Advanced Endoscopic Sinus Surgery

Endoscopic Sinus Surgery, Septoplasty, and Turbinate Reduction: Medications will often improve patients’ complaints of nasal obstruction/congestion, drainage, pressure/pain, and smell loss. For patients that do not respond to medications, surgery can significantly help. Endoscopic Sinus Surgery is performed entirely through the nose with telescopes and precise instrumentation without any facial or skin incisions.

Revision Sinus Surgery: Some patients with more severe Chronic Sinusitis may suffer despite previous surgery and significant medical therapy. Symptoms persist due to infected and hardened (osteitic) bone, nasal polyps, scar tissue, and residual ethmoid cells which prevent anti-inflammatory nasal sprays from actually reaching the sinus cavity mucosa. Mucus can be trapped in the diseased bone causing stuffiness, drainage, pain and recurrent infections. Patients with this condition often require several courses of antibiotics and steroids per year with only mild or temporary relief.  Most often the osteitic bone and inflammation are along the skull base. At the Sinus Institute of Orange County, we use your CT scan during surgery as an intraoperative guide to thoroughly open up the natural drainage pathways. We use the latest instrumentation to precisely restore normal mucus drainage, prevent scar formation, and allow postop topical irrigations and medications to reach the mucosa and improve your symptoms.

Surgery for Complex Frontal Sinus Disease: Frontal sinusitis can often cause significant pressure across the forehead and between the eyes. Frontal sinus drainage pathways can be complex due to variations in the ethmoid air cells that can block the frontal sinus drainage pathway.

Sinonasal Tumor Surgery: Depending on your tumor type and location, your doctor will discuss with you the appropriate treatment plan.  Often surgery is indicated.  Our surgeons are experienced in both endoscopic endonasal and open approaches to give you the best chance of cure.

Endoscopic Repair of Cerebrospinal Fluid Leaks and Encephaloceles: Small herniations of brain tissue into the sinuses or spinal fluid leaks into the nose can happen spontaneously or after injuries. Often repair can be performed entirely through the nose with endoscopes without the need for skin incisions. Successful repair is important to prevent meningitis.