Sinus surgery refers to functional endoscopic sinus surgery (FESS), which is operated under the nasal endoscope and is a category 3 surgery in rhinology, while the highest category of surgery is category 4, so it is a medium to high difficulty surgery.
Functional nasal endoscopic surgery is a new technique in nasal surgery, pioneered by Austrian Messerklinger in the early 1980s, and became popular in China in the 1990s. The procedure involves removal of the leptomeninges (or polyps), opening the septal sinus, maxillary sinus, frontal sinus and pterygoid sinus as appropriate, removing the lesions, improving local drainage and restoring the normal physiological function of the sinuses. The surgery itself is not very traumatic, but because of the hidden location of the sinuses, it is still complicated to operate under the nasal endoscope, and each person’s anatomy is different, so there are still certain risks, such as nasal adhesions, decreased sense of smell, periorbital bruising, cerebrospinal fluid nasal leakage, cranial infection, recurrence, etc. And sinusitis surgery treatment is only part of the sinusitis treatment method, sinus post-operative medication change is also very important treatment.
Therefore sinusitis surgery is not a minor surgery, but just less damage to the organism. It is recommended to find an experienced surgeon (deputy chief physician or chief physician) at a level 2 or higher hospital to perform the surgery. After the surgery, it is usually necessary to review and change the medication 4-6 times on an outpatient basis, about three months to six months.