Sinusitis

TRANSNASAL ENDOSCOPIC SURGERY - Dr. P. THULASI DAS

"Sinusitis cannot be cured” and “Once a puncture always a puncture” are some of the myths circulated among the general public. Indiscriminate puncture(antral wash) and septal operations which have not offered any relief for the patient are responsible for these myths. Sinusitis means different things to different people. Headache, nasal block, sneezing, watering from the nose are some of the symptoms attributed to sinusitis. Sinusitis actually means an inflammation of the mucosal lining of the sinuses with or without collection of pus inside the same.


Sinuses are actually air containing chambers in the skull bone and they are situated around the nose.They all open into the nose and they normally contain air. The sinuses are also lined by the same mucous membrane which lines the nose. Now it is recognized that most of the sinus infections spread from the nose and once the sinus is infected the drainage is blocked owing to mucosal swelling since all these sinuses open into the nose through narrow openings.


The problem is further aggravated by polyps, deviated septum etc. With the Endoscopic techniques it is possible to widen the natural opening of all the sinuses to provide satisfactory drainage, thereby preventing further problems. Previously, each sinus was tackled individually when diseased, and artificial openings made for drainage never functioned satisfactorily. Moreover, Endoscopic sinus surgery is done through the external openings of the nose and patient morbidity and complications are much less. Endoscopic sinus surgery provides lasting and permanent relief from true chronic sinusitis.

This surgery is more popularly known as Functional Endoscopic Sinus Surgery (FESS). Functional Endoscopic Sinus Surgery has limited meaning. The radical Endoscopic spheno - fronto - maxillo - ethmoidectomy we do for massive polyps and fungal sinusitis would not fit into the original description of FESS by Dr. Kennely and Prof. Stammberger. Hence we prefer the term Endoscopic Sinus Surgery (ESS).


Consult Us

  • Nasal Block

    Nasal block only at night or both during day and night is cause for concern. Chronic nasal block has systemic effect.. read more

  • Repeated attacks of cold

    Repeated attacks of cold once or twice a month or every 2 months is not normal. Almost everybody.. read more

  • Sneezing

    Sneezing is a protective reflex. A few sneezes a day, in fact, are good, to clear the nasal cavity and the lungs.. read more

   

  • Watery drip from the nose

    Watery drip from the nose can be due to allergic rhinitis, Vasomotor rhinitis or CSF rhinorrhoea.. read more

  • Anosmia

    Anosmia is loss of smell sensation. Nasal polyps, chronic ethmoid sinusitis, chronic nasal obstruction all.. read more

  • Headache and Heaviness

    Headache is the commonest symptom experienced by human beings. There are numerous causes.. read more

  

  • Hearing Loss

    Among others, otosclerosis is a common cause for hard of hearing. It is a hereditary condition.. read more

  • Cleft lip nose

    Most primary cleft lip and palate repairs are done by plastic surgeons. There are not many takers for secondary.. read more

  • Difficulty in breathing

    Difficulty in breathing may be due to nasal block or narrowing of larynx or trachea. The narrowing of larynx.. read more

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