Surgery is not required in most people with sinus problems. But for those whose chronic sinus problems do not respond to medical therapy, endoscopic sinus surgery may be recommended. Endoscopic surgery uses lighted scopes and tiny cutting instruments, offering less invasive surgical approaches by providing relief without the need for incisions and removal of surrounding normal tissue. In addition to removing disease from the sinuses, the endoscope often allows the surgeon to open a permanent window to facilitate sinus drainage and sinus aeration. Endoscopic surgery allows direct examination of the lesser sinus areas, particularly the ethmoid area where chronic infection can smolder, evading antibiotic treatment and re-igniting recurrent infection into the maxillary or frontal areas. Endoscopic sinus surgery can be performed on an outpatient basis without a hospital stay and usually without the necessity and discomfort of nasal packing. Recovery occurs at home. Return to most normal activities is possible right away, although you should not blow your nose for approximately five days after the surgery. Although endoscopic surgery reduces the risk of bleeding, nasal secretions may be tinged with blood for a week or two as the sinuses heal. Last Updated: 12/9/2002
The Johns Hopkins University 1996-2003. All rights reserved. This information is not intended to provide advice on personal medical matters, nor is it intended to be a substitute for consultation. | 
