Operative treatment of sinuses: Plastic surgery Royal✓

Sinus surgery, also known as sinonasal surgery, is a medical procedure that addresses chronic issues with the sinuses, including long-term sinusitis, polyps, and various anatomical irregularities that hinder normal breathing and sinus function.

Chronic sinus problems can significantly impact daily life, resulting in headaches, facial pain, nasal congestion, and frequent infections. When standard treatments such as medications, sprays, and therapies fail, surgery often becomes the only permanent and effective solution.

At the Royal Belgrade Plastic Surgery Clinic, the latest techniques in sinus surgery are employed, including the minimally invasive Functional Endoscopic Sinus Surgery (FESS) and traditional surgical methods for more complex cases.

Types of Sinus Surgery: FESS and Traditional Methods

When conservative treatments—like antibiotics, corticosteroids, or nasal sprays—do not yield the desired results, surgical intervention might be necessary. Modern medicine primarily offers two methods for sinus surgery: endoscopic sinus surgery (FESS) and traditional surgery. Both approaches are effective but differ in execution, invasiveness, recovery time, and indications for use.

FESS (Functional Endoscopic Sinus Surgery) – A Modern, Minimally Invasive Approach

FESS is the most advanced method in sinonasal surgery and is typically the first choice for patients with chronic sinus issues. During this procedure, the surgeon uses a thin, flexible instrument called an endoscope, equipped with a camera. This allows for a detailed examination of the interior of the nose and sinuses without needing external incisions.

This method enables precise removal of inflamed tissue and polyps and opens blocked sinus channels, facilitating normal sinus ventilation and drainage.

Key Advantages of the FESS Method:

Minimal Invasiveness:The surgery is performed through the nasal cavities, eliminating skin cuts and external scars.
Faster Recovery: Most patients can resume daily activities within 7 to 10 days.

• Less Postoperative Pain and Swelling: Recovery is generally more comfortable compared to traditional methods.
• Greater Precision: The endoscope provides a clear, magnified view of the sinus interior in real-time, reducing the risk of errors and improving outcomes.
• Lower Risk of Complications: Improved visibility and reduced tissue trauma lead to fewer side effects.

The FESS technique is especially suitable for patients with chronic sinusitis, polyps, minor anatomical irregularities, or recurrent infections that fail to respond to treatment.

Traditional Sinus Surgery – Effective for More Complex Cases

In contrast to the minimally invasive FESS method, traditional sinus surgery involves larger incisions and direct access to the sinus cavities. This technique is typically used in cases of severe blockages, pronounced anatomical irregularities, or when previous treatments have failed.

Common reasons for this type of surgery include severe chronic sinusitis, nasal septum deviation, significant sinus polyps, cysts, tumors, or complications that require extensive surgical correction.

Benefits of the Traditional Method:

• Complete Visibility and Access: Surgeons can fully visualize and access sinus structures, which is crucial for complicated cases.
• Thorough Correction of Anatomical Anomalies: This method allows for comprehensive resolution of issues that obstruct breathing and sinus function.
• Long-lasting Results: Particularly effective for patients with severe deformities or those who have experienced multiple infections.

Recovery from traditional surgery is generally more prolonged and intensive than from FESS; however, it is often the only viable option for complete and lasting symptom relief.

How Is Sinus Surgery Performed?

No matter the chosen technique, sinus surgery is always conducted under general anesthesia, meaning patients are completely unconscious and experience no pain during the procedure.

FESS Method: Surgeons use an endoscope to meticulously remove polyps, clean inflamed areas, and open blocked sinus channels through the nasal cavities without external incisions. This approach is highly precise and minimizes trauma to surrounding tissues.
  
Traditional Method: Surgeons create larger incisions, typically within the nose or facial area, to access deeper sinus structures. This intervention involves detailed removal of blockages, correction of deformities, and reconstruction of internal structures to restore normal drainage and airflow through the sinuses. 

Regardless of the method, after the procedure, the patient remains under observation, and the length of stay in the hospital depends on the complexity of the operation and the individual condition of the patient.  

How long does sinus surgery take?

The duration of sinus surgery depends on the type of procedure and the complexity of the problem being solved. Normally, the operation can last from 30 minutes to 2 hours.

Functional endoscopic sinus surgery (FESS) is most commonly used and takes between 60 and 90 minutes. This method uses an endoscope with a camera, which allows the surgeon a detailed view of the inside of the sinuses and the precise removal of polyps, blockages, and inflammatory tissue - all through very small incisions inside the nasal cavity.

In more complex cases, when a wider correction of anatomical structures is required or more serious forms of sinus disease are involved, the operation can last up to 2 hours. This most often refers to the classic method or combined interventions.

Regardless of the technique, the operation is performed under general anesthesia, which means that the patient is completely asleep and does not feel pain during the procedure. After the procedure, the patient remains under observation for several hours, and in most cases can be discharged the same day. In more severe cases or with more complicated procedures, it may be recommended that the patient stay in the hospital for up to 24 hours for monitoring.

Recovery after sinus surgery

The speed and course of recovery depend primarily on the type of surgery performed, as well as the individual reaction of the organism. In general, recovery ranges from a few days to two weeks, depending on the complexity of the procedure.

FESS method: In functional endoscopic sinus surgery, recovery is relatively quick and easy. Most patients can return to daily activities within 7 to 10 days. In the first days, it is normal to experience slight bleeding, nasal congestion and swelling, but these symptoms gradually subside as the body heals.

Classic method: With classic surgery, recovery is longer and somewhat more demanding. Full return to normal activities is expected in 10 to 14 days, and during this period patients are recommended to avoid physical exertion, sudden movements and touching the nose, in order to allow proper and safe tissue healing.

Regardless of the type of surgery, following post-operative instructions is key to a successful recovery. Regular check-ups, proper nasal hygiene and compliance with the doctor's recommendations significantly contribute to a faster return to everyday life and reduce the risk of complications.  

Why choose Royal Belgrade Plastic Surgery?

If you are thinking about sinus surgery, Royal Belgrade Plastic Surgery is one of the best choices for a safe, effective and professional approach to solving your health problems.

Our renowned clinic located in the heart of Belgrade combines modern medical technology, top surgical techniques and an expert team of doctors with many years of experience in the field of sinonasal surgery. Our goal is not only to solve your health problem, but to do it in a way that gives you maximum safety, comfort and confidence in the entire process - from the first consultation to the end of recovery.

When choosing a sinus surgery clinic, it's important not to look solely at price. The quality of service, the expertise of the team and the safety of the surgical procedure are key factors that directly affect the outcome of the treatment and your long-term satisfaction.

Royal Belgrade proudly stands out for the following:

• One of the most respected surgeons and professors of sinus surgery in the region, with extensive clinical and teaching experience
• The most modern medical equipment and surgical rooms according to the highest European standards
• Individualized approach to each patient and careful guidance throughout the entire process - from examination to postoperative care
• High level of comfort and discretion, in the pleasant environment of our clinic

Sinus surgery price - special offer

We are currently offering special promotional prices for sinus surgery, which is an ideal opportunity to solve chronic breathing problems and improve your quality of life at extremely favorable conditions.

• Our offer includes a complete service, including:
• Detailed consultations with specialists
• Surgical intervention (FESS or classical method, according to indication)
• Anesthesia and necessary preparation
• Postoperative care and recovery monitoring

Note: The action lasts for a limited time, so now is the right time to take a step towards healthier and easier breathing with the professional support of our team.

To date, our team has successfully helped more than 7,000 satisfied patients, whose comments and recommendations testify to the quality and commitment provided by Aesthetic Surgery Royal Belgrade. If you are looking for a combination of expertise, trust and a modern approach to sinus treatment, we are here to support you every step of the way. 

You can see the price of nose surgery in plastic surgery clinics in Serbia on this page: Nose surgery.  

How to contact us?

If you would like to schedule an appointment for rhinoplasty, are interested in the cost of the nose surgery, or have additional questions for us, please contact us at +381 65 202 77 77 or visit the following pages: Nose Surgery, Nose Tip Surgery, and Full Nose Surgery.