Sinus Treatment

If you want an opinion of a true sinus expert, be treated with the most advanced up to date surgical techniques, have your surgery with the safety of Computer assisted surgery by one of the safest hands in the field, then contact clinic for an appointment.

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 frontal sinus disease. He has one of the most extensive experience in surgery in this area and has published (journal articles and book chapters), given invited keynote lectures at several European National society meetings (England, Ireland, Denmark, Belgium, Hungary, Greece) and is on the faculty of several premier sinus surgery courses (Royal College of surgeons, Paris , Copenhagen and USA). He has been a speaker and faculty on the European Congress of ENT and the International Congress of Skull Base Society congress and invited faculty on World Skull base congress in Italy in 2014.

His surgical repertoire extends from minimally invasive Balloon Sinuplasty techniques to removal of extensive brain and sinus tumours. He is amongst a limited few to offer advanced technologies such as Computer assisted surgery as standard practice. He is the surgeon that other ENT surgeons turn to when things get complex or difficult. He has an extensive practice of referrals from other ENT surgeons and doctors for complex and revision surgery. If you want to have the right operation for the right reasons and avoid recurrent surgery- contact 0115 966 2118


Is sinus surgery dangerous?

The role of the sinuses in humans remains a mystery! Some consider it as a mechanism to allow our breathing passage to surface in water and hence allow us to develop from the waterborne mammals to land dwelling humans, others propose it is a mechanism to lighten the skull so that we can carry our heads! Irrespective, 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/CFS leak. The literature suggests that the risk of the latter two is in the range of 2-0.5%. 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 that they didn’t already have before surgery.

What does sinus surgery entail?

Historically, sinus surgery was done with external cuts on the face or in the mouth to get to the sinuses and make drainage openings. Over the last decade or so, increasingly sinus surgery is done with fine telescopes and is called FESS or ESS which stands for “Functional endoscopic sinus surgery” or “Endoscopic sinus surgery”. 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. Your surgeon should advise you of these issues prior to your surgery.

What is computer assisted surgery?

Sinus surgery carries some notable risks of complications related to the close proximity of the eye and brain to your sinuses. Computer assisted surgery (CAS) minimises these risks. CAS essentially acts like a GPS whereby the surgeon can monitor the position of his instruments in your sinuses during surgery by use of some sophisticated technology. CAS works by creating a 3D model of your head from your preoperative CT scan and this acts like a 3D map. Similar to GPS, by constant communication between the surgical instrument and the Satellite (in this case the CAS system),the tip of the surgical instrument can be tracked through your sinuses so as to ensure that you don’t come to any harm. This technology significantly reduces your risk during sinus surgery especially if you have a complex sinus problem or challenging sinus anatomy.

Why do I need surgery?

Infection and inflammation in your sinuses create 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.