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Nasal & Sinus Endoscopic Surgery

The paranasal sinuses(commonly referred to as sinus) are complex air cell pockets under the cheek(maxillary), under the forehead (frontal), between the eyes( ethmoid) and at the back of the nose ( sphenoid).

All the sinuses have a very small opening, usually 2 mm, which can be easily blocked, even a short few days of viral infection of the sinus lining. If left untreated, it results to a longer term problem of chronic sinusitis.

The treatment for sinus is to unblock the sinus, whether by medicine or surgery. Due to the complexity of the anatomy of the sinuses, it is unfortunately common to learn about recurrence of sinus blockage and this recurrent infection.

Repeated infections usually mean there is a Sinus cell that is blockage and thus infection.

When patients have infection after medicine and sinus Surgery, it is usually necessary to repeat the sinus scan with image guidance surgical option.

There are other sinus related conditions such as inverting papilloma, nasal wall tumors, recurrent polyps and epiphora(excessive tearing). These conditions is often only treatable by either open or endoscopic nasal surgery.

Endoscopic nasal and sinus surgery is an approach for treatment of the above mentioned disease. For safety of surgery, computer image guided surgery (IGS) with specialized endoscopic equipment is now the standard practice. Although these add cost, it provides for a much safer environment.

Dr Tan had endoscopic sinus surgery training with Dr PS White in Ninewells Hospital in Dundee(94-96), Scotland and advanced endoscopic sinus surgery with Dr Brent Senior at the University of North Carolina in Chapel hill(2000). Over the past 20 years, Dr Tan has performed many revision endoscopic sinus surgery for recurrent sinusitis as well as other advanced procedures such as endoscopic medial maxillectomy for inverting papilloma, endoscopic nasopharyngectomy for recurrent nose cancer and endoscopic dacrocystorhinostomy for excessive tearing.

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