The procedure also aims to help medications or saline solutions work better because they can reach the nasal cavities better after they have been expanded. But surgery is an option if steroid sprays and other treatments haven't provided enough relief. Unfortunately, only few conclusive studies have looked into whether FESS can improve the symptoms over the long term or how effective the operation is compared with medications like steroids. During the procedure, the narrowed sinus passageways are expanded using small instruments inserted through a tube ( endoscope). ![]() This operation is called "functional endoscopic sinus surgery (FESS)." It aims to improve airflow through the nose and the sense of smell, and make it easier for mucus to flow out. Non-cancerous growths (polyps) and inflamed parts of the mucous membrane are also removed. One common type is a procedure that expands narrow passageways in the sinuses. They should not be used for more than three weeks.Įspecially if the symptoms are very severe and they don't improve enough – or for long enough – just by taking medication, some people decide to have surgery. Steroids in tablets or infusions are carried throughout the entire body, whereas topical medications like nasal sprays or skin creams mainly affect only the area they are applied to.Īlthough steroid tablets are effective too, they are generally only used in exceptional cases due to their side effects. Steroid nasal sprays have far fewer side effects than steroids taken in tablet form or as an infusion (drip). Nosebleeds can occur, particularly when taking higher doses. People sometimes have temporary headaches too. In particular, they may irritate or dry out the membranes lining the nose. Steroids can have side effects when taken in high doses and over a longer period of time. Some people are reluctant to take any medication containing steroids. There are various steroid sprays, all of which have a similar effect according to the research. ![]() In order to relieve the symptoms permanently, you often need to take medication for several months or even over a year. It usually takes a few days for the full effects of steroid sprays to be felt. Treatment with steroid sprays can cause any polyps that might be there to shrink. Steroid nasal sprays reduce swelling in the sinuses and ease the symptoms.
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