In this article
- Symptoms and endoscopy matter—not CT alone
- Surgery is performed through the nose
- Long-term nasal care may still be needed
Assessment and treatment
- Preoperative assessment and medicine review
- Discuss risks, benefits and alternatives
- Saline rinsing, follow-up and prescribed nasal treatment
At a glance
Definition: Endoscopic surgery may be considered for selected chronic sinusitis or polyps that persist despite appropriate medical care.
Key takeaways
- Symptoms and endoscopy matter—not CT alone
- Surgery is performed through the nose
- Long-term nasal care may still be needed
Clinical steps
- Preoperative assessment and medicine review
- Discuss risks, benefits and alternatives
- Saline rinsing, follow-up and prescribed nasal treatment
Red flags: After surgery, eye swelling/reduced vision, heavy bleeding, clear watery drainage or severe headache needs urgent care.
Quick FAQ: When should I see an ENT specialist?
After surgery, eye swelling/reduced vision, heavy bleeding, clear watery drainage or severe headache needs urgent care.
How I assess this in clinic
I first clarify duration, severity, whether symptoms are one-sided or bilateral, and their effect on daily life. I then perform a focused ENT examination and compare the findings with symptoms and endoscopy matter—not ct alone.
Endoscopy or audiometry is not required for everyone. I advise endoscopy when the nose, sinus, throat or voice box needs direct assessment, and audiometry/tympanometry when hearing or middle-ear function is in question.
A common misconception is that every ENT problem needs an antibiotic or an operation. Treatment should instead follow the diagnosis, functional impact, examination findings and evidence-based indications.
Do not wait when: After surgery, eye swelling/reduced vision, heavy bleeding, clear watery drainage or severe headache needs urgent care.
For patient education; not a substitute for individual diagnosis or treatment.