It is thought that surgery will eradicate sinusitis. Most of the current surgeries for sinusitis are done under nasal endoscopy. Endoscopic surgery has proven to be the preferred method of treatment for sinusitis compared to traditional surgery. However, the purpose of this surgery is to create a structurally sound, well ventilated, and well drained local environment for the improvement and restoration of sinus mucosal morphology and function, and it does not directly treat sinusitis by itself.
You must wait until sinusitis is very serious before performing surgery. In fact, sinusitis is initially limited to mucosal lesions, and with the passage of time and repeated aggravation of the disease, such mucosal lesions can spread to the bone of the sinus wall and cause osteitis, thus increasing the difficulty of treatment and clinical cure rate. Especially for sinusitis with structural deformities and polyps in the nasal cavity, surgery is “better done early than late”.
Nasal polyps are seen as more serious than sinusitis. Sinusitis may or may not be accompanied by nasal polyps, and polyps are only the result of inflammatory or allergic reactions and do not represent the severity of sinusitis. If the sinusitis with nasal polyps is simply removing the polyps from the nasal cavity without opening the ventilation and drainage of the sinuses, then cutting the polyps is like “cutting leeks” and it is difficult to break the root.
Ignore the comprehensive treatment of the late surgery. A large number of clinical practice shows that the surgical treatment of sinusitis is a very complex process, including the pre-surgical, surgical and post-surgical aspects. Especially, the lasting comprehensive treatment in the post-surgical period is very important, otherwise it is easy to cause the previous work to be abandoned. It has been found that it takes about 3 months or more for the mucosa and function to recover after surgery for chronic rhinosinusitis. During this period, necessary treatment of the operative cavity can be performed at intervals of 1-2 weeks at first, including nasal irrigation, separation of adhesions, removal of neoplastic lesions such as vesicles, granulations and polyps, etc. Thereafter the interval can be extended appropriately. Also the use of medications can be adjusted, but is indispensable.