does not routinely pack the nose following surgery, eliminating one source of extra scarring inside the nose. Our patients experience decreased swelling and a less uncomfortable recovery as a result and are typically back to regular activity within 7-10 days.