When Do You Need Frontal Sinus Surgery?

July 28, 2022

The frontal sinuses are air-filled cavities behind our brow ridges, helping to keep the skull lightweight. When these sinuses become inflamed or develop abnormal tissue growths, blockages can occur, leading to breathing difficulties, facial pressure, and discomfort around the eyes and forehead.


While non-surgical treatments (such as medications and therapies) are often the first line of defense, frontal sinus surgery may be necessary if symptoms persist. This article explores when surgery is needed, the types of conditions it treats, and what the procedure entails.


What Is Frontal Sinus Surgery?

Frontal sinus surgery is a minimally invasive endoscopic procedure designed to:

✔ Remove blockages in the sinus passages
✔ Restore 
normal drainage
✔ Preserve 
sinus structure
✔ Minimize 
cosmetic impact


This surgery is recommended when other treatments fail to provide long-term relief. Consulting a board-certified ENT specialist can help you make an informed decision about your care.


Why Do You Need Frontal Sinus Surgery?

When medications, therapies, and other non-invasive treatments for frontal sinusitis have grown ineffective, a doctor would recommend frontal sinus surgery. You might need to undergo this surgery when you suffer from the following conditions:


1. Acute or Chronic Sinusitis

Acute sinusitis leads to breathing difficulties and disrupts mucus drainage as your sinuses are inflamed and swollen. It’s usually caused by the common cold, and your symptoms will fade or grow easier to manage over time.

 

However, if your sinuses remain inflamed and swollen for over three months, despite undergoing non-invasive treatments, it could indicate that you have chronic sinusitis. In such cases, you may have to undergo frontal sinus surgery to clear your sinuses and remove any abnormal growths that could be blocking them.


2. Blockage of the Frontal Sinus Drainage Passages

If the frontal sinus drainage pathways become obstructed due to infection or scarring (often from previous surgeries), frontal sinus surgery may be needed to clear the blockage. This procedure ensures that mucus and air flow freely, reducing pressure and discomfort in the frontal sinuses.


3. Frontal Sinus Polyps

Sinus polyps are non-cancerous growths that can form in the sinuses, blocking normal airflow. When frontal sinus polyps obstruct the sinus passages, surgery may be required to remove the growths and restore proper sinus function. If left untreated, polyps can lead to chronic sinus infections and breathing issues.


4. Structural Abnormalities (e.g., Deviated Septum, Narrow Passages)

Some individuals have naturally narrow sinus openings or other structural abnormalities, which increase the risk of blockage. Surgery can widen these passages and improve airflow, reducing the likelihood of sinus issues in the future.


5. Recurrent Sinus Infections

Frequent sinus infections (four or more per year) can indicate an underlying blockage in the sinus passages. Surgery can address the root cause of the blockages, improving drainage and reducing the frequency of infections.


Consult with Dr. Eric F. Succar, MD, for Expert Care

If you’ve been considering undergoing frontal sinus surgery to treat your symptoms, consult with an expert. Dr. Eric F. Succar, MD is a board-certified otolaryngologist (ENT) specializing in complex sinus, nasal, and skull base disorders. Dr. Succar treats both adults and children and is experienced in performing sinus surgeries with minimal risks.


Dr. Succar’s clinic is located in
Waterford, MI (Oakland County), and he serves patients from Bloomfield Hills, Clarkston, Pontiac, and Troy, MI. To schedule a consultation, call (248) 254-8900.



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