In maxillary middle meatal antrostomy surgery, the natural ostium of the maxillary sinus is opened. This technique usually obviates the need for the surgeon to remove polyps in the maxillary sinus: it has been shown that they can resolve themselves if normal drainage patterns are returned. However, it is up to the discretion of the surgeon whether to remove any polyps. In any event, if there is an antrochoanal polyp (a polyp that starts to grow from the wall of the sinus and then passes through the opening to the maxillary sinus into the nose), the surgeon should remove not only the polyp as it protrudes into the airway but also the base in the maxillary sinus. Removing this polyp and its base offers the greatest chance of cure. Furthermore, if there is a cyst in the maxillary sinus, the surgeon may want to unroof the cyst, or remove it completely. No matter what the surgeon does during the procedure, polyps and cysts can return or get larger.
By following the guidelines I’ve outlined and choosing your surgeon carefully, I believe that you will find significant relief from your sinus problems. Most of my patients repor
Without a doubt, sinus infections can recur. As mentioned earlier, surgery does not change the way you respond to the environment. At best, your sinuses will be near normal. Patien
FESS is not over once you leave the operating room. FESS has brought with its development three major advances in the treatment of sinus disease. The first advance is that it has a
You will most likely be feeling, and breathing, much better immediately after your surgery. However, don’t mistake or underestimate the amount of surgery that you have just been
One of the latest improvements in nasal and sinus surgery is the use of image guidance systems. Different companies make instrumentation that can calibrate a computed tomography (C