Effective treatment of the sinuses performed at MEA Clinic in Warsaw is the result of our many years of experience in this field, as well as the implemented state-of-the-art FESS (functional endoscopic sinus surgery). What is the method? How is it carried out? Preparation for the procedure and recommendations after surgery.

The sinus endoscopy procedure is an extremely effective method, both diagnostic and surgical, indicated for use in acute or chronic rhinosinusitis. We use this minimally invasive method as a safe alternative to pharmacological treatment, also when identifying anatomical abnormalities that cause the lesions.


Endoscopy of paranasal sinuses

The main task of endoscopic sinus surgery is to restore their patency by removing the mucous membrane affected by pathological changes in the mouth-and-wire complex with the use of optical endoscopes and surgical microfiches.

For many people who come to us from Warsaw and the surrounding area who suffer from serious sinusitis and accompanying this feeling of loss of proper smell and taste, sinus endoscopy is the best, safe and quick solution to health problems.

Of course, the indications for the procedure are preceded by specific tests performed by our ENT specialist who ascertains such a necessity, as well as blood and ECG, X-ray of sinuses and computed tomography of the nose and paranasal sinuses, as well as chest x-rays. It is also necessary to consult with an anesthesiologist, who in turn determines the possibility of using a general anesthetic for a given patient.

Qualification for surgery (FESS)

In order for the patient to undergo endoscopic surgery of the paranasal sinuses, he must undergo an interview, nasal colonoscopy and computed tomography. The latter allows you to correctly recognize the lesions and determine the extent of surgery. Thanks to this modern method, surgical intervention is possible already at the initial stage of the inflammatory process. It is also necessary to consult an anesthetist to rule out contraindications to general anesthesia. In addition, blood tests, ECGs and chest x-rays are performed.

The procedure is most often carried out in people:   

-  suffering from acute or chronic rhinosinusitis (with or without polyps)

- if sinus drug therapy has proved ineffective,  

-   with cysts of the paranasal sinuses,  

-   with a bent nasal septum,   

-  with mycelium,  

-  with sinus empyema, 

-  with purulent bays   

-  with polyps,  

-  with benign tumors,    

- with a foreign body in the nasal cavity and paranasal sinuses,   

-  with developmental defects of the nasal cavities and sinuses.

Treatment of sinuses and preparation for surgery The condition for performing surgical treatment of paranasal sinuses, in addition to eliminating contraindications, is proper preparation of the patient. First of all, 3 days before the procedure should not take any anticoagulants due to the possibility of bleeding both during surgical operations and during hospitalization. At least 6 hours before the planned operation of the sinuses, the patient is not allowed to eat and must maintain a minimum period of 4 hours without consuming any fluids.


The course of sinus surgery

As we have already mentioned, the goal of endoscopic sinus surgery is to make it more difficult by creating the right connection between the nasal cavity and the sinuses, maintaining healthy anatomical structures.

The procedure is performed under general anesthesia and in accordance with modern medical practice:   

- insertion of the endoscope probe into the nasal cavity

- the image transferred to the monitor reveals the diseased blocking tissues of the mouth,  

- introduction of specialized surgical microfilaments through the nostrils,   

-  removal of diseased mucosa tissues

- opening of the mouth,   

-  assumption of the so-called tamponade for 48 hours

- tight nasal filling with a seton (a strip of special gauze soaked in paraffin or glycerin) to stop bleeding.

This method of treatment of the sinuses eliminates another, quite invasive surgical method, using cutaneous cuts, and also enables shortening the time of hospitalization to two days and significant reduction of postoperative pain.

Type of anesthesia Endoscopic surgery of the paranasal sinuses is performed under general anesthesia. The surgeon carries it through the nasal holes (frontal nostrils) and there is no need to cut the skin of the face or oral mucosa.

Assisting treatments

During endoscopic surgery of the paranasal sinuses, other procedures are often performed, such as:   

-  operation of the nasal septum (septoplasty) - it allows to obtain a good post-operative nasal patency,  

-  removal of the pharyngeal tonsil - mostly in small patients,    

-  middle ear drainage - in people who suffer from exudative otitis media,   

-  reduction of nasal turbinates (conchoplasty) - improves nasal patency,   

-  stiffening of the wings of the nose - it is recommended for people who have floppy wings of the nose, collapsing while inhaling.


Recommendations after the procedure

After endoscopic sinus surgery:

    stay home for about 2-3 days,
    avoid physical exercise - it is possible only after one month from the surgery,
    avoid hot and spicy dishes and drinks, including alcoholic beverages and caffeine,
    stop smoking,
    blowing the nose out unbearably,
    avoid long flights by plane,
    do not sleep with your head higher than your torso,
    avoid exposure to the sun,
    do not use the solarium and sauna and other places where there is high temperature,
    take medicines as directed by your doctor.

Complete recovery takes about 4-6 months, but after about 7 days you can return to work. There are no traces or postoperative scars on the face or nose.

Endoscopic sinus surgery:

    eliminates the causes of hypertrophic changes within the mucous membrane - restores normal airflow of the paranasal sinuses,
    allows you to clean all sinuses - maxillary, frontal, sieve and wedge,
    clears the natural connections of the sinuses with the nasal cavity - i.e. open-wire complexes,
    allows to eliminate the causes of inflammation of the paranasal sinuses.

The treatment distinguishes minimization of invasiveness, very high precision and short convalescence period.