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ENT Health Blog

When Is Sinus Surgery Needed? A Practical Patient Guide

2026-07-07 6 min read

Most sinus problems improve with medicines, but some patients continue to have facial pressure, block, discharge, and recurrent infections. In selected cases, surgery can improve drainage and quality of life.

Who may need surgery?

Patients with chronic sinusitis, persistent nasal polyps, repeated infections, and poor response to medical therapy may be candidates for endoscopic sinus surgery.

What is FESS?

FESS stands for Functional Endoscopic Sinus Surgery. It is a targeted technique that opens blocked sinus pathways using endoscopic guidance without external facial cuts.

How is the decision made?

ENT doctors combine symptom duration, nasal endoscopy findings, scan correlation, and prior treatment response before recommending surgery.

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