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Chronic sinusitis: Which Sinus Surgery is the Safest ?

July 10 / 2025

chronic sinusitis

 

 

 

     Due to the high levels of air pollution and airborne dust in the environment, the number of patients suffering from allergic rhinitis has been steadily increasing. Among these patients, 50–70 percent also experience sinusitis. This is especially common during humid weather or the rainy season, when symptoms often recur, disrupting daily life if not properly treated.

 

Sinus Surgery

     Advancements in sinus surgery technology now allow physicians to perform procedures using an endoscope. This technique enables a clear view inside the nasal cavity, allowing for effective treatment of sinus drainage blockages. It also significantly reduces the chance of recurrence and eliminates the need for large facial incisions, as seen in traditional surgical methods.

 

 

 

chronic sinusitis

 

 

 

1. Traditional Sinus Surgery

     In the past, sinus surgery could only be performed externally through the facial skin. Surgeons would make an incision on the face, then gradually chisel the bone near the nose to insert surgical instruments beneath the mucosal layer to drain pus or remove tumors. However, this method is now rarely used due to significant advancements in surgical technology.

 

Side Effects of Traditional Sinus Surgery

     Traditional surgery requires a large incision, leading to extended recovery times and visible facial scarring. When tumors or lesions are located deep within the sinuses, they may be difficult for the surgeon to fully visualize, increasing the likelihood of incomplete removal.

 

 

 

chronic sinusitis

 

 

2. Endoscopic Sinus Surgery

     Endoscopic sinus surgery (particularly Full House FESS) is now considered the primary treatment option for chronic sinusitis. Surgeons use this technique to widen the sinus cavities and remove all trapped mucus and pus. This targeted approach helps reduce inflammation effectively.

 

 

 


The procedure significantly improves symptoms of chronic sinusitis, offering a higher chance of complete recovery. It is minimally invasive, as the operation is performed entirely through the nasal passages—unless complications or external lesions are present, which is rare.

 

 

 

Side Effects of Endoscopic Sinus Surgery

     This method involves the use of high-speed surgical tools through narrow nasal passages and requires considerable expertise and experience. Surgeons must be well-trained to minimize blood loss and avoid damage to critical nearby structures such as the eyes or brain.

 

 

 

chronic sinusitis

 

 

Traditional vs. Endoscopic Sinus Surgery: Which Should You Choose?

     Endoscopic sinus surgery using high-resolution imaging technology delivers significantly better outcomes compared to conventional methods. Even for deep-seated lesions, this technique offers superior visibility and precision. It enhances air circulation within the sinuses, reduces recurrence rates, causes less bleeding, and eliminates the need for nasal packing.

 

 

 

chronic sinusitis

 

 

 

Why Choose Ramkhamhaeng Hospital for Sinus Surgery?

     ENT Center, Ramkhamhaeng Hospital provides comprehensive diagnosis and treatment for chronic sinusitis, led by experienced medical professionals and specialists. The center has state-of-the-art medical technology to ensure effective and efficient treatment. Additionally, Ramkhamhaeng Hospital is committed to providing patient-centered care that promotes confidence and supports a swift return to normal daily activities.