Endoscopic sinus surgery (ESS) is a procedure used to help children who struggle with significant sinus problems despite other treatments. Most children with sinus infections improve with medical therapy and adenoidectomy (removal of the adenoids) when needed. However, when symptoms continue after antibiotics, nasal steroid sprays, saline rinses and adenoidectomy sinus surgery may be considered. Children with nasal polyps often require surgery as part of their medical treatment plan. The goal is to improve sinus drainage and ventilation so your child can breathe more comfortably and have fewer infections.

The procedure is performed using small telescopes and instruments placed through the nostrils without any external incisions or visible scars. It is done under general anesthesia, with a pediatric anesthesiologist carefully monitoring your child throughout the surgery to ensure safety and comfort. During the operation, our surgeons expand the natural drainage pathways of the sinuses and removes any blockages and inflamed tissue. The approach is precise and tailored to your child’s specific anatomy and needs.

Potential risks related to sinus surgery include bleeding, infection, scar tissue formation, or persistent symptoms. Because the sinuses are located near the eyes and brain, there are very rare risks involving these areas which your surgeon will discuss. On the benefit side, many children experience significant improvement in breathing, fewer sinus infections, better sleep, and an overall improved quality of life after surgery.

Recovery from endoscopic sinus surgery in children is typically straightforward. Most children go home the same day. You can expect some nasal congestion, mild discomfort, and possibly a small amount of bloody drainage for a few days. Pain is usually manageable with over-the-counter medications. Your child’s doctor will likely recommend saline sprays or rinses to help keep the nose clean and promote healing. Follow-up visits are important to ensure proper recovery and to gently clear any crusting if needed.

In the weeks after surgery, children usually return to normal activities quickly, often within a few days. While surgery can greatly reduce symptoms, it is not a “cure” for all sinus issues, so ongoing medical care—like nasal sprays or allergy management—may still be part of your child’s routine. The goal is to give your child lasting relief and help them get back to feeling like themselves again.

If your child is struggling with sinus issues, please reach out to our team to arrange a consult.  

Content created with assistance from Open AI, ChatGPT