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Sinus Surgery

Rhinoplasty Surgeon

1) What exactly is Functional Endoscopic Sinus Surgery?

Functional Endoscopic Sinus Surgery (FESS) is the most common surgical method used to treat sinus infections, in order to restore sinus ventilation and normal functionality.


2) Am I a good candidate for Sinus Surgery?

Some of the symptoms indications that you may be a good candidate for functional endoscopic sinus surgery may include any combination of:

  • Chronic sinusitis refractory to medical treatment
  • Improve the airflow through the nose
  • Pressure and pain in the face
  • Pain behind the eyes
  • Post nasal drip
  • Nasal congestion
  • Facial pressure and headache
  • Infected nasal secretions
  • Feeling unwell with high temperatures
  • Recurrent sinusitis
  • Nasal obstruction
  • Nasal polyposis
  • Bacterial and fungal sinus problems
  • Infected nasal secretions
  • Toothache

3) Do you qualify for Sinus Surgery?

Patients who are considered for Functional Endoscopic Sinus Surgery are usually those who gain no further benefit from medical therapy. Some patients have sinus surgery combined with other nasal procedures, such as septoplasty and turbinoplasty, to open the airway, as well as Rhinoplasty to alter the shape and improve the external appearance of the nose.

The ideal candidate for Functional Endoscopic Sinus Surgery is someone who is in good physical and mental health. Smokers are encouraged to quit at least a couple of weeks before the procedure and it is also recommended to not drink before and after surgery. This promotes proper healing and aids in avoiding complications during the procedure.


4) How much does Sinus Surgery cost?

The cost of Functional Endoscopic Sinus Surgery varies to each individual, as well as the complexity of the procedure performed. The cost will be based on specific fees for the physician, anaesthetic, hospital, and if applicable, charges for an overnight stay.

Any surgery performed for purely aesthetic reasons will not be covered by health insurance. In cases where the procedure is considered medically necessary, such as corrections of birth defects or damage due to trauma, the procedure may be covered. It is recommended that patients discuss what will be covered by their insurers prior to booking the procedure.

Book a consultation, request a quote online, or contact the staff at Dr. Zacharia’s rooms today on (02) 9192 1600.


5) How do I prepare for Sinus Surgery?

At the consultation, Dr. Zacharia will discuss the procedure, risks and limitations, costs involved, patient expectations and goals, as well as the recovery process. He will also conduct a medical examination and help the patient prepare both physically and mentally for Functional Endoscopic Sinus Surgery. Usually a CT Scan of the sinuses will need to be performed prior to surgery.

Dr. Zacharia will then provide a checklist surgery information packet that explains everything a patient should do and know before their Functional Endoscopic Sinus Surgery date.


6) What to know about Anesthesia.

In most nasal surgeries, general anaesthesia is used. However in some cases, local anaesthesia with intravenous sedation may be used. Dr. Zacharia and his anaesthetist will assist patients in making the decision regarding which type of anaesthesia is best for their individual procedure.


7) About the procedure:

Most sinus surgery is performed as an overnight stay treatment with patients discharged the morning after surgery.

The aim of modern techniques of sinus surgery is to open narrow or damaged passages to allow natural drainage and ventilation of the affected sinuses. An endoscope is inserted into the nose, providing the doctor with an inside view of the sinuses. There are no incisions made on the outside of the face. The goal of Endoscopic Sinus Surgery is to eliminate the source of infection and to open up the paranasal sinuses, in an attempt to decrease the frequency of infections.

If a patient has an internal nasal deformity, such as a deflected centre strut of the nose or enlarged turinates, this may contribute to their recurrent sinus problems. Under these circumstances, septal or turbinate surgery may be combined with sinus surgery.


8) What to expect after surgery?

Patients will have a post-operative appointment with Dr. Zacharia within one week after surgery, during which the sinuses will be inspected and any adherent secretions or dressings removed.

Most patients will be discharged with antibiotics, a saline nasal wash and sometimes “Spraytish” to aid healing. Patients are encouraged to try to avoid blowing their nose for the first few days and then commence gentle blowing as required.


9) What are the risks and complications involved in Sinus Surgery?

No surgery is risk free. As with all procedures, there are number of risks and complications. Understanding the risks is imperative and Dr. Zacharia discusses these openly with prospective patients in the initial consultation.

Functional Endoscopic Sinus Surgery is very safe and the chance that any of these complications may come along during surgery or recovery is usually very small. The following is a list the most common risks that may occur, such as failure to resolve infection, recurrence of the original sinus problem, bleeding, chronic nasal drainage, failure to resolve all original sinus problems, damage to the eyes or base of the skull, pain, reduction or loss of sense of smell or taste, or the need for additional surgery, etc.

During the initial consultation, Dr. Zacharia will answer any questions and make sure the patient fully understands all possible complications involved with the surgery


10) How long is the recovery time after surgery?

It is normal to feel quite stuffy in the nose for two weeks post-operatively. Saline nasal washes are very important to help clear a stuffy nose and for best results should be used regularly following the surgery.

All the necessary information will be explained by Dr. Zacharia, so that you the patient is able to recover as quickly as possible in the best condition.


11)How long will I be off work/school?

While at least one week is recommended to all patients, it is expected that the patient can go home on the day of surgery. The plastic splint on the patient’s nose will be removed after seven days or more, leaving the patient free of this obvious stigma of surgery.


12) Will I have visible scars after Sinus Surgery?

Anytime that the skin is cut, a scar is formed. Incision healing is dependent on several factors, including surgical technique, prevention of infection, reduction of tension, patient nutrition, as well as smoking (before or after surgery), etc.

Since Functional Endoscopic Sinus Surgery does not involve cutting through the skin, it is performed entirely through the nostrils, therefore there won’t be visible scars.


13) When will I see the final results?

Once you have completely healed, you should see the final results up to three months after the operative procedure.

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