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Sinus Surgery

Surgery should be considered only if medical treatment fails or if there is a nasal obstruction that cannot be corrected with medications. The type of surgery is chosen to best suit the patient and the disease. Surgery can be performed under the upper lip, behind the eyebrow, next to the nose or scalp, or inside the nose itself.


Endoscopic Surgery

Functional endoscopic sinus surgery (FESS) is named for the took your physician will use to perform the procedure. With the endoscope, the surgeon can look directly into the nose, while at the same time removing diseased tissue and polyps, and clearing the narrow channels between the sinuses. This procedure can be done using general or local anesthesia and is determined on a case-by-case basis.

Preparing for Surgery

Be sure prior to surgery that you have realistic expectations for the results, recovery, and postoperative care. Good results require not only good surgical techniques but also a cooperative effort between the patient and physician throughout the healing process. It is essential for patients to follow pre- and postoperative instructions.

Antibiotic Resistance

Antibiotic resistance means that some infection-causing bacteria are immune to the effects of certain antibiotics prescribed by your doctor. Antibiotic resistance is making even common infections such as sinusitis challenging to treat. You can help prevent antibiotic resistance by taking all of your medication for the entire length of time prescribed by your physician, even if your symptoms are diminishing.

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Preventing Sinusitis

To avoid developing sinusitis during a cold or allergy attack, keep your sinuses clear by:

  • Using an oral decongestant or a short course of nasal spray decongestant
  • To keep nasal discharge thin, you can use this technique: gently blow your nose and block one nostril by blowing through the other
  • Avoiding air travel. If you must fly, use a nasal spray decongestant before take-off to prevent blockage of the sinuses allowing mucus to drain
  • If you have allergies try to avoid contact with substances that trigger attacks

Allergy testing, followed by appropriate allergy treatments, may increase your tolerance of allergy-causing substances.

Sinusitis vs. Sinus Infection

Acute bacterial sinusitis is an infection of the sinus cavities caused by bacteria.


It usually is preceded by a cold, allergy attack, or irritation by environmental pollutants.

Unlike a cold, or allergy, bacterial sinusitis requires a physician's diagnosis and treatment with an antibiotic to cure the infection and prevent future complication.