Chronic sinusitis is one of the most persistent and frustrating conditions we treat at Integrative Ear, Nose and Throat in Syosset and Port Jefferson, NY. For many patients, sinus pressure, headaches, congestion, and recurring infections become a constant part of life. While medications and lifestyle changes can help, some cases simply do not improve enough with conservative treatment. When symptoms continue for months despite appropriate care, it may be time to consider sinus surgery.
Understanding when surgery is appropriate — and what your surgical options are — can help you make an informed decision about your long-term sinus health.
What Is Chronic Sinusitis?
Chronic sinusitis occurs when inflammation of the sinus lining lasts 12 weeks or longer, even with treatment. According to the CDC, more than 28 million U.S. adults suffer from sinusitis each year, and chronic cases are a leading cause of missed work days and decreased quality of life.
Symptoms often include:
- Facial pain or pressure
- Nasal congestion or blockage
- Postnasal drip
- Difficulty breathing through the nose
- Reduced sense of smell
- Chronic fatigue
- Recurring sinus infections
When these symptoms do not improve with antibiotics, nasal sprays, allergy treatment, or saline irrigation, surgery may offer long-term relief.
When to Consider Sinus Surgery
Not every patient with chronic sinusitis needs surgery, but certain signs indicate that medical management alone may not be enough.
1. You Have Persistent Symptoms Despite Treatment
If you have completed multiple rounds of antibiotics, tried steroid sprays, undergone allergy therapy, or used decongestants with little improvement, surgery may be the next step.
2. Imaging Shows Blocked or Damaged Sinuses
A CT scan can reveal:
- Narrowed or obstructed sinus passages
- Polyps
- Structural issues like a deviated septum
- Mucus buildup
When imaging clearly shows a blockage that medications cannot correct, surgery becomes a highly effective solution.
3. You Have Nasal Polyps
Polyps can obstruct airflow and drainage. Studies show that up to 40 percent of chronic sinusitis patients develop nasal polyps, and many require surgical removal for lasting relief.
4. You Have Recurrent or Severe Infections
If sinus infections return several times a year, even after antibiotics, surgical intervention can open blocked pathways and reduce infection frequency.
5. Your Quality of Life Is Significantly Affected
Chronic sinusitis often disrupts sleep, energy levels, and productivity. If symptoms interfere with daily life, surgery may provide substantial improvement.
Balloon Sinuplasty: A Minimally Invasive Solution
One of the most popular sinus procedures we offer is balloon sinuplasty — a minimally invasive option ideal for many chronic sinusitis patients.
During balloon sinuplasty:
- A tiny balloon catheter is inserted into the blocked sinus passage.
- The balloon is gently inflated to widen the passageway.
- The sinus naturally drains, and the balloon is removed.
- Benefits include:
- Minimal discomfort
- No cutting or removal of tissue
- Can be performed in-office
- Quick recovery, often within 24–48 hours
- Long-lasting symptom relief
Clinical studies show over 90 percent of balloon sinuplasty patients experience significant improvement in symptoms, making it an excellent option for patients with mild to moderate obstruction.
Endoscopic Sinus Surgery: A More Comprehensive Treatment
For more advanced sinus disease, endoscopic sinus surgery (ESS) may be recommended. This procedure is performed using a thin camera (endoscope) inserted through the nostrils, allowing precise access to the sinus passages without external incisions.
ESS may be required if you have:
- Large polyps
- Severe or extensive blockage
- Structural issues requiring correction
- Chronic inflammation resistant to medical therapy
Advantages of endoscopic sinus surgery:
- Improved airflow and drainage
- Removal of diseased tissue or polyps
- Ability to correct anatomical problems
- Long-lasting relief when combined with medical management
Success rates for ESS are high. Research shows that over 85 percent of patients report significant symptom improvement after surgery.
Choosing the Right Treatment at Integrative ENT
At Integrative Ear, Nose and Throat, we take a comprehensive and individualized approach to chronic sinus care. Before recommending surgery, we thoroughly evaluate:
- Your medical history
- CT imaging
- Nasal endoscopy results
- Responses to previous treatments
- Structural and anatomical concerns
Dr. Michael Cohen and his team will explain all treatment options — from balloon sinuplasty to full endoscopic sinus surgery — so you can make the best decision for your health and lifestyle.
Patients across Syosset, Port Jefferson, Long Island, and surrounding communities trust us for our expertise, advanced technology, and commitment to restoring clear breathing and long-term comfort.
Take the Next Step Toward Sinus Relief
If chronic sinusitis is disrupting your life, you don’t have to continue struggling. Surgery may be the solution that finally frees you from ongoing congestion, pain, and infections.
Contact Integrative Ear, Nose and Throat today to schedule your consultation and learn whether sinus surgery is the right next step for you. Clearer breathing, better sleep, and a healthier quality of life are within reach.
Posted on behalf of
