Sinus Surgery

Sinus Surgery: The nose and sinuses are among the most vital components of the respiratory system. However, when inflammation and blockage occur in these areas for various reasons, a condition known as sinusitis arises. Sinusitis significantly reduces quality of life by causing a range of symptoms such as facial pain, headaches, nasal congestion, and impaired sense of smell. While most acute sinusitis cases improve with medical treatment, some chronic cases do not achieve lasting relief despite medication. This is where sinus surgery becomes necessary.

ENT Specialist Prof. Dr. Ozan Seymen, serving in his own clinic in Istanbul, provides patients with a healthier life by using modern surgical techniques for the treatment of sinusitis. In this article, we will thoroughly explore what sinusitis is, its causes, how sinus surgery is planned and performed, and what the post-operative recovery process involves.

What Is Sinusitis?

Sinusitis is the inflammation of the air-filled cavities around the nose, known as sinuses. In a healthy sinus structure, mucus flows freely and acts as a protective barrier against infections. However, when the drainage channels of the sinuses become blocked, mucus accumulates, making it easier for bacterial, viral, or fungal infections to develop. This results in symptoms such as nasal congestion, facial pressure, headaches, postnasal drip, and a reduced sense of smell.
Sinusitis is classified into two main categories based on duration: acute and chronic. Acute sinusitis usually develops after an upper respiratory infection and resolves within a few weeks. Chronic sinusitis, on the other hand, lasts longer than twelve weeks and is resistant to medical treatment. It is a significant health problem that often requires surgical intervention.

What Causes Sinusitis?

Many factors contribute to the development of sinusitis. Upper respiratory infections can lead to swelling and blockage in the sinuses, initiating the condition. Allergic diseases like allergic rhinitis can also cause swelling and mucus buildup in the sinus passages, laying the groundwork for sinusitis.
Structural abnormalities in the nose, such as a deviated septum or enlarged turbinates, may prevent proper sinus drainage and increase the risk of infection. Other contributing factors include nasal polyps, immune system disorders, smoking, and exposure to environmental pollutants.

Prof. Dr. Ozan Seymen thoroughly analyzes the causes of sinusitis and offers personalized treatment plans that address not only the symptoms but also the root of the disease.

Sinusitis Treatment: Medication or Surgery?

Treatment of sinusitis depends on the severity, duration, and underlying causes. Acute sinusitis is generally treated with medications such as antibiotics, nasal sprays, antihistamines, and decongestants. However, in chronic and treatment-resistant cases, surgery may be necessary.
Before deciding on surgery, a detailed evaluation of the sinuses is performed using nasal endoscopy, computed tomography (CT), and if necessary, magnetic resonance imaging (MRI). If there is persistent blockage, polyp formation, or structural anomalies, sinus surgery becomes inevitable.

Prof. Dr. Ozan Seymen makes surgical decisions by thoroughly assessing his patients’ complaints, quality of life, and response to medical treatment. His goal is to provide lasting recovery with the most appropriate method at the right time.

What Is Sinus Surgery?

Sinus surgery is a surgical procedure performed to open the natural drainage pathways of the sinuses and restore normal mucus flow. This operation is usually carried out using a technique called Functional Endoscopic Sinus Surgery (FESS). FESS is a minimally invasive method performed through the nose using camera-assisted specialized instruments, requiring no external incisions.
During surgery, blockages at the sinus openings are cleared, polyps are removed, infected tissues are cleaned, and anatomical abnormalities are corrected if present. This allows natural ventilation of the sinuses and helps prevent recurrent infections.

Prof. Dr. Ozan Seymen utilizes the latest technologies and precise surgical techniques in sinus surgeries, offering patients rapid recovery and high success rates.

How Is Sinus Surgery Performed?

Sinus surgery is generally performed under general anesthesia. The duration varies depending on the scope of the procedure but typically takes 1 to 2 hours.
A thin camera called an endoscope is inserted through the nostrils to visualize the inside of the sinuses. Advanced instruments are used to open blocked areas, remove polyps, and clean infected and swollen tissues. If present, structural problems such as a deviated septum may also be corrected during the same session.

Thanks to the FESS technique, no external incisions are made on the nose, and the recovery process is significantly more comfortable compared to traditional surgeries. Prof. Dr. Ozan Seymen prioritizes natural outcomes, minimal trauma, and maximum functionality in sinus surgeries, ensuring optimal results for his patients.

Post-Operative Recovery After Sinus Surgery

The recovery process after sinus surgery varies based on the extent of the procedure and the patient’s overall health but generally progresses quickly and comfortably. After the operation, the patient is observed for a few hours and is usually discharged the same day or after an overnight hospital stay.
During the first days, sensations of fullness in the nose, mild pain, nasal congestion, and light bloody discharge are normal. These are part of the body’s natural healing process. If nasal tampons were placed during surgery, they are typically removed within a few days. Modern soft silicone-based tampons now cause minimal discomfort.

Nasal moisturizing sprays and saline solutions are used in the first week to support mucosal healing. Nasal hygiene is crucial; regular and controlled nasal rinsing accelerates recovery and reduces the risk of infection.

During recovery, it is important to avoid intense physical activity, hot environments, and situations that may cause nasal trauma. Activities involving pressure changes, such as air travel, are also generally discouraged in the first few weeks.

Prof. Dr. Ozan Seymen closely monitors his patients’ recovery process, performing timely check-ups and preventing possible complications. This ensures patients regain healthy breathing and improved quality of life in the shortest possible time.

Risks and Complications of Sinus Surgery

Like any surgical procedure, sinus surgery carries certain risks and complications. However, thanks to modern surgical techniques and the meticulous approach of an experienced surgeon, these risks are significantly minimized.
Although rare, complications such as bleeding, infection, nasal adhesions (synechiae), nasal bridge sensitivity, and recurrent sinus blockage may occur.

In some cases, swelling or bruising around the eyes may be seen. In very rare instances, serious complications such as cerebrospinal fluid leakage may occur, especially in areas where the sinuses are close to the brain. However, such risks are extremely rare in experienced hands.

Prof. Dr. Ozan Seymen informs his patients about possible risks before surgery, helping them form realistic expectations. He minimizes risks by working meticulously during the procedure and ensuring consistent follow-up post-surgery.

Sinus Surgery Costs

The cost of sinus surgery varies based on factors such as the scope of the surgery, additional procedures (e.g., polyp removal, septoplasty), technologies used, hospital conditions, and the surgeon’s expertise.
In Istanbul, Prof. Dr. Ozan Seymen provides personalized assessments for each sinus surgery, offering transparent pricing based on the details of the procedure and techniques to be used.

When evaluating the cost, it’s essential to consider not just the price but also the quality of care, surgical expertise, and post-operative follow-up. A proper and effective surgery offers long-term benefits both in health and financially.

Prof. Dr. Ozan Seymen aims to enhance patients’ quality of life by offering high-quality healthcare under accessible conditions.

Does Sinus Surgery Offer a Permanent Solution?

Yes, sinus surgery performed with the correct technique can restore the natural drainage of the sinuses. This breaks the cycle of chronic infection and provides long-term relief. However, if underlying allergic conditions are not controlled, new infections may occur.

How Does Surgery Affect the Sense of Smell?

The sense of smell usually improves after surgery. Once the sinuses are opened and airflow returns to normal, olfactory receptors function more effectively. However, in rare cases, there may be temporary loss of smell.

Does Nasal Congestion Immediately Improve After Surgery?

Due to internal swelling, nasal congestion may persist during the first week. As the swelling subsides, breathing through the nose becomes easier and usually returns to normal within a few weeks.

Is Sinus Surgery Painful?

Post-operative pain is usually mild and can be managed with simple pain relievers. Severe pain is not expected.

What Should Be Considered During Recovery?

Paying attention to nasal hygiene, regularly using prescribed sprays, avoiding strenuous activities, and protecting the nose from trauma help support the recovery process.

Sinusitis and Quality of Life

Chronic sinusitis affects not only physical health but also significantly reduces quality of life. Persistent nasal congestion, headaches, bad breath, fatigue, and sleep disorders negatively impact daily life.
Common problems include reduced concentration, poor work performance, and withdrawal from social life. Chronic sinusitis may also contribute to psychological issues like depression and anxiety.

A successful sinus surgery helps patients regain both physical and mental well-being. It alleviates nasal congestion, improves sleep quality, increases energy levels, and revitalizes social life.

Prof. Dr. Ozan Seymen adopts a holistic approach in sinus surgery, aiming not only to treat the disease but also to enhance his patients’ quality of life.

Life Before and After Sinus Surgery

Before sinus surgery, patients’ overall health is carefully evaluated. Managing coexisting conditions like allergic rhinitis significantly affects the surgery’s success and long-term outcomes.
Quitting or reducing smoking before surgery supports sinus mucosal healing. Additionally, providing patients with detailed pre-operative information helps manage expectations effectively.

After surgery, maintaining nasal hygiene, adhering to doctor’s check-ups, and following medication schedules are critical. Patience and allowing the body time to heal are essential during recovery.

Prof. Dr. Ozan Seymen provides comprehensive guidance throughout the pre- and post-operative periods, supporting his patients at every step to achieve the best possible results.