Endoscopic sinusotomy

Endoscopic sinusotomy is an advanced treatment method for ENT pathologies. The procedure is a minimally invasive surgical procedure performed using an endoscope.
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What is endoscopic sinusotomy?

During the operation, an endoscope, a thin and flexible instrument, is inserted through the nasal passages. It allows the doctor to monitor the condition of the sinuses and remove pathological formations that contribute to the development of unpleasant symptoms.

What is endoscopic sinusotomy?

Contraindications

Contraindications

The main contraindication is active respiratory infections: if they are present, surgery should be postponed until complete recovery. Other contraindications:

  • Severe blood disease. Hemophilia and other conditions associated with poor blood clotting increase the risk of bleeding during and after surgery
  • Severe forms of allergies (for example, Quincke's edema). Against this background, the sensitivity of the nasal mucosa increases

Surgery is not performed against the background of serious problems with the heart and lungs: this is due to the fact that the presence of these problems increases the risk of complications during surgery.

Indications for surgery

Endoscopic sinusotomy is prescribed against the background of chronic sinusitis. In this condition, inflammation of the paranasal sinuses continues for more than 12 weeks. This disease is accompanied by constant congestion and pain in the face.

Another indication is fungal infections of the paranasal sinuses.

Other indications:

  • Chronic rhinitis Long-term inflammation of the nasal mucosa, in which a runny nose does not go away even after washing and using sprays. Symptoms: nasal congestion, heavy discharge and frequent sneezing
  • Nasal polyps Benign soft growths on the nasal mucosa or sinuses. They cause blockage of the nasal passages, complicate breathing and reduce the sense of smell
  • Deformation of the nasal septum An anatomical deviation in which the nasal septum is so curved that it makes it difficult to breathe normally through the nose and contributes to the development of sinusitis

General information about the procedure

Preparation

Before the operation, the otolaryngologist performs an endoscopic examination of the nasal structures. To clarify the diagnosis, a CT scan of the paranasal sinuses may also be required.

Additionally, the patient needs:

  • Do general and biochemical blood tests
  • Have a coagulogram
  • Take a chest x-ray
  • Make an electrocardiogram (ECG)
  • Consult an anesthesiologist

If the patient is taking medications that affect blood clotting, he should discuss with his doctor the possibility of temporarily stopping them.

Preparation

How the endoscopic sinusotomy operation is performed

The operation of endoscopic sinusotomy usually takes 1-3 hours. It is performed in a hospital setting or on an outpatient basis. The main stages look like this:

  1. Preparation. The patient is given local or general anesthesia
  2. Insertion of the endoscope. It is administered through the nasal passages
  3. Surgical intervention. Using special instruments inserted through an endoscope, the doctor removes polyps, corrects deviated septums, or removes other obstructions that interfere with normal drainage and ventilation of the sinuses

After eliminating the problem areas, the endoscope is removed. Taking into account the fact that all manipulations are performed through natural openings, stitches are usually not applied. If there are no complications, the patient goes home a few hours after the procedure.

How is surgery performed on the nasal septum

Result of surgery

Most patients experience a significant reduction or complete disappearance of headaches, nasal congestion and facial pressure. Normal breathing through the nose is restored, the sense of smell improves, and the overall quality of life increases.

After surgery, the risk of developing recurrent sinusitis and other inflammatory sinus diseases is reduced. In most cases, the results of surgical intervention last for many years.

Result of surgery

Rehabilitation after surgery

The speed and success of recovery from surgery varies depending on the complexity of the procedure. In order for the body to recover faster, it is necessary to avoid physical exertion, overheating, consumption of too hot or spicy foods and alcohol.

You also need to take medications as prescribed (the doctor prescribes antibiotics and painkillers). Normalization of nasal breathing usually occurs within 10 days.

Rehabilitation after surgery

Advantages of sinusotomy at the K+31 clinic

Performing endoscopic sinusotomy at the K+31 clinic has several advantages. Here are the main ones:

  • Experienced specialists. The clinic employs qualified surgeons with many years of experience
  • Fast recovery. The clinic uses advanced rehabilitation techniques. This helps the patient quickly return to his normal lifestyle

To sign up for an endoscopic sinusotomy procedure at the K+31 medical center, fill out the form on our website. For any questions, call +7 (499) 999-31-31.

Advantages of sinusotomy at the K+31 clinic

Our doctors

Sokolova Vera Nikolaevna
Experience 17 years
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Sokolova
Vera Nikolaevna
Otorhinolaryngologist, audiologist-otorhinolaryngologist
Spiranskaya Olga Aleksandrovna
Experience 19 years
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Spiranskaya
Olga Aleksandrovna
Head of the otolaryngology department, leading otolaryngologist, ENT surgeon, pediatric ENT
Tetzoeva Zalina Muratovna
Experience 25 years
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Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 14 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Osipova Irina Andreevna
Experience 26 years
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Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
Selenina Tatyana Vitalievna
Experience 22 years
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Selenina
Tatyana Vitalievna
ENT doctor
Lapshina Anastasia Andreevna
Experience 12 years
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Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 19 years
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Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 46 years
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Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 14 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 21 year
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 23 years
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Koblova
Tatyana Alexandrovna
ENT doctor
Varenkova Olga Vladimirovna
Experience 26 years
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Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 12 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 28 years
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Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 13 years
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Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 22 years
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Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Akhmedov
Magomed Akhmedovich
Otorhinolaryngologist, pediatric ENT
Putkaradze Ekaterina Iosifovnz
Experience 3 years
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Putkaradze
Ekaterina Iosifovnz
Otorhinolaryngologist, phoniatrist
Chekaldina Elena Vladimirovna
Experience 14 years
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Chekaldina
Elena Vladimirovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Samusenkova Ksenia Vladislavovna
Experience 6 years
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Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 20 years
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Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 5 years
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Balybina
Natalia Alekseevna
Otorhinolaryngologist
Malyavina Ulyana Stanislavovna
Experience 28 years
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Malyavina
Ulyana Stanislavovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Latysheva Elena Nikolaevna
Experience 16 years
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Latysheva
Elena Nikolaevna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Krasnosheeva Ekaterina Alexandrovna
Experience 9 years
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Krasnosheeva
Ekaterina Alexandrovna
Otorhinolaryngologist
Gergiev Vladimir Felixovich
Experience 10 years
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Gergiev
Vladimir Felixovich
Otorhinolaryngologist
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Our doctors are laureates of the ProDoctors Award
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Reviews

Elena Vladimirovna inspires confidence, self-confidence, and it is immediately felt that the doctor is experienced and talented in his field. She takes her time, explains everything, and is very friendly. We were with my son, 2.5 years old. Finally, we found a doctor who clearly explained our tactics in our difficult situation. As an anxious mom, I felt relieved, it's worth a lot. Thanks! The clinic's management should appreciate Elena Vladimirovna Chekaldina as much as possible.
13.05.2026
Artemiy K.
Irina Andreevna is a very competent specialist, thank you for the reception
04.05.2026
Yuliya Ya.

About doctor:

Osipova Irina Andreevna

An excellent doctor. He is very attentive and competent. He listened to me completely, examined me and explained everything so clearly that there were no questions left and we went for surgery. He performed the operation flawlessly.
01.05.2026
Rasul U.
Thanks to Tatiana Alexandrovna for the appointments that quickly put me in order!
30.04.2026
Svetlana N.
Kochetkova Yulia Vladimirovna is a wonderful doctor!!! She is very polite, neat, and a good specialist. We are satisfied with the reception!
30.04.2026
A. Lom.
Ulyana and Natalia OVL, attentive and responsive attitude.
27.04.2026
V. Ter.
I would like to sincerely thank Anastasia Vladimirovna Varvyanskaya for her high professionalism and a rare combination of calmness, attention and human kindness. I've been dealing with a long-standing nasal breathing problem. At the consultation, the doctor understood the situation very carefully, explained everything in detail and in clear language, and suggested the optimal treatment plan and further actions — without unnecessary promises, but with confidence and clear logic. The operation and postoperative management were carried out as carefully as possible: at each stage there was a feeling that you were in safe hands. Separately, I would like to note the delicacy, care and warm attitude — this is especially important when you are worried and go to the intervention. Now the recovery is going well, nasal breathing has already become noticeably better. Many thanks for the result and for the attitude towards the patient. I recommend it with confidence!
26.04.2026
Aleksandr T.
I am very grateful for the detailed explanation during the appointment to the doctor Akhmedov M. A.
26.04.2026
A. Tol.
During the year I traveled all over our Russia, the diagnosis was very difficult for me, as it turned out, and finally I was very lucky, I came across wonderful doctors Osipova I.A. and Shevtsova T.P. and now I am in safe hands. Thanks to these doctors for not rejecting me, they immediately determined the diagnosis, and prescribed therapy. The doctors are very polite, they listened to me very carefully from beginning to end. If everyone had such doctors, there would be much fewer sick people. I wish you all good health and never get sick.
25.04.2026
Mariya

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