ENDOSCOPIC SURGERY –
A PROMPT, HIGHLY EFFECTIVE SOLUTION FOR CHRONIC SINUSITIS

1. What Is Endoscopic Sinus Surgery for Sinusitis?

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical technique that utilizes high-precision endoscopic equipment to visualize and treat lesions within the sinus cavities. Performed entirely endonasally without external incisions, this method minimizes postoperative discomfort and substantially reduces the risk of complications.
By removing polyps, stagnant mucus, or inflammatory tissue within the sinuses, endoscopic sinus surgery improves sinus ventilation and drainage, thereby rapidly alleviating the symptoms of chronic sinusitis.

2. Candidates Who Should Consider Endoscopic Sinus Surgery

Endoscopic sinus surgery is commonly indicated for the following cases of chronic sinusitis:
Refractory to medical management: If the patient has undergone treatment with antibiotics, anti-inflammatory medications, and sinus irrigation therapy, yet symptoms continue to recur.
Sinusitis with complications: For example, sinusitis affecting the eyes or the brain.
Nasal polyps or nasal structural deformities: When these structures obstruct sinus ventilation and need to be removed to restore function

3. Endoscopic Sinus Surgery Procedure

The endoscopic sinus surgery procedure comprises the following basic steps:
Step 1: The patient undergoes a clinical examination and necessary diagnostic investigations, including a CT scan to identify the precise location and extent of sinus lesions.
Step 2: The surgeon utilizes an endoscope inserted transnasally to access the inflamed areas within the sinuses.
Step 3: Remove inflammatory tissues, polyps, and obstructive mucus within the sinuses, while correcting any structural abnormalities if present.
Step 4: Following surgery, patients are routinely monitored and given postoperative care to reduce the risk of infection and preserve therapeutic outcomes.

4. Benefits of Endoscopic Sinus Surgery in the Treatment of Chronic Rhinosinusitis
Endoscopic sinus surgery is highly regarded for the following benefits:

• High efficacy: Rapidly eliminates inflamed tissue to markedly improve symptoms.

• Minimal pain, fewer complications: Eliminating the need for open surgery, endoscopic procedures cause minimal trauma to surrounding tissues and lower the risk of infection.

• Short recovery time: Patients can be discharged early and return to normal daily activities within a short period.

• Improved quality of life: Minimizes persistent pain and discomfort, helping patients feel more comfortable and healthy.

5. Postoperative Precautions for Endoscopic Sinus Surgery

Following functional endoscopic sinus surgery (FESS), patients must adhere to the physician's instructions to preserve treatment outcomes:

• Maintain nasal hygiene: Irrigate the nasal cavity with physiological saline solution to remove mucus secretions and prevent infection.

• Avoid allergens: Limit exposure to dust, smoke, pollen, or other allergens that may trigger inflammation.

• Regular monitoring and follow-up: The physician will monitor the recovery process and check for any signs of recurrent sinusitis.

Endoscopic surgery is a modern and effective solution for patients with chronic sinusitis refractory to medical management. With the advantages of being minimally invasive, reducing pain, and offering a short recovery time, this method brings new hope to those suffering from persistent sinusitis. However, patients should consult a specialist for thorough evaluation and to determine the most appropriate treatment strategy.

Sante Hospital proud to be a reputable and high-quality facility when choosing examination to screen for Ear, Nose, and Throat (ENT) conditions, you will receive attentive consultations and personalized treatment regimens tailored specifically for you by Dr. Tran Trong Uyen Minh, MD, PhD – one of the most reputable and trusted names in Otorhinolaryngology in Vietnam, possessing decades of extensive experience, superior surgical expertise, and comprehensive mastery of all ENT therapeutic modalities.