Clipmark

Some people experience chronic sinusitis despite adequate therapy with antibiotics and drugs for relief of symptoms. Those that have a CT scan indicative of sinus infection as well as those with any complications of sinusitis may benefit from sinus surgery.

The surgery is performed endoscopically using the same fiberoptic nasopharyngoscope used to make the diagnosis.
The goal is to remove obstructive mucosal disease, open the sinus nasal passageway, and allow drainage of the sinuses.
During the surgery, nasal polyps can also be removed, and a crooked nasal septum can be straightened, leading to improved airflow.
Long-term nasal steroids and periodic antibiotics may still be necessary.
A continuing sinus infection may need further investigation. A culture obtained during a routine office visit or during endoscopic surgery may reveal anaerobes a type of bacteria, which require treatment with broad-spectrum antibiotic drugs, or fungi, which require treatment with antifungal medications.