Chronic sinusitis. Polyposis

Sinonasal polyposis is a benign inflammatory disease of the nose and sinuses which is often associated with allergy and/or asthma. It causes respiratory problems, recurrent infections (sinusitis) and alterations in olfactory perception and taste, and on occasions facial deformities.

Although growth of polyps may be slowed down by administering corticosteroids by mouth or inhalation, it is often necessary to remove them using endoscopic surgery via the nostrils; thereby resulting in no external incisions.

Endoscopic sinus surgery is performed under general anaesthetic for which a pre-operative assessment based on your age and medical history will be conducted beforehand.

Admission to the Clinic is at 7.30am in the morning. No food or drink is permitted from 12 pm (midnight) the day before. You will be operated on in the morning according to theatre scheduling and discharged the following morning.

Extraction of the polyps is performed using endoscopic vision via the nostrils.

A nasal plug is put in place which is usually removed after 48 hours. Post-operative recuperation is quick and easily tolerated. The most common complaint is a feeling of nasal congestion. Normally, after two weeks, scabs and secretions are cleaned out under endoscopic control during consultation.

Endoscopic sinus surgery is not painful during or after intervention although it is uncomfortable having to breathe through the mouth due to the nasal plug.

Complications are not frequent, primarily they include post-operative bleeding and visual alterations due to the proximity of the orbit to the sinus.

A post-operative follow-up must be maintained periodically due to the fact that it is a chronic inflammatory disease and polyps may sometimes reappear.