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Best Technique for Sinus Surgery?

Is there a specific technique for Sinus Surgery that doctors strongly recommend compared to others?

Doctor Answers (11)

Right surgeon more important than the technique

+2

For the majority of patients with sinus complaints, surgery is not necessary.  Therefore, always make sure that you are choosing a surgeon that is thoughtful and conservative for your treatment.  With few exceptions, if the first thing discussed is surgery, be very skeptical and at the very least seek a second opinion.  Exceptions to this rule would include having a growth or a dangerous, life-threatening infection.

Important questions to have answered include:  Could this be allergies?  Could this be a fungal sensitivity?  Is it possible that I have migraines and not sinusitis?  Is acid reflux playing a part in my symptoms?  Again, if your surgeon is not addressing these issues, consider a second opinion.  I see a great number of patients, referred to me specifically for sinus surgery and 75% end up improving without surgery.

When you finally get down to the decision for surgery, ensure that the treatment you are receiving is individualized for you.  There is no 'standard' sinus surgery, but as a general rule, less is more.  Just because 'all of your sinuses are blocked' does not mean that all of your sinuses need to be opened.  My experience, doing a lot of sinus surgery, is that for 95% of patients, the only sinuses that need to be addressed surgically are the maxillary and anterior ethmoids.  Even in patients with completely blocked frontal, posterior ethomoid and sphenoid sinuses I rarely need to do surgery on these sinuses to make my patients better.  As for technique, endoscopic sinus surgery is the standard across the country.  While there has been a great deal of interest in balloon sinuplasty, the jury is still out.  Clearly it is only appropriate for a small number of patients, those without inflammatory disease and a purely anatomic blockage. 


Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

Best Possible Sinus Surgery Method

+2

Best method for sinus surgery involves using the endoscopic equipment without external incisions.

More recent technique involves using a balloon technique to dilate the sinus passages without disturbing the lining of the inside of the nose.

Depending on the anatomy and the degree of symptoms and problems you are having, your surgeon can provide you with the best option possible.

Hope this was helpful.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 108 reviews

Sinus surgery technique

+1
Endoscopic sinus surgery is performed for medical necessity once polyps and chroinc infection has been documented.  For more information about sinus surgery techniques and diagrams , please see the link below. 

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Several sinus surgeries for different situations

+1

Endoscopic sinus surgery (using small scopes and instruments in the nasal passages) has been the standard for a couple of decades.

A newer less aggressive technique (balloon sinuplasty) is finding its place as well. Not every insurance company covers this yet - still considering it experimental - although it is not.

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Best technique for sinus surgery- balloon sinuplasty or endoscopic?

+1

Sinus surgery is an elective medical procedure sought by people experiencing chronic sinusitus, sinus headaches, or sinus infections.

Sinus surgery covers a very broad range of potential procedures of the nose and sinuses. Most people with chronic sinus problems do not have surgery on their actual sinuses. These patients have a deviated septum (the midline partition in your nose) or large turbinates, which contribute to their sinus or allergy symptoms, and they benefit from septoplasty and turbinate reduction.

New sinus surgery techniques have moved toward being less destructive, preserving the anatomical structures and restoring movement of air through sinuses . Techniques include balloon dilation or 'balloon sinuplasty" endoscopic (using tiny cameras to inspect and modify tiny openings in the sinuses), CT imaging, and microdebrider (to remove nasal polyps).

For mild to moderate cases, a new procedure using a balloon to open the sinuses may offer relief. Since this is an experimental treatment, your insurance coverage may not apply

Ramtin Kassir, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 25 reviews

Ballon Sinuplasty is a great option for mild to moderate sinus disease.

+1

The ideal procedure depends on your anatomy and the severity of your disease.  Ballon sinuplasty is a wonderful treatment option for mild to moderate sinus disease.  More extensive disease requires Endoscopic Sinus Surgery.  Not all surgeons are skilled in ballon sinuplasty, so be sure to see if your surgeon is comfortable with this procedure.  Warmest regards, Dr. Pippin.

Gregory Pippin, MD
Metairie Facial Plastic Surgeon
4.0 out of 5 stars 6 reviews

Best Technique for Sinus Surgery

+1

Sinus surgery covers a very broad range of potential procedures of the nose and sinuses. Most patients who complain of chronic sinus problems generally don't have surgery on the true sinuses. These patients have a deviated septum or large turbinates, which contribute to their sinus or allergy symptoms, and they benefit from septoplasty and turbinate reduction. Only after a comprehensive evaluation by a sinus or nasal surgeon can he/she determine the appropriate options for you.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Sinus Surgery - Does One Size Fit All?

+1

The evolution of sinus surgery techniques and technology have provided us with a variety of ways to treat chronic sinus disease refractory to medical therapy . However careful review of the patient's history , physical exam , CT scans as well as the extent ,severity and type of sinus disease are what in most cases determine choice of technique and technology.

In general techniques have moved toward being less destructive ,preserving the anatomical structures and restoring movement of air through sinuses . There remains a place for the technology including the balloon dilation ,endoscopes(in most cases) ,CT imaging ,microdebrider as well as some of our more traditional techniques depending on the patient, the circumstances and the disease.

Duane J. Taylor, MD
Bethesda Facial Plastic Surgeon

Endoscopic sinus surgery is the gold standard

+1

Endoscopic sinus surgery is currently the gold standard of sinus surgery. For people with mild to moderate disease, a new procedure using a balloon to open the sinuses has shown some promise. Be careful though as most insurance plans and several ENT associations still consider this treatment experimental. As such, most insurance will not reimburse for the balloon procedure but will reimburse for endoscopic sinus surgery.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 12 reviews

Ballon sinusplasty the latest evolution

+1

The gold standard of sinus surgery utilizes endoscopes to perform functional endoscopic sinus surgery. The lastest innovation utilizes ballon cathaters to dilate critical sinus drainage areas while preserving the lining. For a person with moderate sinus disease this results in a faster recovery with less pain.

Lee Kleiman, MD
Annapolis Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.