Sinus Surgery

Sinus Surgery Advancements

Sinus surgery has come a long way from the invasive procedure it used to be, causing scarring and possible disfigurement. Today, with advances in technology, our trained surgeons can treat your sinusitis with few complications and minimal discomfort.

A careful diagnostic report will be drawn up to determine the cause of sinusitis and review the history of ever patient. We may perform a CT scan, perform a smell test, and sometimes a blood test. It is important that we have a complete understand of your nasal physiology to better determine the right treatment for you.

There are three options for sinus surgery: Functional Endoscopic Sinus Surgery (FESS), Image Guided Surgery and Caldwell Luc Operation.

Functional Endoscopic Sinus Surgery

This procedure involves inserting an endoscope into the nose for visual examination of the sinuses. Using micro-telescopes and instruments the physician is then able to remove any excessive or abnormal tissues obstructing the sinuses. This is usually performed entirely through the nostrils, leaving no scarring.
This procedure is less extensive, requires less removal of tissue, and is typically an outpatient procedure. Sometimes nasal packing occurs after this procedure; therefore, about ten days after the surgery the patient might need to have nasal irrigation.

Image Guided Surgery

This type of surgery is recommended for severe chronic sinusitis, and in cases where previous surgery has disfigured anatomical landmarks, or because of anatomy a typical surgery is difficult.

Image guidance create a near-three-dimensional mapping system through the use of CT scans and real-time information to indicate the exact position of surgical instruments. Surgeons are able to navigate the instruments throughout the sinus passages and work more precisely.

Caldwell Luc Operation

This operation improves drainage of the maxillary sinus, located underneath the eye. Your surgeon will enter the maxillary sinus through the upper jaw, above one of the molar teeth. A connection is made between the sinus and the nose to improve drainage. This type of surgery is typically performed with a malignancy is observed in the sinus cavity.

You also might want to check out a new, endoscopic, non-invasive procedure known as Balloon Sinuplasty to treat chronic sinusitis. Dr. Miya and Dr. Torchinsky will go over all of your options with you and determine what method is best for you.