“In Europe, 1 in 10 people have symptoms of Chronic Rhinosinusitis”

In US, Chronic rhinosinusitis is considered the second commonest chronic condition with 16% declaring symptoms diagnostic but only 2% receiving treatment for it. Although very common, this condition, which has a notable impact on your quality of life, is poorly managed both at primary care and often by General ENT surgeons.

Advances in medical knowledge, technology and surgical techniques has led to great improvement in management and treatment of sinus disease. Prof Anshul Sama is a leader and in the forefront of these advancements. He is renowned as national and international expert in the field of sinus surgery and acknowledged as one of the leading experts in the treatment of complex sinus disease.

  • Sinuses
  • Chronic Rhinosinusitis
  • Nasal Polyps
  • Nasal tumour 4


The sinuses are small, air-filled cavities behind your cheekbones, forehead and between the eyes. The mucus produced by your sinuses usually drains into your nose through small channels. In sinusitis, these channels become blocked because the sinus linings gets swollen. Such swellings are most commonly caused by viral infection and usually settle spontaneously within two or three weeks. Unfortunately in some, the inflammation (swelling) persists and becomes chronic and does not resolve. This is called Chronic Rhinosinusitis and will usually require treatment.

Infection and inflammation in your sinuses cause the symptoms you suffer with- nasal blockage, nasal congestion, runny nose, feeling of dripping in back of throat, reduced sense of smell or taste and facial pressure or headaches. Unfortunately, in some individuals, medical treatments with antibiotics, nasal sprays or drops and nasal douching doesn’t resolve the inflammation and infection. In this situation, the only way to improve your symptoms and quality of life is to consider surgery to drain the sinus, reduce the inflammation and allow medication to access the recesses of the sinuses to control your sinus inflammation.

Sinus surgery is done with fine telescopes and is called Functional endoscopic sinus surgery (FESS) or Endoscopic sinus surgery(ESS). FESS or ESS is a technique of surgery and not an operation. The extent or exact nature of the surgery done depends on which sinuses are to be addressed, to what extent and the expertise of your surgeon. So beware- FESS by one surgeon may not be the same as FESS by another surgeon. In most cases, sinus surgery should be curative. Unfortunately, in a few, the inflammation relates to conditions that affect you as a whole and not purely due to an isolated sinus problem e.g. Asthma, nasal allergies, Nasal Polyposis, Aspirin Sensitive, Allergic Fungal sinusitis etc. Prof Sama should advise you of these issues prior to your surgery.

The sinuses occupy the space between our brains, eyes and breathing passage. This means that the potential risks of sinus surgery are bleeding, damage to the eye/vision, or damage to brain/ brain fluid (CFS) leak. The literature suggests that the risk of the latter two are less than 0.5%. Fortunately, having performed almost 1000 sinus surgeries to date, I have been fortunate not to have any patient suffer with permanent damage to their eye or brain.

Professional Associations