Sinus Treatment in Kasaragod | Endoscopic Sinus Surgery

 If you have been suffering from persistent nasal blockage, facial pain, repeated sinus infections, reduced sense of smell, or nasal polyps, you may benefit from Functional Endoscopic Sinus Surgery (FESS). At our Centre we provide advanced minimally invasive endoscopic sinus surgery using modern HD endoscopes and image-guided principles to restore normal sinus drainage while preserving healthy tissue.

Whether you have failed medical treatment or are experiencing complications of chronic sinusitis, our goal is to help you breathe comfortably and enjoy long-lasting relief.

 Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive nose surgery performed through the nostrils using fine endoscopes. Unlike traditional open surgery, there are no external cuts or facial scars.

The surgery restores the natural drainage pathways of the sinuses by removing the tissue causing blockage while preserving as much normal anatomy as possible.

Modern FESS focuses on:

• Restoring normal sinus function 
• Improving nasal breathing 
• Preserving healthy mucosa 
• Reducing recurrent infections 
• Enhancing the effectiveness of nasal medications

 Functional Endoscopic Sinus Surgery may be recommended for:

Patients with symptoms lasting more than 12 weeks despite appropriate medications.

Repeated episodes of sinus infections affecting quality of life.

Soft, painless growths inside the nose causing blockage and reduced smell.

Certain forms of fungal sinus disease require surgical clearance.

Blocked sinus filled with mucus causing pressure or eye symptoms.

Extensive disease requiring surgery along with long-term medical management.

Selected cases involving spread of infection to the eye or surrounding structures.

Performed as part of treatment planning in selected skull base surgeries.

 You may require an ENT evaluation if you have:

• Persistent blocked nose 
• Thick nasal discharge 
• Facial heaviness or pain 
• Frequent headaches related to sinus disease 
• Loss of smell 
• Mouth breathing 
• Recurrent antibiotic use 
• Persistent postnasal drip 
• Sleep disturbance due to nasal obstruction 
• Nasal polyps diagnosed on examination 

Most patients are initially treated with medications. Surgery is considered when symptoms continue despite adequate medical therapy.

 Not every patient with sinusitis needs surgery.

Most patients improve with:

• Nasal saline irrigation 
• Intranasal steroid sprays 
• Allergy treatment 
• Appropriate antibiotics when indicated 
• Treatment of contributing factors 

FESS is recommended only when:

• Medical treatment has failed 
• CT scan shows persistent disease 
• Endoscopy confirms blockage 
• Polyps continue to recur 
• Complications are developing 
• Quality of life is significantly affected 

Our aim is always to choose the least invasive effective treatment.

 The procedure is performed under general anaesthesia.

During surgery:

• A thin HD endoscope is introduced through the nostril. 
• The natural sinus openings are identified. 
• Diseased tissue causing blockage is carefully removed. 
• Normal drainage pathways are restored. 
• Healthy mucosa is preserved as much as possible. 
• No external cuts are required. 

Depending on the disease, surgery may involve:

• Maxillary sinus 
• Ethmoid sinus 
• Frontal sinus 
• Sphenoid sinus 

The extent of surgery is tailored to each patient's disease.

 Patients often experience:

• Better nasal breathing 
• Reduced frequency of sinus infections 
• Less facial pressure 
• Improved sleep 
• Improved sense of smell (in selected patients) 
• Better response to nasal sprays after surgery 
• Improved quality of life 
• No facial scars

 At our ENT centre in Kasaragod, we emphasize:

• Comprehensive ENT assessment 
• Nasal endoscopy before surgery 
• High-definition endoscopic surgery 
• Tissue-preserving surgical techniques 
• Evidence-based postoperative care 
• Long-term follow-up for chronic sinus disease 

Each treatment plan is individualized rather than following a one-size-fits-all approach.

 A CT scan of the Paranasal Sinuses (CT PNS) is often essential before surgery.

It helps evaluate:

• Extent of sinus disease 
• Anatomical variations 
• Location of nasal polyps 
• Relationship to the eye 
• Skull base anatomy 
• Surgical planning 

CT imaging significantly improves surgical safety and precision.

Most patients:

• Return home the same day or the following day 
• Resume office work within a few days 
• Continue saline irrigation after surgery 
• Continue prescribed nasal medications 
• Attend scheduled endoscopic cleaning appointments 

Healing continues over several weeks.

 Like any surgical procedure, FESS carries potential risks, although serious complications are uncommon when performed by experienced ENT surgeons.

Possible risks include:

• Bleeding 
• Infection 
• Recurrence of nasal polyps 
• Scar formation 
• Persistent symptoms 
• Cerebrospinal fluid (CSF) leak (rare) 
• Eye injury (very rare) 
• Altered sense of smell 

A detailed discussion is held before surgery so patients understand both the benefits and the potential risks.