If you have complaints such as persistent headaches, breathing problems, nasal pain, and difficulty in smelling, the cause might be sinus diseases. Sinuses are cavities located within the facial bones and skull. The respiratory cells inside the sinuses have important functions such as humidifying and heating the air, trapping bacteria, and preventing their proliferation. Disorders that arise in the sinuses, which perform these vital functions, often occur due to inflammation of the respiratory cells and can be painful. Sinus diseases can arise from numerous causes such as allergies, bacteria, and viruses.  
 

Common Sinus Diseases

Some common sinus diseases include:

  • Nasal polyps:  Balloon-like formations can occur in the nasal tissue for various reasons. This ballooning can cause difficulties in breathing and smelling, and in advanced stages can lead to sinus blockage, potentially resulting in sinusitis. Nasal polyps are commonly observed in allergy patients.  
 
  • Swelling of nasal turbinates: When the blood vessels in the turbinates, responsible for warming the inhaled air, expand, swelling of the nasal turbinates can occur. Prolonged swelling can lead to nasal congestion. 
 
  • Chronic sinusitis: Due to anatomical abnormalities in the nose, recurrent respiratory infections, and seasonal allergies, frequent inflammations occur in the sinuses. It is characterized by persistent headaches, nasal pain, and nasal congestion. 
 
  • Tear duct obstruction: The tear duct is a corridor that opens into the nose. Therefore, tear duct obstruction is related to sinus health. The disease is characterized by constant tearing. Recurrent infections can cause sinusitis and lead to tear duct obstruction.
 
  • Sinus tumors: Both benign and malignant tumors can form in the sinuses. They grow slowly and do not show any symptoms in the early stages. Malignant ones can grow and spread to the nose, eyes, and brain, causing cancer. They can be detected and treated in the early stages through routine examination and testing.
 
  • CSF fistula: CSF is the leakage of cerebrospinal fluid from the brain to the nose due to trauma affecting the area between the brain and nose. This deformation may lead to outcomes resulting in brain infection. 
 

Endoscopic Sinus Surgery 

Today, thanks to Endoscopic Sinus Surgery (ESS), many sinus diseases can be treated. Such conditions as chronic sinus inflammations, sinus tumors, tear duct obstruction, sinusitis, nasal swellings, and CSF fistula can be treated with Endoscopic Sinus Surgery.

One of the most common uses of Endoscopic Sinus Surgery is for chronic sinusitis. The procedure allows for detailed imaging and minimal error margins in the narrow work area of the sinus region. 
 
Endoscopic Sinus Surgery is performed under general anesthesia with the help of an endoscopic camera through the nasal pathway and does not require external incisions or stitches. The duration of the surgery can vary depending on the extent of disease spread and whether any additional procedures are combined with the surgery.  
 
Since sinuses are close to several important structures such as the optic nerves, brain, and tear ducts, endoscopic sinus surgery should be performed by a specialist in the field; otherwise, there is an increased risk of complications. When performed correctly, the risk of damaging surrounding tissues is minimal. After surgery, dressings are done at the frequency recommended by your doctor, and the healing process is completed in 2-6 weeks. Nasal congestion in the first two days post-surgery and nasal dryness and crusting in the following weeks are normal. Your doctor will provide the necessary guidelines to help you get through this process as comfortably as possible and will create a treatment plan suitable for you.

 

What Should Be Considered Post-Surgery?

After endoscopic sinus surgery following sinus diseases, patients must adhere to certain rules. In the initial weeks, care should be taken not to let water into the nose, maintain hygiene, and regularly use the moisturizing sprays recommended by the doctor.

Avoid allergens, tobacco smoke, and dusty environments. As the sinus area is sensitive, the risk of a secondary infection should always be considered. Keeping the head elevated while sleeping reduces nasal pressure and promotes faster healing.

Frequently Asked Questions

Can the symptoms of sinus diseases be confused with other diseases?

Yes, the symptoms of sinus diseases like headaches, fatigue, nasal discharge, and eye area pain are general complaints and can be mistaken for flu, migraine, or dental issues. Therefore, a detailed ENT examination and, if necessary, imaging methods are essential for a definitive diagnosis. Early diagnosis allows sinus diseases to be treated more easily before they become chronic.

Does endoscopic sinus surgery offer a permanent solution?

Endoscopic sinus surgery generally provides a permanent solution for sinusitis and other sinus diseases. Factors such as the patient's allergic constitution, lifestyle, and environmental factors can affect disease recurrence. Regularly following the recommended care and checks after surgery significantly lower the risk of recurrence. After sinusitis treatment, habits to preserve nasal health should be adopted.

Are nasal functions affected after endoscopic surgery?

No, when performed correctly, endoscopic sinus surgery does not adversely affect nasal functions; rather, it significantly improves congestion and olfactory issues. Because this procedure aims to open sinus pathways and clear inflamed tissues. If the surgery is not performed by an expert physician, surrounding tissues may be damaged.

Do sinus tumors always show symptoms?

No, sinus tumors often do not show symptoms in the early stages. Therefore, they are usually identified at a later stage. However, in advanced stages, symptoms such as nasal congestion, facial swelling, nosebleeds, and vision problems may occur. It is important for individuals with symptoms similar to chronic sinusitis to have regular doctor check-ups and, if necessary, undergo an endoscopic examination.

Creation Date : 06.05.2025
Update Date : 30.06.2025
Author : Yeliz YİĞİT
Communication : 444 23 23
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