Endoscopic sinus surgery: A surgical solution for chronic sinusitis and nasal polyps

Written in association with: Mr Mahmoud Salam
Published: | Updated: 17/12/2024
Edited by: Conor Lynch

Endoscopic sinus surgery (ESS) is a state-of-the-art, minimally invasive procedure designed to provide long-lasting relief for individuals suffering from chronic sinus conditions. It is particularly effective in treating conditions such as chronic rhinosinusitis, nasal polyps, and sinus blockages that fail to respond to medical therapy. By using advanced technology and precision instruments, ESS targets the underlying causes of sinus problems while preserving healthy tissue, resulting in improved breathing, reduced infections, and enhanced quality of life.

The procedure is performed using an endoscope—a thin, flexible tube equipped with a light and camera—inserted through the nostrils, eliminating the need for external incisions. This enables surgeons to visualise and navigate the complex anatomy of the sinuses with exceptional accuracy. By removing obstructions such as inflamed tissue, polyps, or diseased bone, ESS restores normal drainage pathways, alleviating symptoms such as nasal congestion, facial pain, and recurrent infections.

 

One of the major benefits of ESS is its minimally invasive nature. The lack of external cuts minimises scarring, reduces recovery time, and lowers the risk of complications.

 

Most patients experience significant improvement in symptoms within weeks of the procedure, with many reporting sustained relief for years. Advances in techniques, such as image-guided surgery and balloon sinuplasty, have further enhanced the safety and efficacy of ESS, making it a preferred option for complex or recurrent cases.

 

ESS is particularly transformative for individuals whose daily lives are disrupted by persistent sinus issues. Chronic sinusitis can lead to fatigue, headaches, and sleep disturbances, significantly affecting productivity and well-being. By addressing the root cause of these problems, ESS not only alleviates physical symptoms but also restores confidence and comfort in day-to-day activities.

 

For those considering endoscopic sinus surgery, consultation with an experienced ENT specialist is essential to determine suitability. As a proven solution for long-term sinus relief, ESS offers a pathway to improved health and renewed quality of life.

By Mr Mahmoud Salam
Otolaryngology / ENT

Mr Mahmoud Salam is a highly experienced ENT surgeon with over 40 years of expertise in general ear, nose, and throat surgery. He has special expertise in treatment of rhinosinusitis, nasal polyps, blocked noses, and ear diseases. He is renowned for his specialised skills in nasal allergy management and endoscopic sinus surgery. He has performed more than 2,000 procedures in this field. His outstanding surgical results, published in the Royal College of Surgeons' National Sino-Nasal Audit, rank him among the top ten surgeons in the UK. In Ipswich and Suffolk, Mr Salam stands out as the only surgeon offering the innovative "Balloon Sinuplasty technique" for treatment of selected cases of rhinosinusitis.
 
In addition to his endoscopic sinus surgery expertise, Mr Salam pioneered the "Balloon Tuboplasty Dilatation Technique" for treatment of Eustachian Tube Dysfunction in the UK nearly 12 years ago. This groundbreaking approach has provided relief to numerous patients suffering from persistent symptoms such as ear blockage, hearing reduction, crackling sounds, and ear pain during air travel. With hundreds of successful Balloon Tuboplasty procedures to his credit, Mr Salam has shared his expertise by publishing results in international medical journals and presenting them at esteemed global conferences.
 
Mr Salam extensive expertise extends to ear surgery, where he has performed several hundred procedures of tympanoplasty and mastoid surgery. Additionally, he has made significant contributions to the management of voice and swallowing disorders as the lead of the Voice Clinic at Ipswich Hospital NHS Trust. Working closely with speech and language therapists, he has provided comprehensive care for patients with complex voice and swallowing challenges.
 
Passionate about clinical excellence, Mr Salam served as the Audit Lead for ENT at Ipswich Hospital, meticulously evaluating his surgical outcomes and using his findings to train and mentor junior doctors. He actively contributes to teaching on regional and national courses in Endoscopic Sinus Surgery. Beyond his clinical role, he spent eight years in senior management, overseeing seven surgical specialties at Ipswich Hospital. Mr Salam has spent 10 years as examiner on the FRCS(ORL) board for the four Royal College of Surgeons. He is also an examiner on the European Board of ORL-HNS

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