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MBBS, MS (IMS BHU), FMAS, FALS, FIAGES, EFIAGES, FACRSI, FISCP
General Surgeon
Experienced surgeon with a proven track record of delivering exceptional patient care and surgical outcomes. Skilled in performing a wide range of complex su…
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Sinus excision is a surgery done to remove blocked or diseased tissue from the sinuses to improve breathing and reduce infections. The sinuses are air-filled spaces around the nose that can become infected or blocked, causing pain, pressure, and breathing problems. In such cases, surgery may be advised. The procedure is usually performed by an ENT doctor using an endoscope through the nose, so there are no external cuts on the face.
● Removes blocked or infected sinus tissue
● Helps sinuses drain normally
● Reduces sinus infections and pain
● Improves breathing through the nose
● Reduces pressure and facial discomfort
● Improves the sense of smell for some people
● People with chronic sinus infections that do not improve with medicines
● People with blocked sinus drainage
● Patients with nasal polyps or abnormal tissue growth
● People with trouble breathing through the nose
● Those with repeated sinus pain or pressure
● Patients whose quality of life is affected by sinus problems
Endoscopic Sinus Surgery
This is the most common type. The doctor uses a long, thin tube with a camera (endoscope) through the nose. No cuts are made on the face. The surgeon removes blocked tissue and improves sinus openings.
Functional Endoscopic Sinus Surgery (FESS)
This is similar to endoscopic surgery. It focuses on restoring normal sinus drainage and function by removing tissue that blocks airflow or traps mucus.
Balloon Sinuplasty
Instead of cutting, a small balloon is inserted into the blocked sinus opening and gently inflated to widen it, helping mucus drain naturally.
1. Medical Evaluation: The doctor examines your nose and sinuses and may do a CT scan to see the problem clearly.
2. Anaesthesia: You will get general anaesthesia (asleep) or sometimes local anaesthesia (numb nose).
3. Endoscope Insertion: A thin tube with a camera is placed into the nose to view the sinuses.
4. Remove Tissue: The surgeon removes blocked or infected sinus tissue, polyps, or bone as needed.
5. Open Sinus Pathways: Blocked sinus openings are enlarged so mucus can drain easily.
Most sinus excisions take about 1–3 hours depending on how many sinuses are operated on and the severity of the condition.
After surgery, the nose may feel blocked, bleed slightly, or have mucus discharge for a few days. Use saline rinses (saltwater sprays) often to keep the nose clean. Don’t blow your nose hard for at least 1–2 weeks after surgery. Rest and avoid heavy lifting for a while. Follow-up visits are important so your doctor can check healing and remove any crusts or dried mucus. Most people
feel much better within 1–2 weeks, but full healing of the sinus areas may take several weeks to months.
6. Clean Area & Pack (if needed): The area is cleaned, and sometimes soft packing material is placed to prevent bleeding.
7. Recovery Area: You are moved to a recovery area and watched until anaesthesia wears off.
Sinus excision is generally safe, but like all surgeries, it has possible risks:
● Mild bleeding or discharge after surgery
● Infection despite surgery
● Pain or pressure in the sinus area
● Rarely, injury to nearby structures like the eye or skull base if surgery is complicated
● Temporary numbness or change in smell
Your surgeon will discuss risks and how to lower them before your procedure.
Sinus Excision vs Other Sinus Care Methods
● Medical Treatment: Medicines such as antibiotics and nasal sprays help mild sinus infections. Surgery is used when these don’t work.
● Endoscopic Sinus Excision: Removes blocked tissue using small tools through the nose, usually with faster healing and no external cuts.
● Balloon Sinuplasty: A less invasive method that widens sinus openings without cutting tissue.
Sinus excision offers a more permanent solution when antibiotics, sprays, or other treatments fail to relieve chronic sinus problems.
Sinus excision is used to treat chronic sinus problems that do not improve with medicines. It removes blocked or infected tissue to help sinuses drain normally and improve breathing.
During the surgery, you will not feel pain because of anaesthesia. After surgery, mild pain or pressure is common but can be managed with medicine.
Most sinus excisions take about 1–3 hours depending on how many sinuses are treated and how severe the problem is.
Most people need just one surgery. Rarely, another surgery may be needed if symptoms return or complications occur.
Yes, sinus excision is generally safe when done by a trained ENT surgeon. There are some risks, but complications are uncommon.
If chronic sinus blockage is not treated, symptoms like pain, pressure, and nasal congestion can continue and may lead to more infections.
You may feel better in 1–2 weeks, but full healing can take several weeks to months. Regular follow-up and nasal care help improve healing.
