Traditional Sinus Surgery

. Posted in SURGERY

Most surgeons do not perform traditional sinus surgery any more. However, there are still indications for the traditional approach. The major indications for traditional sinus surgery include the following:

■ A mucocele (cyst in the sinus) that cannot be treated endoscopi - cally (most mucoceles can be treated with FESS, although some require external surgery)

■ Severe scarring that cannot be removed with FESS

■ Infection that cannot be reached with endoscopic techniques

■ Inverted papilloma (warts of the sinuses) that cannot be treated with endoscopic sinus surgery (limited papilloma can be treated with FESS)

■ Nasal sinus cancer

■ When a surgeon is not comfortable treating the disease with FESS


Traditional ethmoid surgery is performed either through the nose or through an external incision on the inner aspect of the eye. Packing is usually required, and stitches are placed in the skin at the inner aspect of the eye to close the incision site. The incision will leave a scar and considerable black-and-blue marks around the eye.

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