Sinus FAQs | Sinus Problems, Infections & Treatments

What is chronic sinusitis?

Chronic sinusitis is inflammation of the sinuses that lasts 12 weeks or longer, even with treatment. It often causes persistent congestion, facial pressure, thick drainage, and a reduced sense of smell. Unlike acute sinus infections, chronic sinusitis usually involves poor sinus drainage and ongoing inflammation, not just infection.

Why do I keep getting sinus infections?

Recurrent sinus infections often occur when something blocks normal sinus drainage, such as:

• Nasal polyps

• Deviated septum

• Enlarged turbinates

• Chronic inflammation

• Narrow sinus openings

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Without fixing the underlying issue, infections tend to return—even after antibiotics.

What is a nasal endoscopy?

A nasal endoscopy is a quick, in-office procedure where a small camera is used to look inside the nasal passages and sinuses. It helps identify inflammation, polyps, drainage issues, or structural problems. The procedure is typically well tolerated and provides valuable diagnostic information.

What’s the difference between a sinus headache and a migraine?

True sinus headaches are usually associated with:

• Nasal congestion

• Thick drainage

• Infection or inflammation

Migraines often cause:

• Light or sound sensitivity

• Nausea

• Throbbing pain

• No nasal findings on exam

Many patients diagnosed with “sinus headaches” actually have migraines. Proper diagnosis ensures appropriate treatment.

When should I see an ENT for sinus problems?

You should see an ENT if:

• Symptoms last longer than 10–14 days

• You have multiple sinus infections per year

• Antibiotics aren’t helping

• Facial pressure or congestion keeps returning

• You’re considering sinus surgery or balloon sinuplasty

Early evaluation can prevent chronic symptoms.

What is balloon sinuplasty? 

Am I a candidate for balloon sinuplasty?

Balloon sinuplasty is a minimally invasive procedure that opens blocked sinus passages using a small balloon. It helps restore normal drainage without removing tissue or bone. Many patients experience faster recovery and long-lasting relief.

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You may be a candidate if you have:

• Chronic or recurrent sinusitis

• Persistent symptoms despite medical therapy

• Favorable sinus anatomy

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Not everyone is a candidate. An ENT exam and imaging help determine if balloon sinuplasty is appropriate.

Is sinus surgery always necessary?

No. Many sinus problems improve with medical management alone. Surgery is typically recommended only when symptoms persist despite appropriate treatment. When needed, ENT-guided procedures are designed to improve drainage and reduce inflammation.

Can sinus problems affect my sense of smell?

Yes. Chronic sinus inflammation, nasal polyps, and congestion can reduce or block airflow to smell receptors. Treating the underlying sinus condition often improves smell over time.

Do you see self-pay or uninsured patients?

Yes. We welcome self-pay and uninsured patients and can provide upfront pricing estimates. High-deductible insurance patients are also welcome.