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Nose & Sinus

Chronic Sinusitis: When Do You Need Endoscopic Sinus Surgery (FESS)?

By Dr. Laxman Bhattacharjee · 10 Sep 2026 · 1 min read

Chronic Sinusitis: When Do You Need Endoscopic Sinus Surgery (FESS)?

Sinusitis is inflammation of the air spaces around the nose. When symptoms last longer than 12 weeks despite treatment, it is called chronic sinusitis — and it can affect sleep, concentration and quality of life.

Common symptoms

  • Blocked or stuffy nose
  • Thick nasal discharge or post-nasal drip
  • Pain or pressure around the cheeks, eyes or forehead
  • Reduced sense of smell

Treatment starts with medicines

Saline rinses, nasal steroid sprays and, where appropriate, a course of antibiotics or anti-allergy treatment help most patients. A nasal endoscopy and CT scan help identify blockages, polyps or a deviated septum.

When is FESS recommended?

Functional Endoscopic Sinus Surgery is advised when symptoms persist despite proper medical treatment, or when there are nasal polyps. Using a thin camera through the nostrils, the natural drainage pathways are widened — there is no cut on the face.

Most patients notice easier breathing and fewer infections within weeks. Regular follow-up and nasal care after surgery are key to long-term success.

This article is for general information only and is not a substitute for a medical consultation.

This article is for general information only and is not a substitute for a medical consultation.

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