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sinusitis treatment in Essex & LondonChronic sinusitis is determined as a constant inflammation of one or more of the sinuses, which are the small air pockets in the bones of your face that are connected to your nose by small tubes – these channels permit air to flow from the nose into the sinuses and allow drainage of mucous from the sinus into the nose.

Acute sinusitis usually lasts a week or two but the more rare condition chronic sinusitis is when the it lasts for longer than 12 weeks.

What causes it?

Sinusitis is caused by the inflammation of these tubes, usually as a result of an infection, such as a cold or flu-like illness. This is termed as a viral sinus infection but sometimes a bacterial infection can also develop alongside the viral infection making the problem much worse. Dental infections can also affect the nasal sinuses.

If you suffer from allergies, asthma or nasal polyps this can make sinusitis worse.

What are the associated problems?

Symptoms of chronic sinusitis include a runny nose, with green/yellow mucus, a reduced sense of smell, a feeling of facial fullness and discomfort and sometime pain if the condition flares up, headaches, toothache and fatigue.

What are your treatment options?
Mr Fayad will thoroughly explain all the different options for treating chronic sinusitis at the consultation. First, he will perform a full examination to determine what is causing the chronic sinusitis.

Antibiotics won’t usually work as the original infection will likely have cleared up although you’ll still be suffering from the symptoms. Stopping smoking will help alleviate the symptoms of chronic sinusitis. Steroids, in the form of sprays or drops, can reduce inflammation.

Sinus Surgery (FESS)

If you don’t respond to the medicines prescribed by Mr Fayad, it may be necessary to have sinus surgery. In the past, this was performed by making incisions in the face and mouth and that might still be the best option for you but it is now possible to perform the procedure endoscopically

Endoscopic sinus surgery is usually done under general anaesthetic, but it is possible to perform it under local anaesthetic. Mr Fayad will use special telescopes and instruments to unblock your sinuses from within your nose. Small amounts of bone and any swollen lining that is blocking the sinuses are removed and, in most cases, the inflammation should start to improve straight away.

When you wake from the anaesthetic you may feel your nose is blocked, but this is probably due to the dressings or splints within the nose and they will usually be removed soon after the procedure. It is common to have a stuffy blocked up nose even after removing the dressing or splints and this does not mean that the operation has not worked. Any discomfort can be relieved with painkillers.

It is important that you do not blow you nose for the first 48 hours following your operation and Mr Fayad will advise you on when you can start to gently blow your nose. Some mucus and blood-stained fluid may drain from your nose for the first week or two following the operation and this is normal. It is important to stay away from dusty and smoky environments while you are recovering.

You can expect to go home on the day of your surgery or the day after your operation depending on the size of your operation. You will need to rest at home for at least a week. If you do heavy lifting and carrying at work you should be off work for at least two weeks. You will be given instructions on when to return to the hospital for your follow-up visit.
All operations can carry some risk but the potential complications after endoscopic sinus surgery are very uncommon. They may include some bleeding and potentially some bruising around the eye,

The sinuses are very close to the bone at the base of the brain and therefore all sinus operations carry a small risk of damage to this thin bone with leakage of fluid from around the brain into the nose, or other related injuries. If this rare complication does happen you will have to stay in hospital longer and may require another operation to stop the leak. Mr Fayad will discuss this and all other complications in depth at your consultation.

Balloon Sinuplasty

One new and effective treatment that Mr Fayad offers is the Balloon Sinuplasty. Mr Fayad will thread a guide wire equipped with a tiny balloon into the nostrils and up to the area of blockage and then inflate the balloon just enough to open the passageway. Sinuses are thereby opened up in the same way that blocked arteries are opened up during a balloon angioplasty.

The procedure is performed as a day case and there is no bleeding, reduced scarring and less need for revision surgery. This is very safe and minimally invasive and, currently, tens of thousands of patients have experienced the benefits of the Balloon Sinuplasty System.

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    1 February 2010 “It is now nearly six months since you placed my breath-implant for me. I thought you may like to know how my nose and I have been getting along. Although I had pain after the surgery, I … Continue reading

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    5 December 2011 “As promised, I am writing something you may want to use on your website and, if not, may be of use to other patients. For the last two years I have been struggling to breathe properly and … Continue reading

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    27 July 2011 “Since I have had my operation on my nose, I have noticed a great sense of relief in the nasal passages of the nose. My operation consisted of a mini-FESS to clean the sinus areas around the … Continue reading

  • A massive thank you

    27 June 2012 “I would like to take this opportunity to say a massive thank you for straightening my nose which has improved my breathing. It has not only improved my breathing, but my self confidence also. I was always … Continue reading

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    26 February 2013 “My surgery with Mr Fayad has changed my life. I can now breathe freely and smell. I haven’t been able to smell for many years.” PN, Brentwood, Nasal Surgery