Sinus Surgery

Trusted Sinus Surgery Specialist in Singapore

Sinus surgery refers to procedures performed to open blocked sinus passages and support normal drainage and airflow. When inflammation, anatomical issues, or persistent infections prevent the sinuses from functioning properly, surgery may be considered if symptoms do not respond well to medication alone. A sinus specialist in Singapore may assess whether surgery is suitable based on symptoms, nasal endoscopy findings, scans, and response to previous treatments. Published studies have reported that patients with chronic sinus disease can achieve large improvements in sinusitis-specific quality-of-life measures 12 months after sinus surgery. However, sinus surgeons also note that outcomes may vary depending on the underlying condition, surgical approach, and adherence to postoperative care.

Types of Sinus Surgery

Different types of sinus surgery may be considered depending on the cause and location of the blockage. Sinus surgeons may recommend an approach after reviewing the patient’s symptoms, scan findings, and previous response to medication. Sinusitis may be managed with medication or surgery, depending on the severity and persistence of symptoms.

Functional Endoscopic Sinus Surgery (FESS)

FESS is a minimally invasive procedure where a small endoscope is inserted through the nostrils to provide visibility of the sinus openings. Specialised instruments are then used to remove obstructions such as polyps or inflamed tissue, while preserving normal structures. FESS is commonly performed in hospital settings under general anaesthesia.

Balloon Sinuplasty (BSP)

Balloon Sinuplasty involves inserting a small balloon catheter into the sinus opening, which is gently inflated to widen the drainage pathway. Unlike FESS, BSP does not involve cutting or tissue removal. It is generally performed under local anaesthesia in outpatient clinics and is suited for those with less severe blockage.

Aspect	Functional Endoscopic Sinus Surgery (FESS)	Balloon Sinuplasty (BSP)
Invasiveness	Minimally invasive but involves tissue removal	Minimally invasive with no tissue removal
Anaesthesia	Usually general anaesthesia	Often local anaesthesia
Recovery Time	1–2 weeks	24–48 hours
Suitable Cases	Moderate to severe cases, polyps, anatomical issues	Mild to moderate sinus blockages
Setting	Hospital day surgery	Clinic or outpatient
Risks	Bleeding, infection, scar tissue formation	Rare complications, minimal bleeding

Who May Benefit from a Sinus Surgeon

A consultation with a sinus specialist in Singapore may be considered when sinus symptoms are persistent, recurrent, or affecting daily comfort despite medical treatment. Sinus surgeons may assess whether the symptoms are related to chronic inflammation, nasal polyps, structural blockage, or other nasal conditions before discussing possible treatment options.

Chronic Sinusitis Not Responding to Medication
Patients who experience symptoms for 12 weeks or more despite medications such as nasal sprays or antibiotics may be considered for sinus surgery.
Nasal Polyps Causing Blockage and Smell Loss
Recurring nasal polyps can obstruct airflow and affect the sense of smell. Surgery may help remove these blockages to restore normal function.
Structural Nasal Issues
A deviated septum, narrowed sinus openings, or enlarged turbinates can restrict drainage. Surgery can help correct these issues for longer-term relief.
Persistent Nasal Obstruction
When nasal congestion impacts sleep, breathing, or daily comfort, sinus surgery may help to improve quality of life.

Who Should Avoid Sinus Surgery

Individuals with Uncontrolled Bleeding Disorders

Bleeding conditions can increase the risk of complications during and after surgery. Preoperative screening is essential.

Patients with Medical Conditions Requiring Special Anaesthesia Planning

Heart or lung conditions may require a modified anaesthesia plan. These factors will be assessed in preoperative consultations.

Incomplete or Unclear Diagnosis

Patients who have not undergone diagnostic tests such as a CT scan or nasal endoscopy should not proceed with surgery until the condition is clearly understood.

The Sinus Surgery Procedure

The sinus surgery procedure varies depending on the method used and the areas being treated. Before surgery, a sinus specialist will usually review the patient’s symptoms, nasal endoscopy findings, and imaging results. Sinus surgeons may also explain the preparation, anaesthesia, expected recovery, and follow-up care before the procedure is scheduled.

Pre‑Operative Preparation

A thorough evaluation including nasal endoscopy and imaging will help determine the need for surgery. Patients are usually advised to stop certain medications, avoid smoking, and plan post‑surgical care.

BSP Procedure

BSP is generally quicker and performed under local anaesthesia. The balloon catheter is inserted and inflated to gently widen the drainage passages. No cutting is involved.

FESS Procedure

Performed under general anaesthesia, the surgeon uses an endoscope to access and clear the sinus openings. Diseased or obstructive tissue is removed while preserving healthy areas.

Post‑Operative Monitoring

After surgery, patients are monitored briefly before discharge. Nasal care instructions are provided, and follow‑up appointments are scheduled for cleaning and review.

Schedule your consultation with Dr Dennis Chua for a diagnosis and personalised treatment options.

Risks and Side Effects of Sinus Surgery

Common Side Effects

Mild bleeding, congestion, or nasal discharge may occur after surgery. These are usually temporary and manageable at home.

Serious Risks (Rare)

These include infection, prolonged bleeding, or injury to nearby structures such as the eyes or brain. Such risks are rare but should be discussed with your surgeon.

Key Considerations

All patients are advised to follow post-op care instructions carefully and attend scheduled reviews. Any unusual symptoms should be promptly reported.

Recovery and Aftercare

Monitoring and Follow-Up

Nasal endoscopy and cleaning may be needed during the first few weeks to prevent crusting and scarring.

Managing Side Effects at Home

Use of saline sprays or rinses can aid in healing. Avoid strenuous activities and refrain from nose-blowing for at least a week.

Activity Restrictions

Patients are typically advised to rest for a few days and gradually return to work or school depending on the procedure performed.

General Recovery Timeline

FESS: 1 to 2 weeks
BSP: 24 to 48 hours

Full recovery may take several weeks, especially for more complex cases.

How Much Does Sinus Surgery Cost in Singapore?

The cost of sinus surgery in Singapore can vary depending on the type of procedure, the complexity of the sinus condition, and whether the treatment is performed in a clinic or hospital setting. Other factors may include anaesthesia, facility fees, pre-operative tests, medication, and follow-up visits.

Factors That Influence Cost

The cost of sinus surgery in Singapore varies depending on the type of procedure (FESS vs BSP), hospital or clinic setting, and whether general or local anaesthesia is used.

Example of Treatment Costs

Surgeon fees: approx. SGD 2,200 to SGD 9,500 (incl. GST)
Additional charges may include facility fees, anaesthetist fees, pre-surgical imaging, and post-op care

(Exact figures depend on the setting and complexity of the case. Please enquire for a personalised estimate.)

Cost Reduction and Support

Patients are encouraged to check Medisave usage, private insurance plans, or employer coverage where applicable. Public hospitals may offer subsidies for Singapore citizens and PRs, although wait times may apply.

Frequently Asked Questions About Sinus Surgery Specialist in Singapore

What’s the difference between sinusitis and allergic rhinitis?

While both conditions can cause congestion and discomfort, sinusitis involves infection and inflammation of the sinuses, while allergic rhinitis is a reaction to environmental allergens. Diagnosis and treatment will vary depending on the cause.

Will sinus surgery fix a deviated septum?

Not necessarily. A deviated nasal septum may require a separate procedure known as septoplasty. However, both surgeries can sometimes be performed during the same session if needed.

Do I need surgery for every sinus infection?

No. Most cases of sinusitis can be managed with medication and home care. Surgery is considered when infections are recurrent or persistent despite treatment. You are encouraged to vist our ENT clinic in Singapore for a proper assessment.

How long will I be off work after sinus surgery?

This depends on the procedure. Recovery from FESS typically takes 1 to 2 weeks, while BSP patients often resume daily activities within 2 days. For further guidance based on your condition and treatment plan, please contact us.

Can sinus surgery be done under local anaesthesia?

Yes, Balloon Sinuplasty is usually done under local anaesthesia in a clinic setting. FESS, however, is generally performed under general anaesthesia in a hospital. To learn more about Dr Dennis Chua and our clinic’s approach to sinus surgery, please visit our About Us page.

Is sinus surgery painful?

Most patients report minimal discomfort during or after surgery. Pain is typically managed with medication, and many are able to resume light activities within a few days. An ENT surgeon can advise on what to expect based on the recommended procedure.