When Is Sinus Surgery the Right Choice? | SCENT Houston ENT Specialists

By: Madeleine Herman, MD, MPH, FAAOA

If you’re struggling with chronic sinus infections, facial pressure, or nasal congestion that won’t go away, you may be wondering:Is sinus surgery the next step?

At SCENT Houston – Sinus Center & ENT Specialists of Houston, we specialize in evaluating and treating patients with long-term sinus problems. While we always start with conservative treatment, some cases require surgical intervention for lasting relief.

Here’s how to know when sinus surgery is the right choice—and what to expect.

What Is Sinus Surgery?

Sinus surgery is a procedure that opens blocked sinus pathways to restore normal drainage and airflow. The most common technique is Functional Endoscopic Sinus Surgery (FESS), which is minimally invasive and uses small cameras and tools inserted through the nose.

Common Reasons to Consider Sinus Surgery

You might be a candidate for sinus surgery if:

1. You have chronic sinusitis that won’t go away

If your symptoms last longer than 12 weeks or keep returning despite treatment, you may have chronic sinusitis that needs surgical attention.

2. You’ve tried medications without relief

Patients who don’t improve with nasal sprays, antihistamines, antibiotics, or steroids may benefit from surgery to remove obstructions or improve drainage.

3. You have nasal polyps

These soft, noncancerous growths in the nasal lining can block sinuses and airways. Surgery can remove nasal polyps and prevent them from coming back with the help of post-op medical therapy.

4. You have a deviated septum or other structural issues

A deviated septum, enlarged turbinates, or narrowed sinus openings can physically block normal airflow. Surgery can correct these issues for lasting relief.

5. You experience frequent sinus infections

More than 4 sinus infections per year, especially with facial pain, congestion, or pressure, is a sign it’s time for a surgical evaluation.

6. You’re missing work or sleep due to symptoms

When sinus issues affect your quality of life—disrupting your sleep, causing fatigue, or interfering with your job—surgery may be the next step.

Sinus Surgery vs. Conservative Treatment

At SCENT Houston, we always begin with nonsurgical treatments, including:

• Nasal saline rinses

• Corticosteroid sprays

• Allergy testing and management

• Antibiotics (when appropriate)

• Decongestants

• Immunotherapy

But if these options fail to bring long-term relief, surgery offers a highly effective, safe solution.

What Are the Benefits of Sinus Surgery?

• Improved breathing and airflow

• Fewer sinus infections

• Less facial pain and pressure

• Better sleep and reduced fatigue

• Enhanced sense of smell

• Reduced need for medications

Most patients feel noticeable improvement within a few weeks and enjoy long-term relief with proper follow-up care.

When Should You See an ENT?

If you're experiencing persistent symptoms like:

• Facial pressure or pain

• Frequent congestion

• Chronic postnasal drip

• Recurring sinus infections

• Trouble breathing through your nose

• 
  

…it’s time to see a board-certified ENT.

At SCENT Houston, we perform comprehensive exams, CT scans, and nasal endoscopy to determine whether surgery or non-surgical treatment is best for you.

Get Expert Sinus Care in Houston

Sinus problems shouldn’t control your life. At SCENT Houston – Sinus Center & ENT Specialists of Houston, we provide advanced care, including in-office procedures and image-guided sinus surgery, with a focus on safety, comfort, and long-term success.

📞 Schedule your consultation today to find out whether sinus surgery is the right choice for you.

📍 Serving Houston, Bellaire, West U, Memorial, Katy, Sugarland, Pearland, The Galleria, and surrounding areas.