Prof. Dr.


The basic technique used for the treatment of sinus diseases is called “Endoscopic sinus surgery.” During the operation, the existing tissues and pathological conditions in the sinuses are detected with endoscopes and sterile instruments placed in the nostrils of the patients without any incision.

Many conditions such as chronic sinus inflammations, injuries to the anterior part of the skull base, tumors in the sinuses, cerebrospinal fluid leakage, orbital damage caused by trauma are within the scope of endoscopic sinus surgery.

ESC (endoscopic Sinus Surgery) is also used in the presence of a tumor formed in the pituitary gland or in drainage surgeries related to the lacrimal sac.

Endoscopic sinus surgery is preferred for the relief of discomfort in many regions such as optic nerves, brain, carotid artery, tear ducts, and sinuses. Especially in chronic sinus diseases;

Comprehensive cleaning of polyps or tissues formed in the relevant area
• Treatment of problems such as sinus drainage, abnormal contact areas of the mucosa,
• It is applied to open the discharge channels between the sinus and the nose.

What Should Be Done After Endoscopic Sinus Surgery?

• Nasal congestion may occur within 24-48 hours after the operation.
• Medicines given by the doctor should be used on the day and time
• The nose should not be blown or forced.

How is Endoscopic Sinus Surgery Performed?

Endoscopic sinus surgery operations performed under local anesthesia, general anesthesia or sedation are applied through the nostril with an endoscope and applied on the area that forms the basis of the present complaint with appropriate instruments and equipment.

In the case of chronic sinusitis, the blocked sinuses are opened and the polyp tissues are cleaned. In the presence of a tumor, the existing tumor is removed, and a sample is taken from the surrounding healthy tissue for examination. Apart from the applications preferred as standard in endoscopic surgery, microdebrider systems and surgical navigation can also be guiding.

What are the Conditions that Increase the Risk of Complications in Endoscopic Sinus Surgery?

In some patients, some changes in anatomy due to reasons such as excessive bleeding during the operation, the presence of hypertension, advanced inflammation and polyps, some problems with blood coagulation, tumor surgeries with high vascular content, previous surgery may increase the risk of complications in surgery.