When chronic sinus symptoms persist—despite medication, nasal sprays, or other therapies—endoscopic sinus surgery may offer meaningful relief. This minimally invasive procedure opens blocked sinus pathways to improve airflow and drainage, helping medications reach where they’re needed most.
Endoscopic sinus surgery uses a small, lighted metal telescope inserted through the nostril to view the nose and sinuses with a video camera. It requires no face or mouth incisions and is performed with minimal nasal packing, mild pain, and a short recovery time.
It’s used to treat chronic rhinosinusitis (chronic sinusitis), where inflammation persists despite medical treatment (usually lasting over 3 months). The surgery helps deliver medications directly to the sinus lining and complements, rather than replaces, medical treatments.
*For some patients, surgery may not be a cure for sinusitis but is one of the many critical steps in managing sinus disease.
Sinusitis is inflammation of the sinus lining that can block sinus openings, leading to infections and pain. Symptoms can last up to four weeks for acute cases or over 12 weeks for chronic cases, often following a cold or allergy.
When medications and other treatments fail, endoscopic sinus surgery may be needed. This procedure uses a small scope to view and guide surgery inside the nose, widening drainage pathways to improve mucus flow and air access. It also helps medications reach the sinuses more effectively.
You may benefit from endoscopic sinus surgery if:
Diagnosis: In-office CT scan with the Xoran MiniCAT provides high-resolution images of the sinuses to identify which areas need treatment
Anesthesia: May be performed with local or general anesthesia
Procedure Time: Typically 1 to 1.5 hours
Technique: A small endoscope is inserted through the nostrils to access and enlarge sinus openings—no external incisions
Recovery: Most patients return to light activities within a few days
We’re here to help you find real, lasting relief—assisting through every step of your treatment and healing journey.
I came to Dr. Paciorek with a previous nose job that, to be candid, could have been done better. Although my case had its challenges, Dr. Paciorek tackled my revision rhinoplasty procedure and did so with much skill, professionalism, and an artistic eye. The staff was always helpful and answered any questions I had and fit me in for appointments in a timely manner. I loved the fact that I could ask Dr. P any question I had. He seemed to always have an educated answer.
— Real Patient
Most of our procedures use minimal or no packing, reducing discomfort during recovery.
Surgery is not always a cure but is an important part of managing chronic sinus disease.
Many patients notice relief within days, while full results can take a few weeks.
It depends on your needs—Dr. Paciorek will recommend what’s safest and most comfortable for you.
We’ll continue to support you with follow-up care and other therapies tailored to your needs.