Why We Perform It?
Persistent disease of the frontal sinus can cause severe headaches, pressure behind the forehead, and recurrent infections that do not respond to medication. Endoscopic frontal sinus surgery restores natural drainage and ventilation of this narrow sinus cavity.
Indications:
- Chronic frontal sinusitis unresponsive to medical therapy
- Frontal sinus mucoceles or obstruction
- Recurrent frontal sinus infections
The Technique –Frontal Sinusotomy (Draf II)
Using high definition endoscopic visualization, the frontal recess is carefully opened to enlarge the natural drainage pathway of the frontal sinus. Bone partitions and obstructing cells are removed while preserving surrounding structures. The procedure is performed entirely through the nostrils No cuts are made on the outside of the nose. Named Draf after the famous surgeon from Fulda, who was the first to adopt the technique. Navigation guidance is often required for safety and precision.
After the Procedure:
Mild congestion and minimal bleeding may occur during the first few days. Regular saline irrigation supports healing and sinus patency. Most patients experience gradual relief of pressure and headache symptoms over the following weeks.
Are there any complications to this operation?
Early (within 2 weeks) Bleeding or infection is uncommon. Temporary headache or nasal discomfort may occur If there is a severe nosebleed after surgery, you must head to the nearest Emergency Department.
Delayed (after 2 weeks) Scar formation or recurrent inflammation may require further medical management. Serious complications are rare when performed by an experienced sinus surgeon.
Complications fall into the following groups and are extremely unlikely
Eye injury. Eye injury is rare. The sinuses are very close to the eye sockets. Sometimes there can be bruising around the eye. This usually goes away on its own.
Serious damage is very rare. It could cause severe swelling of the eye, double vision, and loss of sight. Serious eye complications might need more surgery.
Cerebrospinal fluid (CSF) leak. This complication is rare. The sinuses are very close to the base of the skull and brain. Nose and sinus surgery carries a risk of damaging the base of the skull. This can cause the fluid around the brain to leak into the nose. This complication can go away on its own, but usually needs further surgery.
General anaesthesia. The operation takes place under general anaesthetic. This is very safe in children and Adults. The pre-assessment team will inform you about the risks of a general anesthesia
Recurrence of the disease: A revision surgery may be required if medical treatment fails
Why Choose Our Clinic?
Specialist-Led Care Surgery is performed by a consultant ENT surgeon with advanced expertise in complex sinus surgery.
Precision & Safety Focus Particular care is taken due to the sphenoid sinus proximity to critical neurovascular structures.
Advanced Endoscopic Technology High-definition visualization ensures accurate and controlled surgical access.
