Persistent sinus issues like congestion, facial pressure, and headaches can disrupt daily life. While non-surgical treatments are usually tried first, chronic cases may need surgical intervention. Patients with ongoing sinus problems are often referred to an ENT doctor. This guide outlines what to expect from sinus surgery, from preparation to recovery, and how ENT doctors in Singapore manage each stage of care.
When to Consider Sinus Surgery
Sinus surgery is typically recommended when other treatments fail to relieve symptoms of chronic sinusitis. Patients who experience repeated sinus infections, long-term nasal blockages, or impaired breathing may benefit from surgical assessment. In Singapore, general practitioners or primary care physicians usually refer patients to an ENT doctor for further investigation, often followed by imaging such as a CT scan.
A consultation with an ENT surgeon allows for a more comprehensive evaluation. The specialist may perform nasal endoscopy to view the internal nasal passages and determine the extent of the problem. Sinus surgery is generally considered after unsuccessful medical management. The goal is to restore normal sinus drainage and improve airflow, reducing symptoms and enhancing quality of life.
Pre-Surgery Assessment and Preparation
Before undergoing sinus surgery, patients will go through a thorough pre-operative assessment. This process involves reviewing the patient’s medical history, discussing current symptoms, and understanding previous treatments attempted. The ENT doctor in Singapore may also request imaging results and blood tests to ensure there are no contraindications to surgery.
Patients should inform the specialist of any existing health conditions or medications. In most cases, surgeons advise stopping blood-thinning remedies in advance to reduce the risk of bleeding. The doctor will also provide pre-surgery instructions, which may include fasting, avoiding certain over-the-counter drugs, and arranging for post-surgery support at home. Understanding the procedure helps patients set realistic expectations and feel better prepared.
What Happens During the Procedure
Sinus surgery is often performed under general anaesthesia and may take one to two hours, depending on complexity. One of the most common approaches used by sinus surgeons is Functional Endoscopic Sinus Surgery (FESS). This minimally invasive technique involves using a thin camera (endoscope) to access and clear blocked sinus pathways without external incisions.
The surgeon removes obstructions such as polyps, infected tissue, or bone spurs causing poor drainage. Because FESS preserves healthy tissue and allows for faster recovery, it is the preferred technique for many patients with chronic sinus conditions. The procedure typically results in improved nasal airflow and fewer sinus infections. Patients are usually monitored in a recovery area and discharged on the same day unless additional observations are required.
Post-Surgery Recovery and Aftercare
Recovery from sinus surgery generally takes one to two weeks, although healing may continue for several weeks internally. Doctors advise patients to rest, avoid strenuous activity, and follow post-operative care instructions provided by the ENT surgeon. This includes nasal irrigation, prescribed medication, and follow-up visits for cleaning and progress checks.
Mild discomfort, nasal congestion, or slight bleeding is common after the procedure. Prescribed or over-the-counter medication can help manage pain. The ENT doctor in Singapore will monitor healing and ensure no signs of infection or complications. Patients can return to normal activities after a short recovery period, with improved breathing and symptom relief becoming noticeable as swelling subsides.
Long-Term Results and Maintenance
Successful sinus surgery can significantly improve quality of life, but it is essential to maintain sinus health post-surgery. Regular follow-ups with the ENT doctor are crucial to ensure the sinuses continue to heal and remain open. In some cases, ongoing use of nasal sprays, allergy treatment, or lifestyle adjustments may be recommended to prevent recurrence.
Patients who follow post-operative care instructions and attend follow-up appointments experience longer-lasting benefits. While surgery does not cure all sinus conditions, it often reduces the frequency and severity of symptoms, especially when combined with appropriate medical management.
Conclusion
Sinus surgery is an option for chronic cases that don’t improve with standard treatment. In Singapore, ENT surgeons often use FESS to clear obstructions and restore sinus function. Knowing what to expect before, during, and after surgery helps patients prepare. Consulting an ENT doctor is a key step toward lasting relief for ongoing congestion, infections, or breathing issues.
Struggling with persistent sinus problems? Contact Dr Jenica Yong to explore whether sinus surgery is the right step for your treatment.
