Minimally Invasive, Maximally Effective
The endoscope consists of a long, thin tube with a light and a view at the opposite end of the scope. In endoscopic sinus
surgery (ESS), the endoscope is inserted through the nasal passages, with no surface incision, to operate on a variety
of conditions in the nasal passages and sinuses. Advancements in instrument design allow us (with eye and brain surgeons)
to operate on areas beyond the nose, such as the eyes, skull base and brain.
Endoscopy has been described as “minimally invasive”. Th is may be a bit misleading, as the words suggest that the endoscope
is limited to simple procedures. In fact, very complex surgery may be performed endoscopically and without external scarring,
swelling, superfi cial trauma, pain and with reduced blood loss. Th e hospital stay is also greatly reduced.
ESS is most commonly performed for sinus infections. Sinuses are bony cavities surrounding the nasal passages and are
connected to them by small openings called ostia. Infection to these sinuses occurs usually with any common cold and
usually clear spontaneously within a few weeks, with or without medication. Surgery in such cases is not recommended.