Sinus surgeries might sound extreme, but in certain cases, they are the best option to finally put an end to chronic sinus issues. So, how do you know when your sinus problems have gone from annoying to serious? In this article, we will explore the signs that could mean you need sinus surgery, what the surgical options are, and the sinus treatment cost in Singapore.
Before we dive into the surgery talk, let us quickly review what we are dealing with here. Your sinuses are air-filled cavities in your face, located behind your forehead, nose, and cheeks. They are lined with mucus-producing tissue that helps trap dirt, dust, and germs. Sounds like a good system, right? Well, not always. Sometimes, these sinuses can get blocked, inflamed, or infected—leading to sinusitis.
Sinusitis can be acute (lasting for a few days) or chronic (lasting for months or even years). In chronic cases, sinusitis does not just affect your sinuses; it can lead to ongoing discomfort and interfere with daily activities. When that happens, it might be time to explore surgical solutions. But before we talk about surgery, let us look at four signs that may mean you have crossed the line from simple sinus issues to a situation that might need a surgical intervention.
1. Chronic sinus infections that will not go away
One of the most common signs that you might need sinus surgery is the repeated cycle of sinus infections that never seem to end. You know the drill: you get a sinus infection, take antibiotics, feel better, and then a few weeks later, the symptoms return. If this cycle is happening more often than you can count, it is a sign that your sinuses are not functioning properly. In other words, your sinuses might not be draining properly, causing bacteria to build up and lead to frequent infections.
When you are dealing with recurring sinus infections (more than four to six times a year), it is a good idea to talk to an ENT (ear, nose, and throat) specialist in Singapore. The goal of sinus surgery in this case is to open up your sinuses so they can drain properly and reduce the chances of future infections.
2. Nasal polyps that keep coming back
Nasal polyps are small, non-cancerous growths that develop in the nasal passages or sinuses. These polyps can make it difficult for mucus to drain, leading to congestion, sinus pressure, and even a loss of smell. They are typically caused by chronic inflammation in the nasal passages, often due to allergies, asthma, or chronic sinus infections.
If you have been battling nasal polyps that do not respond to medications or if they keep growing back after they have been removed, surgery may be your best option. A polypectomy, which is a surgical procedure to remove nasal polyps, can help restore normal sinus function and relieve your symptoms. This surgery can be done with a minimally invasive technique called functional endoscopic sinus surgery (FESS), which uses a tiny camera and specialized tools to remove the polyps through your nostrils, leaving minimal scarring and a faster recovery.
3. Persistent facial pain and pressure
If facial pain and pressure are ongoing problems that do not improve with over-the-counter medications, it could indicate that something more serious is going on. This type of discomfort often accompanies chronic sinusitis or sinus infections, and it can be debilitating if left untreated.
When the sinuses become blocked, the mucus that normally drains from the sinuses cannot escape. This leads to a buildup of pressure in your face—especially in the forehead, cheeks, and around the eyes. If your facial pain does not improve after trying home remedies or medications, surgery may be necessary to remove blockages and allow the sinuses to drain properly. For many people, sinus surgery can offer long-term relief from chronic pressure and pain, making it a life-changing procedure.
4. Difficulty breathing due to a deviated septum
Your nasal septum is the cartilage and bone that divides your nostrils. In an ideal world, this septum is straight and allows air to flow freely through your nasal passages. But for some people, the septum can be crooked, a condition known as a deviated septum. A deviated septum can obstruct one or both nostrils, leading to difficulty breathing, chronic congestion, snoring, and even frequent sinus infections.
If your sinus issues are caused or worsened by a deviated septum, surgery might be necessary to correct it. Septoplasty is the surgical procedure used to straighten the septum and improve airflow. This can drastically reduce the frequency of sinus infections and help you breathe better. It is often performed in combination with other sinus procedures if necessary. If you have noticed that your congestion is more pronounced on one side, or if you have had trouble breathing through your nose for years, it is worth asking your doctor if a deviated septum might be the culprit.
What types of sinus surgeries are available in Singapore?
Once you have reached the point where surgery is the best option, there are several types of procedures that can help clear up your sinus issues. No need worry—sinus surgery is not as scary as it sounds. These days, most sinus surgeries are minimally invasive and can be done using tiny instruments and cameras. Here are the most common types of sinus surgeries:
Functional endoscopic sinus surgery (FESS)
This is the most common type of sinus surgery, and it is considered minimally invasive. During FESS, a surgeon uses an endoscope (a thin tube with a camera) to view your sinuses. The surgeon will then use small instruments to remove any blockages, such as nasal polyps, infected tissue, or other debris. The goal of FESS is to restore proper sinus drainage, reduce inflammation, and relieve symptoms like facial pain and pressure. The recovery time for FESS is typically short, and most people can return to normal activities in about a week.
Balloon sinuplasty
Balloon sinuplasty is another minimally invasive option for opening sinuses that are congested. To perform the procedure, your physician inserts a small balloon reaching the sinus passage that is blocked. This is then inflated, which opens the sinus gently.
This procedure is ideal for people with blocked sinuses but without significant tissue or polyps. It is less invasive than traditional surgery, requires no cutting, and has a faster recovery time. Many patients experience significant relief after a balloon sinuplasty, especially those with chronic sinusitis.
Septoplasty
If a deviated septum is causing your sinus problems, a septoplasty might be recommended. This surgery straightens the nasal septum, improving airflow and reducing the chances of blockages. Septoplasty is usually done under general anesthesia, and recovery can take a couple of weeks, with full healing taking several months. While the procedure is focused on improving breathing, it can also help alleviate sinus infections caused by poor drainage.
Polypectomy
If you have nasal polyps that keep returning, a polypectomy can help. This is a procedure where the surgeon removes the polyps, usually through the nostrils with the help of an endoscope. If the polyps are causing blockages and recurring infections, removing them can help restore normal sinus function. Recovery from a polypectomy is typically quick, but you may need follow-up treatments if the polyps come back.
Cost of sinus surgery in Singapore
It is good to be prepared for the costs. Depending on the type of surgery you need, the price can range from about SGD 3,000 to SGD 12,000 or more. The variation depends on factors like whether you are opting for a simpler procedure like a balloon sinuplasty or a more involved one like functional endoscopic sinus surgery (FESS). Keep in mind, these prices typically cover the procedure itself, hospital stays, and some follow-up visits.
If you are going for private healthcare, expect to pay on the higher end of the spectrum. Public hospitals tend to offer more affordable rates, especially if you are a Singaporean citizen or permanent resident, with costs potentially reduced under government subsidies. Do not forget to check with your insurer—some health plans cover a portion of the surgery, but you might still be left with an out-of-pocket payment.
While the idea of paying for surgery might make you squirm a little, the upside is that sinus surgery can provide long-term relief from the misery of chronic sinus issues, making it worth the investment. Plus, think of all the money you will save on tissues and nasal sprays!
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Dr Soma – Allergy & Sinus ENT Specialist @ Parkway East | Earwax Removal | Sinus Surgery Singapore
3212 Joo Chiat Place
#05–01 Parkway East Specialist Hospital
Singapore 427990
290 Orchard Road
#09-01 Paragon Medical Centre
Singapore 238859
+65 9856 8391