Endoscopic sinus surgery?

Endoscopic sinus surgery, or functional endoscopic sinus surgery (FESS), is performed in patients suffering with chronic sinus symptoms that have failed to improve on medical therapy.

How does the procedure work?

Endoscopic sinus surgery is a minimally invasive surgical procedure. No cuts are made on your face. Your surgeon will use a specialised camera (an endoscope) and instruments in order to view inside the nose. Abnormal growths (polyps) that may be blocking the sinuses, causing chronic pain, nasal obstruction or infection are removed. Careful planning is required for each case, so you will be asked to undergo a CT scan of your sinuses prior to your sinus surgery.

Why is it performed?

By removing abnormal tissue (polyps) or bone that is causing blockage or chronic infection, your sinuses are able to drain normally, thus restoring normal function.

How should I prepare for the procedure?

Endoscopic sinus surgery is always performed under general anaesthetic in a hospital. You will be given specific instructions before your date of surgery instructing you when to stop eating/drinking and specific medication that may be needed before or after surgery.

What can I expect after the surgery?

A dissolvable material is placed into the nasal cavities after the surgery to help with healing and to minimise the risk of potential bleeding. There will be no bruising around the eyes. We pay very careful attention to managing your pain after the procedure. Once at home, you will be asked to gently wash out the nose with a salt-water preparation. This helps clear the nasal passages. It normally takes 1-2 weeks to fully recover from the surgery and anaesthetic.

Endoscopic Polypectomy

What is endoscopic polypectomy?

Endoscopic polypectomy in the nose refers to the surgical removal of polyps that occur in the nasal passages. Polyps are abnormal growths of tissues that can cause nasal obstruction and chronic infection in the sinuses. Polyps can affect any of the sinuses.

How does the procedure work?

Endoscopic sinus surgery is performed to remove polyps from the nasal cavities and sinuses. Specialised cameras (endoscopes) and instruments are used during this procedure, which is conducted through the nasal passages (no cuts are made on the face).

Why is it performed?

Polyps in the nose can cause nasal obstruction affecting breathing, snoring, chronic nasal discharge or infection, headaches or facial pain and decreased smell. The initial treatment for nasal polyps is medical therapy in the form of a nasal spray and/or tablets. If there is unsatisfactory response to this treatment, then surgery can be considered.

How should I prepare for the procedure?

Endoscopic sinus surgery (endoscopic sinus surgery) is always performed under general anaesthetic in a hospital. You will be given specific instructions before your date of surgery instructing you when to stop eating/drinking and specific medication that may needed before or after surgery.

What can I expect after the surgery?

A dissolvable material is placed into the nasal cavities after the surgery to help with healing and to minimise the risk of potential bleeding. There will be no bruising around the eyes. We pay very careful attention to managing your pain after the procedure. Once at home, you will be asked to gently wash out the nose with a salt-water preparation. This helps clear the nasal passages. It normally takes 1-2 weeks to fully recover from the surgery and anaesthetic.

Frontal sinus surgery

What is frontal sinus surgery? 

Frontal sinus surgery or the Lothrop procedure is conducted in order to treat sinus problems such as chronic sinusitis, recurring infections, drainage issues and structural abnormalities of the frontal sinus. The frontal sinuses are the sinuses located above the eyes.

How does the procedure work?

During the Lothrop procedure, your surgeon will use an endoscope and specialised surgical tools to restore the drainage pathway of the frontal sinuses. Careful planning is required for each case, so you will be asked to undergo a CT scan of your sinuses prior to your sinus surgery.

How should I prepare for the procedure?

Frontal sinus surgery (Lothrop) is always performed under general anaesthetic in a hospital. You will be given specific instructions before your date of surgery instructing you when to stop eating/drinking and specific medication that may be needed before or after surgery.

What can I expect after the surgery?

A dissolvable material is placed into the nasal cavities after the surgery to help with healing and to minimise the risk of potential bleeding. There will be no bruising around the eyes. We pay very careful attention to managing your pain after the procedure. Once at home, you will be asked to gently wash out the nose with a salt-water preparation. This helps clear the nasal passages. It normally takes 1-2 weeks to fully recover from the surgery and anaesthetic.

Endoscopic Sphenopalatine Artery Cautery

What is endoscopic sphenopalatine artery cautery?

The sphenopalatine artery supplies 70-90% of the blood supply to the nose. In cases of severe nosebleeds that do not stop with other measures, it may be necessary to cauterise the artery (use heat to block the artery, thus stopping the bleeding).

How does the procedure work?

Endoscopic sphenopalatine artery cautery is always performed under a general anaesthetic. You surgeon will use specialised cameras and instruments through the nostril to locate the artery at the back of the nose. Once located, the artery is then cauterised to prevent further bleeding.

Why is it performed?

This procedure is only performed in cases of severe or recurrent nosebleeds when other measures have not been successful.

How should I prepare for the procedure?

Endoscopic sphenopalatine artery cautery is always performed under general anaesthetic in a hospital. You will be given specific instructions before your date of surgery instructing you when to stop eating/drinking and specific medication that may be needed before or after surgery.

What can I expect after the surgery?

A dissolvable material is placed into the nasal cavities after the surgery to help with healing and to minimise the risk of potential bleeding. There will be no bruising around the eyes. We pay very careful attention to managing your pain after the procedure. Once at home, you will be asked to gently wash out the nose with a salt-water preparation. This helps clear the nasal passages. It normally takes 1-2 weeks to fully recover from the surgery and anaesthetic.