When medication intervention fails to relieve chronic sinus problems, millions of Americans turn to sinus surgery to provide long-term relief. The sinuses are an intricate system of small passageways, some only millimeters in diameter, so any surgical intervention is a delicate procedure that requires a physician who is skilled and proficient.

Our ear nose and throat physicians at Raleigh Capitol ENT have decades of experience performing sinus procedures, and we’ve outlined some of the most common.


Functional Endoscopic Sinus Surgery (FESS)

What is functional endoscopic sinus surgery?

This procedure treats chronic rhinosinusitis or chronic sinusitis. It widens the opening of the sinuses to relieve swelling and inflammation by allowing them to drain.


Who is a candidate for FESS?

Typically, FESS is a good option for those who have naturally narrow sinus passageways, those with chronic obstruction or sinus blockage. These conditions cause fluid to build up in the sinus, causing chronic infections.


How is FESS performed?

During this procedure, we us an endoscope, a flexible tube fitted to a small camera and light. This allows our surgeon to clearly see inside your nose and sinuses. Because FESS is minimally invasive, there is no need for incisions in your face or mouth, and it’s often an outpatient procedure.


Balloon Sinuplasty

What is a balloon sinuplasty?

It’s a minimally invasive procedure that involves inserting a tiny balloon into the sinus cavity. The balloon is then inflated to open the sinus passage before being deflated and removed. As a result, the sinuses are allowed to drain.

What are the advantages of balloon sinuplasty?

Advantages include:

  • Patients are able to return to work or regular activities much sooner than with traditional sinus surgery
  • There is less bleeding
  • It can be performed either in an operating room  with general anesthesia or in our office with local anesthesia
  • There is less pain
  • No nasal packing is involved

Who benefits the most from balloon sinuplasty?

  • The patients who benefit the most from balloon sinuplasty are those who:
  • Have had chronic sinus problems for more than three months
  • Those who need ongoing management of acute sinusitis
  • Those who have blocked sinuses
  • Those who may have had a previous sinus surgery

Surgery to Repair the Septum (Septoplasty)

The septum is the part of your nose that separates it into the left and right nostrils. It’s made from cartilage and bone. Sometimes, there is a hole or tear in it, called a septal perforation. Another common problem is a deviated septum—one that veers to the right or left— which causes difficulties and contributes to chronic sinus problems. In extreme cases, a deviated septum can complete obstruct the nasal passage. A procedure to correct these conditions is called a septoplasty,  according to information from the Mayo Clinic.


How is a septoplasty done?

During the procedure, your surgeon lifts the mucosa lining off the cartilage and bone to reshape it. If necessary, some portions are removed before the lining is returned into place. This may be done as an inpatient or outpatient procedure, depending upon each individual case.


We offer extensive surgeries for the ear, nose and throat.

Our board-certified physicians evaluate each individual case to determine the right treatment for you. In addition to sinus surgery, we also offer a wide range of procedures including plastic surgery, ear tube placement and tumor removal.

Interested in learning more about these sinus surgeries and how they can help you? You can find more information by clicking on the links below:

Which Patients Benefit the Most From Balloon Sinuplasty?

Is Balloon Sinuplasty Right for You?

Minimally Invasive Options for In-Office Sinus Surgery

Raleigh Capitol Ear, Nose, and Throat is the area's premiere physician-owned ENT practice with six convenient locations throughout Wake County. Our board-certified physicians have extensive experience in treating both common and complex cases to help adults and children alike. For more information or to schedule an appointment, contact us.