Chronic sinusitis may have several potential causes, including deviations in the cartilage within the nose (septal deviation), diseases of the nasal turbinates, diseased tissues known as polyps that should not normally be present in the nose, or dental infections. These factors may prevent your sinusitis from resolving.
What Are the Symptoms of Sinusitis?
Persistent facial and headache, dark nasal discharge, post-nasal drip, bad breath, and cough.
The inside of the nose and sinuses should be examined using a camera to evaluate the septum and turbinate diseases. During this examination, it can also be determined how inflamed the sinuses are, allowing the doctor to form an opinion regarding surgical intervention.
After this endoscopic examination, if deemed necessary, we may also want to strengthen the diagnosis with a computerized tomography scan. If the inflammation has spread outside the sinuses, an MRI may be required.
What Is the Conclusion?
The surgical intervention for sinusitis is performed endoscopically, meaning no incisions are made in the nose. However, if we observe conditions like septal deviation or polyps in the turbinates during diagnosis, we will also treat these during the same surgical procedure.
Therefore, if chronic sinusitis requires surgical intervention on its own, we perform endoscopic sinus surgery; if it is due to another anatomical disorder, we will perform both interventions together. The most important point is to identify the cause of your chronic sinusitis.