What Does an Ent Do for Chronic Sinusitis
What Does an Ent Do for Chronic Sinusitis Chronic sinusitis, characterized by long-lasting inflammation of the sinuses, can significantly diminish quality of life, causing persistent nasal congestion, headaches, facial pain, and reduced sense of smell. When medications and lifestyle changes fall short, consulting an otolaryngologist—more commonly known as an ENT (ear, nose, and throat) specialist—becomes an essential step toward relief. An ENT’s role in managing chronic sinusitis involves a comprehensive approach that may include diagnosis, medical treatment, and, if necessary, surgical intervention.
Initially, an ENT begins with a detailed evaluation of the patient’s symptoms and medical history. They often perform a thorough physical examination, inspecting the nasal passages using a lighted instrument called a nasal endoscope. This tool allows the specialist to view the sinuses directly, identify structural issues such as obstructions or Deviated Nasal Septum, and evaluate for signs of infection or inflammation. Imaging studies like a CT scan may also be ordered to obtain detailed pictures of the sinus cavities, helping identify blockages, polyps, or anatomical abnormalities contributing to the chronic condition.
Medical management is usually the first line of treatment an ENT will pursue. This may include prescribing nasal corticosteroids to reduce inflammation, saline nasal sprays or rinses to clear mucus, and antibiotics if bacterial infection is suspected. Additionally, antihistamines or decongestants might be recommended to decrease swelling and improve sinus drainage. The goal is to reduce inflammation, clear mucus, and restore normal sinus function. For some patients, allergy testing might be advised, as allergies can exacerbate sinus inflammation.
However, when medications are insufficient, the ENT’s intervention may extend to surgical procedures. Functional Endoscopic Sinus Surgery (FESS) is a common minimally invasive technique aimed at restoring normal drainage pathways of the sinuses. During FESS, the ENT uses specialized endoscopes to remove obstructions such as polyps, enlarge the natural openings of the sinuses, and clear out diseased tissue. This procedure helps re-establish proper airflow and mucus drainage, alleviating symptoms and preventing recurring infections.
In certain cases, structural abnormalities like a deviated septum or nasal polyps may be corrected surgically to improve sinus drainage and breathing. Postoperative care is critical to ensure healing and prevent further inflammation. Follow-up visits allow the ENT to monitor recovery and address any persistent issues.
In sum, an ENT specialist plays a pivotal role in diagnosing, treating, and managing chronic sinusitis. Their expertise combines medical therapies, diagnostic precision, and surgical skill—aiming not just to alleviate symptoms but to address underlying causes, thereby improving the patient’s quality of life. For individuals suffering from persistent sinus problems, consulting an ENT can transform ongoing discomfort into long-term relief.









