When should I consider endoscopic sinus surgery?

Written by: Mr Karan Kapoor
Published: | Updated: 06/04/2022
Edited by: Conor Lynch

Esteemed ENT specialist, Mr Karan Kapoor, is our latest accomplished medical expert to provide us with an informative article. Today, we find out what exactly endoscopic sinus surgery involves, and when and why patients would typically be recommended this operation.


What exactly does endoscopic sinus surgery entail?

It is an operation that takes place inside one’s nose to basically improve the ventilation. People undergo this operation as they seek a treatment option for nasal congestionheadaches, or things like polyps, which are blocking the nose and affecting the functioning of one’s nostrils.


It is important to recognise that endoscopic sinus surgery happens up your nose, and there will be no cuts made on the outside of the nose. We do this through the use of a special telescope and various other special small instruments which are all placed inside the nose.


When might this surgery be recommended to patients?

They are generally recommended it after we have tried medical treatment to try and reduce a patient’s symptoms as much as possible. It’s important to highlight here that sinus surgery doesn’t actually cure one’s symptoms, but it rather merely improves the overall ventilation of the nose, and allows medicine to better get onto the lining to effectively reduce symptoms.


When is it absolutely required?

It depends on the severity of the symptoms. If you can’t breathe through your nose, or if there is a growth in the nose that is blocking it, endoscopic sinus surgery can potentially be the ideal operation for you.


What are the main potential complications?

Roughly one in every 3,000 patients suffer damage to the wall between the nose and the eye socket. Also, about two in every 100 patients may suffer from a leak of fluid from the brain downwards. There is also a chance of a nosebleed, so we suggest that patients don’t drink too much hot tea or coffee not have hot showers for two days after an endoscopic sinus operation.


How effective is it?

Studies have shown that it can be up to 90 per cent effective when we consider the right patient. It is important to stress that one in eight patients might require a further operation within five years.


What is recovery time like, and what can patients expect after the surgery?

There are no cuts on the outside. However, you will feel quite tired and will notice internal bruising. Most patients can go back to work after 10 to 14 days following the operation, but it is very important that patients avoid flying immediately after, as the risk of a nosebleed is quite high on a plane after this operation.


Patients may require sinus rinses to try to wash the nose out and help improve the healing process. It is normal to experience pink mucus discharge for a couple of weeks after.


Mr Karan Kapoor can certainly be the right surgeon for you if you are considering undergoing endoscopic sinus surgery in the near future. Visit his Top Doctors profile today to book a consultation with him.

By Mr Karan Kapoor
Otolaryngology / ENT

Mr Karan Kapoor is a highly esteemed consultant ear, nose and throat surgeon based in Surrey. He specialises in thyroid disorders, nasal congestion, voice issues, deviated septum and sleep disordered breathing. He is additionally known for his expertise in head and neck cancers.

Mr Kapoor was awarded his initial medical qualification from the University of London in 2002 as well as a further bachelor in neuroscience and masters in surgical education further on in his esteemed career. He has completed training at numerous renowned institutions in the UK, such as Great Ormond Street Hospital and The Royal Marsden Hospital, as well as in the USA at Massachusetts Eye and Ear Institute and New York’s Memorial Sloan Kettering hospital. He has completed two specialist fellowships in his areas of specialist interest, one being the Royal College of Surgeons Fellowship at Charing Cross Hospital. He previously served as clinical lead and now holds the position of head and neck cancer lead for Surrey and Sussex NHS Healthcare Trust and additionally sees private patients at Spire Gatwick Park Hospital.

Mr Kapoor has published widely on topics in the ENT field and has completed research relating to the thyroid, voice and trans-oral laser surgery. Additionally, he is a leading educator for medical trainees and is training and education lead for ENT at Surrey and Sussex Hospital Trust as well as training lead on airway management and head and neck anatomy courses for Royal College of Surgeons.

Mr Kapoor is passionate about charity work and worked aboard the Impact India Foundation Lifeline Express Train for one month, providing essential specialist treatment to those in need. He additionally raised money for the charitable foundation while climbing Mount Kilimanjaro.

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