Endoscopic Sinus Surgery

Endoscopic Sinus Surgery in Sydney

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive procedure designed to restore natural sinus drainage and improve airflow without external incisions.

Targeted Relief

FESS addresses chronic blockages and polyps and recurrent infections that do not respond to medical treatment.

No External Scars

The entire procedure is performed through the nostrils using specialised cameras and instruments.

Expert Precision

Dr Julia Crawford utilises advanced fellowship training in robotic and head and neck surgery to navigate the complex sinus anatomy safely.

What’s On This Page

What is Endoscopic Sinus Surgery?

Our goal is to help you breathe freely again and move away from the cycle of constant congestion. Functional Endoscopic Sinus Surgery (FESS) represents the gold standard for treating chronic sinus conditions. Unlike older surgical methods that required external cuts FESS is performed entirely through the nose.

 

Dr Crawford uses an endoscope which is a thin flexible tube with a high-definition camera to see inside the nasal passages. This allows her to precisely remove bone or diseased tissue or polyps that are blocking the natural drainage pathways. The goal is to widen these openings. This is designed to restore ventilation and allow mucus to drain naturally. It also improves the effectiveness of nasal sprays and rinses used after surgery.

When Is Surgery Recommended?

Surgery is typically considered when "medical management" has failed. If you have tried antibiotics and steroids and saline rinses without lasting success FESS may be the next step.

 

Common conditions treated include:

Chronic Sinusitis

Inflammation lasting more than 12 weeks despite treatment.

Nasal Polyps

Non-cancerous growths that block the nasal passages.

Recurrent Acute Sinusitis

Frequent infections (4 or more per year) that impact your quality of life.

Structural Abnormalities

Issues like a deviated septum that contribute to blockage

What is the process for sinus surgery?

Understanding the process helps reduce anxiety and ensures you are prepared for a smooth recovery.

Before surgery we require a CT scan of your sinuses. This acts as a "roadmap" for Dr Crawford during the procedure. We will also discuss your medical history and any blood-thinning medications you may be taking.

The surgery is performed under general anaesthesia in an accredited hospital. It usually takes between one to three hours depending on the complexity.

Visualisation

The endoscope is inserted to view the blockage.

Navigation

Dr Crawford uses advanced Image Guidance technology which acts like a GPS for the sinuses to track instruments in real-time and avoid critical structures.

Removal

Tiny instruments are used to carefully remove polyps or bone partition walls.

Concurrent Procedures

Dr Crawford may also perform a Septoplasty to straighten the nasal wall or a Turbinate Reduction to reduce the size of the nasal linings and further improve airflow.

Completion

Dissolvable packing may be placed to control bleeding though this is not always necessary.

How long is the recovery from sinus surgery?

Most patients go home the same day. You can expect some congestion and bloody discharge and fatigue for the first few days. Pain is usually manageable with over-the-counter medication.

 

Saline Irrigation is Critical Washing the nose with saltwater (saline) is the most important part of your recovery. It clears away clots and crusts and prevents infection and speeds up healing. Dr Crawford will provide specific instructions on how and when to start this.

Costs and Financial Information

We believe in financial transparency.

Payable on the day. A referral from your GP ensures you can claim a Medicare rebate.

You will receive a detailed "Informed Financial Consent" outlining Dr Crawford's fees and the anaesthetist's fees and hospital costs.

Insurance coverage varies. We recommend checking your policy for item numbers related to FESS (e.g., 41737 and 41716).

Why Choose Dr Julia Crawford

Sinus surgery requires a high degree of precision due to the sinuses' proximity to the eyes and brain. This technical demand drives our approach to care.

Fellowship Training

Dr Crawford completed advanced fellowship training in Orlando Florida focusing on complex head and neck anatomy.

Academic Leadership

As a Conjoint Lecturer at UNSW she stays at the forefront of ENT surgical techniques.

Safety Focus

We utilise the latest image-guidance technology when necessary to ensure the highest safety standards during complex procedures.

Consultation Locations

Dr Crawford consults at three convenient locations across Sydney.

Darlinghurst Rooms

Our primary city location for general ENT and robotic surgery consultations.

Kogarah Rooms

Serving patients in the southern suburbs of Sydney.

Chris O'Brien Lifehouse

This location is dedicated specifically to our head and neck cancer patients.

Hospital-Based Appointments

While your specialist consultations take place at the clinics listed above, the surgical process involves a separate set of mandatory hospital-based appointments. These take place at the facility where your procedure is scheduled, such as St Vincent’s Private Hospital or St George Private Hospital. These appointments are a critical part of the safety protocol for Transoral Robotic Surgery (TORS).

Frequently Asked Questions

Most patients report discomfort and congestion rather than acute pain. It often feels like a severe head cold. We provide a script for pain relief but many patients find Paracetamol is sufficient after the first few days.

Surgery physically opens the sinuses but it does not "cure" the underlying tendency for inflammation. This is especially true for patients with nasal polyps or allergies. Ongoing maintenance with sprays and rinses is often required to keep symptoms under control long-term.

We generally recommend taking one to two weeks off work to allow for rest and the rigorous irrigation schedule. You should avoid heavy lifting or bending over or straining for at least two weeks to prevent bleeding.

Dr Crawford uses modern surgical techniques to minimise the need for nasal packing. If packing is required we typically use dissolvable materials that do not require painful removal.

Book a Specialist Assessment

If you are struggling with persistent sinus issues that affect your sleep and daily life professional assessment is the first step toward relief.

Dr Julia Crawford consults in Darlinghurst and Kogarah.

Get in Touch

Our team can assist with appointment enquiries and help arrange a consultation with Dr Julia Crawford at one of her three Sydney consulting locations:

Sydney ENT Clinic, Darlinghurst

Ground Floor, 67 Burton Street, Darlinghurst NSW 2010

Sydney ENT Clinic,
Kogarah

Suite 5, Level 2 19 Kensington Street Kogarah NSW 2217

Chris O'Brien Lifehouse

119, 143 Missenden Road, Camperdown NSW 2050

Book Your Consultation

Dr Julia Crawford consults for head and neck conditions, head and neck cancer, thyroid and salivary gland disease, obstructive sleep apnoea, paediatric ENT and selected general ENT problems.

Her team can assist with arranging an appointment at Darlinghurst, Kogarah or Chris O'Brien Lifehouse, and will help ensure the appropriate information and investigations are available before your consultation.

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