Chronic sinus problems can cause persistent nasal blockage, facial pressure, headaches, reduced sense of smell, and difficulty breathing through the nose. When symptoms continue despite appropriate medical treatment, an ENT specialist may recommend surgery to improve sinus drainage and airflow. Endoscopic sinus surgery in Mumbai is a minimally invasive surgical approach that uses a thin endoscope and specialised instruments to treat selected conditions affecting the nose and sinuses.
Dr. Shama Kovale, Senior Consultant ENT specialist at Kokilaben Dhirubhai Ambani Hospital, provides evaluation and management for a range of ear, nose, and throat conditions. Understanding when sinus surgery may be needed, how the procedure is performed, its potential benefits, and the factors affecting its cost can help patients prepare for an informed consultation.
Endoscopic sinus surgery, commonly called functional endoscopic sinus surgery (FESS) when performed for chronic sinus disease, is a procedure used to improve ventilation and drainage from the paranasal sinuses. These air-filled spaces around the nose can become inflamed or obstructed because of chronic sinusitis, nasal polyps, or structural abnormalities.
During the procedure, the surgeon passes a narrow endoscope with a light and camera through the nostrils. This provides a magnified view of the nasal passages and sinus openings. Specialised instruments may then be used to remove obstructing tissue, polyps, or small amounts of bone when necessary to restore drainage.
The procedure is generally performed through the nostrils, so external facial incisions are usually not required. The exact surgical approach depends on the diagnosis, anatomy, extent of disease, and the patient’s overall health.
Sinus surgery is not necessary for every person with sinus symptoms. Many cases of acute sinusitis improve with appropriate medical care. Surgery may be considered when symptoms persist or recur despite suitable treatment, or when examination and imaging identify a problem that is unlikely to improve with medicines alone.
Common reasons for considering surgery include:
A detailed clinical examination is essential before deciding on surgery. Nasal endoscopy and a CT scan of the sinuses may be recommended to confirm the diagnosis and plan the procedure.
The suitability and benefits of Endoscopic sinus surgery in Mumbai depend on the underlying condition, severity of symptoms, and response to previous treatment.