What is Sinus Surgery?

Sinus surgery is the treatment of choice for patients who have not experienced improvement with conservative treatment of sinusitis. This includes; natural sinus treatment, inhalation, tea and antibiotics, as well as, nasal drops and sinus cleansing.

Having problems with sinuses is very common and for most patients the issues usually disappear on their own, however, some patients continuously suffer from sinus issues for weeks, months, and even years.

For example, nasal obstructions make it difficult for mucus to drain from the sinuses into the nose. People that suffer from this issue are at a higher risk of developing chronic sinusitis. Therefore sinus surgery, that focuses on removing these obstructions from sinus pathways is often the only permanent solution.

Depending on the cause of sinus issues, the doctor will choose the best method to treat each patient. Dr Stephen Kleid is an experienced Ear, Nose, and Throat ENT Specialist (Otolaryngologist) based in Melbourne with a passion for helping his patients with sino-nasal difficulties. With over 20 years of experience, Dr Kleid has performed numerous sinus surgeries that have improved his patient’s life quality and wellbeing.

Am I a good candidate for Sinus Surgery?

Any patient with chronic sinusitis who does not respond to therapy should seek treatment from an otorhinolaryngologist.

The operation itself depends on the extent and localization of the issue and is individually tailored for each patient. However, if you suffer from any of the below you could possibly benefit from Sinus Surgery;

  • Pressure in the face points (nose, eyes, forehead)
  • Headaches
  • Ears blockage
  • Breathing issues
  • Thick nasal drainage
  • Pain in the sinuses area
  • Toothache
  • Runny nose, snoring and sleep apnea in patients with nasal polyps

If conventional treatments are not improving your health, undergoing surgery may be a good choice to relieve your discomfort. Surgery may also be necessary, if you are experiencing distress as a result of structural deformities such as nasal septal deviation or nasal polyps.

Sinus Surgery – Is it right for you? by Dr Stephen Kleid

Benefits of Sinus Surgery

Some of the benefits of Sinus Surgery include:

  • Surgical trauma is minimal and it preserves the healthy structures of the nose and sinuses
  • Opening up the sinuses and improving sinus drainage
  • The postoperative course and recovery are short so you can return to daily activities after just a few days
  • Improved breathing
  • Relieving pressure and pain sensation
  • In most patients, the procedure passes without any complications with minimal to moderate postoperative pain
  • Reduces both the frequency and severity of nasal infections
  • Better sleep quality
  • No visible scarring

Sinus Surgery before and after photos

Visit the clinic to see the real patient photo gallery of before and after Sinus Surgery photographs representing typical results our patients get. Results depend on individual and patient circumstances and can vary significantly.

Sinus Surgery Procedure

The most common operation performed is functional endoscopic sinus surgery (FESS). The goal of sinus surgery is to remove tissue that blocks sinus drainage.

However, in the cases of severe forms of sinus blockages or after previous sinus surgeries, image-guided surgery and Caldwell-Luc operations are also common methods.

Functional endoscopic Sinus Surgery (FESS) is minimally invasive surgery (no skin incisions). The surgeon is able to perform the procedure on the sinuses by direct visualization through the nostrils. The surgeon rinses the sinuses and expands the natural opening of the sinuses thus easing the drainage and improving the ventilation.

You will be under general anesthesia for the procedure, in other words, you wont be conscious.

With proper preoperative preparation and precise work of the surgeon, bleeding is minimal.

Recovery after Sinus Surgery

After the procedure, the surgeon will often pack the nose with gauze. Generally, this will stay in place for between 1 and 5 days, depending on the surgical technique and the patient.

You will be able to leave the hospital just a couple of hours after the surgery. There are no visible changes in the face in terms of swelling and bruising.

In the days after the operation, the nasal mucosa will thicken and it is necessary to use nasal drops to both relieve edema and speed up recovery. Many patients will be able to resume most of their daily activities after one week, however, you shouldn’t resume physical activity for 2-3 weeks.

Why Choose Dr Kleid for Ear, Nose and Throat Surgery?

Dr Stephen Kleid
Ear Nose and Throat Surgeon (Otolaryngologist)

Masada Medical Centre
26 Balaclava Road,
East St Kilda, Victoria

Dr Stephen Kleid is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in St Kilda.

Dr Kleid’s Procedures

Complications and Risks of Sinus Surgery

It is important to ask your ENT specialist any questions that you may have. They will discuss the potential complications are risks in detail during your consultation.

Although complications are rare, they can still occur, below is a list of some of the complications that patients might experience:

  • Bleeding after the surgery
  • Loss of smell and taste
  • Double vision
  • Tearing of the eye
  • Swelling of the eye and eyelids
  • Eye hematoma
  • Infection
  • Nasal issues
  • Voice change
  • Teeth pain

Your Sinus Surgery journey

Pre-op Procedure

Before deciding on the type of procedure, you will undergo a detailed diagnosis including rhinoscopy, nasal endoscopy, fiber endoscopy, and rhinomanometry. You will be under general anaesthesia for the procedure, this involves an examination by an anesthesiologist, you will also have laboratory tests, ECG and spirometry. It is also necessary to do a computerized tomography (CT) of the sinus.

Operation

Your surgeon will make small incisions inside the nose. Then they can make new passages or open existing ones by removing polyps, cysts, small pieces of bone, or thickened mucosa. With the endoscopic technique, the operation is minimally invasive, but still sufficient to both remove pathological formations and restore normal function of the nose and nasal cavities.

Recovery

Patients are able to go home a few hours after the operation. However, it is vital you follow the comprehensive list of instructions your surgeon gives you, this includes how to rinse the nasal cavities with saline and how to apply an antibiotic ointment for the next 10 days.

Sinus Surgery Cost

Every patient is different, therefore the prices vary. You will receive a price quote after your first consultation. Your Sinus Surgery quote will include your surgeon’s fee, anaesthetist’s fee, as well as, surgical assistant fee, and hospital fees.

Further reading – medical resources

F.A.Q

How to find out if I Need Sinus Surgery?

  • A comprehensive review of medical history and data on the type, frequency, symptoms, and hereditary predisposition to the disease is very important in determining the diagnosis.
  • Your surgeon will need to establish whether breathing through the nose is difficult due to a functional obstruction, for example, swelling of the mucosa, polyps or deformed bones and cartilage in the nose.

Is it possible to combine Sinus Surgery and Esthetic Nose Correction?

  • Yes
  • Aesthetic nose surgery can include functional nose surgery as Sinus Surgery in the same procedure.

How much pain there is after the FESS surgery?

  • Every person manages pain differently, therefore there is not a single answer.
  • However, most patients feel minimal pain with the proper medication after the surgery.

What are the differences between chronic and acute sinusitis?

  • Experts usually divide sinusitis into acute lasting less than 3 weeks, chronic, which usually lasts at least 3 to 8 weeks and can continue for months or even years, and recurrent that causes several acute seizures during the year.
  • Sinus surgery treats mostly chronic cases of sinusitis.

I had Sinus Surgery and suddenly feel tooth pain. Is this normal?

  • Altered teeth sensation is something that is pretty common after Sinus Surgery. However, the symptoms usually disappear gradually in the first week post-surgery.

Is it more cost-effective to perform both surgeries at once?

Yes, it is more cost-effective to perform several surgeries at once if possible due to the cost of anesthesia and surgical team.

Why choose us?

Dr Kleid operates in an accredited hospital, not in the backroom of a clinic.

Proven experience and examples from real patients or recommendations from your GP are available.

We are an Australia wide Specialist Plastic Surgeons Group, with the appropriate qualifications and members of recognized associations. Look for members of FRACS, ASPS, ASAPS, or ISAPS as some of the Qualifications of your Plastic Surgeon.

Sinus Surgery is a highly-specialized field, so the choice of the right surgeon with Sinus Surgery Expertise can deeply impact the results you are looking for.


Why Choose Dr Kleid for Ear, Nose and Throat Surgery?

Dr Stephen Kleid
Ear Nose and Throat Surgeon (Otolaryngologist)

Masada Medical Centre
26 Balaclava Road,
East St Kilda, Victoria

Dr Stephen Kleid is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in St Kilda.

Dr Kleid’s Procedures

How can we help?

Dr Kleid’s Team takes pleasure in assisting you with any questions when considering ENT surgery. Please call the Masada in Melbourne between 9 am – 5 pm on Weekdays.

Phone Masada Hospital 03 9038 1630 or Email Dr Kleid