Sinus Surgery-Mumbai

The surgeon will perform the sinus surgery by one of the following methods:
1. Functional Endoscopic Sinus Surgery (FESS)
○ FESS is performed using a tool known as an endoscope. The endoscope is inserted through the nose to reach the sinus openings.
○ To clear the sinuses, the surgeon will use micro telescopes and surgical instruments to remove obstructive tissues and other blockages.
○ The entire procedure is performed through the nostrils, resulting in little to no scarring.

2.Image-guided Endoscopic Sinus Surgery
○ Image-guided endoscopic surgery is a minimally invasive outpatient procedure.
○ Small and narrow instruments are passed through the nasal and sinus cavities with the help of an endoscope.
○ The instruments are used to remove the diseased tissues and any obstructed areas in the nose and sinuses.

3. Balloon Sinuplasty
○ Balloon sinuplasty involves dilating your blocked sinus and creating open space, which allows your sinus to drain naturally.
○ A thin catheter attached with a balloon is moved along the wire until it reaches the opening of your blocked sinus.
○ The balloon is then slowly inflated, which gently dilates your sinus opening, allowing normal draining of your sinus. This usually clears the blockage.

4.Caldwell-Luc Operation
○ This is an invasive procedure that is usually performed to drain pus and/or remove a growth inside your maxillary sinus (sinus present behind your upper jaw).
○ Your doctor will make a cut in your upper jaw, above one of the second molar teeth inside your mouth. Through this window, they will enter the sinus cavity and treat the concerning cause of your infection.
○ This surgery can be done under either local or general anaesthesia.

5.Septoplasty
○ It is an outpatient procedure, performed to correct the problems associated with the septum (the bony partition between the nasal passages) of your nose.
○ This process restructures and realigns your deviated septum caused by birth (the nostril pressing against the birthing canal at birth) or from an injury.
○ This opens up your nasal passages, making your breathing easier.

6.Turbinate Reduction
○ Infection, irritation, or allergies can cause the turbinates inside your nose to become swollen and inflamed.
○ Turbinate reduction aims to reduce the size and swelling of these turbinates, making it easier for you to breathe.
○ This procedure generally requires the use of radiofrequency which is transmitted into your tissue by a needle-like instrument causing “controlled damage”.
○ The turbinate begins to shrink in size as your nose heals.

7. Functional Rhinoplasty
○ Functional rhinoplasty is used to correct breathing problems caused by structural abnormalities in your nose.
○ Your doctor will resculpt the bone and cartilage of your nose during the procedure, which may result in a change in nose shape.

8. Open Sinus Surgery
○ This is a major surgical procedure that usually necessitates accessing your sinuses via an incision in your mouth or face.
○ This procedure can be used to clear sinus passages as well as remove major blockages that are causing problems, such as bone spurs.
○ You may need to stay at the hospital for a few days after your surgery.

9. Endoscopic Skull Base Surgery
○ It is performed very rarely for paranasal sinus (nasal cavity extensions that are filled with air).
○ It provides direct access to the paranasal sinus, eliminating the need for flap surgeries.
○ Your doctor will make a small hole inside your nose to remove a growth through an endoscope.
○ This shortens the surgical time and fastens your recovery.