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Endoscopic Sinus Surgery

The para-nasal sinuses are four pairs of cavities in the skull that are connected to the nasal passage. A thin respiratory lining known as mucosa covers the sinus walls. Infections, allergies and autoimmune problems can lead to inflammation of the sinuses. Sinus infections are one of the most common maladies in the US, affecting 40 million Americans each year. Sinus infections can be categorized into: acute (lasting less than 4 weeks), sub-acute (lasting 4 to 8 weeks), chronic (lasting more than 8 weeks) and recurrent acute (greater than three or more episodes a year, each lasting less than 2 weeks).

In chronic sinus infections, when membrane thickening and polyp formation is minimal, patients may respond to a prolonged course of antibiotics combines with a short course of steroid tablets. However, when large polyps have formed, or when a patient fails to respond to medical therapy, sinus and breathing enhancement surgery can be curative. Sinus surgery can also alleviate chronic recurrent acute sinusitis.

Sinusitis Treatment or Sinusitis Surgery

Dr. Khosh is an expert in performing sinus surgery. Sinus surgery is performed with endoscopic cameras and small instruments that fit through the nose. During endoscopic sinus surgery, correction of a deviated septum may be necessary to gain access to the posterior part of the nose and relieve nasal blockage. In revision sinus operations, Dr. Khosh uses intra-operative CT guidance to increase the safety and effectiveness of the surgery. Sinus surgery is an outpatient operation. Patients should expect mild to moderate pain for about three days, and scant oozing of blood for two days.

More recently, a new technique, balloon dilatation sinuplasty has become an accepted sinusitis treatment choice. Balloon dilatation sinus surgery is a less invasive method of treating sinus obstruction. In appropriate cases, balloon dilatation sinus surgery can be performed under local anesthesia, as an office procedure. The recovery from balloon dilatation sinus surgery is less prolonged than endoscopic sinus surgery.

Contact our office today to schedule a consultation or for more inforamtion about this type of procedure. You’ll be glad you did!

Frequently Asked Questions About Sinus Surgery

Dr. Khosh does not use nasal packing after sinus surgery. Nasal packing is uncomfortable and its removal can be painful.

In most instances, a well-executed sinus operation does not cause significant nose bleeding. When bleeding is notable, I use specialized gels or pastes that promote blood coagulation.

In balloon sinus surgery small catheters are threaded into the narrowed sinus passage. A balloon, situated at the tip of the catheter, is then inflated. The balloon expansion causes widening of the obstructed sinus passage. This is similar to how angioplasty helps to open a narrowed artery in the heart.

Allergies are a common contributor to sinus polyp formation. In patients who suffer from chronic sinus infections, allergy evaluation is important.

Studies have shown that in patients who suffer from asthma and chronic sinusitis, sinus surgery can lead to improved control of the asthma.

No. Sinus surgery is designed to open only the sinus cavities with obstructed drainage pathways. In most individuals with chronic sinusitis, the ethmoid and maxillary sinuses are involved. Less commonly, the sphenoid and frontal sinuses reveal obstruction. Typically, sinus obstruction is bilateral in nature.

In greater than 95% of cases, sinus polyps are benign. When sinus obstruction is unilateral in nature, or when CT scan shows bone destruction, malignancy should be considered.

What Dr. Khosh's Patients Say


Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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