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— Real Patient
When chronic sinus symptoms persist—despite medication, nasal sprays, or other therapies—endoscopic sinus surgery may offer meaningful relief. This minimally invasive procedure opens blocked sinus pathways to improve airflow and drainage, helping medications reach where they’re needed most.
MJ Paciorek PLASTIC SURGERY What is
Endoscopic Sinus Surgery?
Endoscopic sinus surgery uses a small, lighted metal telescope inserted through the nostril to view the nose and sinuses with a video camera. It requires no face or mouth incisions and is performed with minimal nasal packing, mild pain, and a short recovery time.
It’s used to treat chronic rhinosinusitis (chronic sinusitis), where inflammation persists despite medical treatment (usually lasting over 3 months). The surgery helps deliver medications directly to the sinus lining and complements, rather than replaces, medical treatments.
*For some patients, surgery may not be a cure for sinusitis but is one of the many critical steps in managing sinus disease.
What Is Sinusitis?
Sinusitis is inflammation of the sinus lining that can block sinus openings, leading to infections and pain. Symptoms can last up to four weeks for acute cases or over 12 weeks for chronic cases, often following a cold or allergy.
When medications and other treatments fail, endoscopic sinus surgery may be needed. This procedure uses a small scope to view and guide surgery inside the nose, widening drainage pathways to improve mucus flow and air access. It also helps medications reach the sinuses more effectively.
Ideal Candidates
You may benefit from endoscopic sinus surgery if:
- You’ve had chronic sinus infections lasting more than 12 weeks
- Medications and other treatments haven’t worked
- You have nasal polyps, blocked drainage, or impaired breathing
- You want a minimally invasive approach to long-term sinus relief
What You Can Expect
Diagnosis: In-office CT scan with the Xoran MiniCAT provides high-resolution images of the sinuses to identify which areas need treatment
Anesthesia: May be performed with local or general anesthesia
Procedure Time: Typically 1 to 1.5 hours
Technique: A small endoscope is inserted through the nostrils to access and enlarge sinus openings—no external incisions
Recovery: Most patients return to light activities within a few days
This Procedure Is Effective For Treating
- Sinus infections- recurrent or spreading to the eye, face or brain
- Nasal polyps (non-cancerous swelling of the nasal/sinus lining)
- Inflammation due to allergies or irritants
- Impaired sense of smell
- Tumors of the nasal and sinus cavities (cancerous or non-cancerous growths)
- Leaking brain fluid into the nose
- Tear duct blockage
We’re here to help you find real, lasting relief—assisting through every step of your treatment and healing journey.
Endoscopic Sinus Surgery Frequently Asked Questions
Most of our procedures use minimal or no packing, reducing discomfort during recovery.
Surgery is not always a cure but is an important part of managing chronic sinus disease.
Many patients notice relief within days, while full results can take a few weeks.
It depends on your needs—Dr. Paciorek will recommend what’s safest and most comfortable for you.
We’ll continue to support you with follow-up care and other therapies tailored to your needs.