In many cases, sinusitis can indeed be treated without surgical intervention, especially when it is mild to moderate and responds well to medical treatments such as medications and supportive therapies.
However, in certain conditions—such as recurrent chronic sinusitis, blockage of the sinus passages due to anatomical narrowing, nasal polyps, or symptoms that do not improve despite optimal therapy—surgical treatment may become a necessary medical option to address the underlying cause comprehensively.
As a more modern and minimally invasive solution, RS Mandaya Royal Puri offers balloon sinuplasty technology. This procedure treats sinusitis without open surgery and without incisions, helping to effectively open blocked sinus passages with faster recovery time and minimal risk.
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Can sinusitis be cured with surgery?
Most cases of sinusitis do not require surgery, as they can be effectively managed with medical treatment and self-care at home.
Surgery is generally considered only in cases of chronic sinusitis lasting more than 12 weeks that do not improve despite optimal medical treatment.
In such conditions, procedures such as Functional Endoscopic Sinus Surgery (FESS) or balloon sinuplasty may be performed to relieve blockages caused by nasal polyps or to correct abnormalities in the sinus passage structure.
When Is Sinus Surgery Needed?
Sinus surgery is usually considered under the following conditions:
- Persistent symptoms: Chronic sinusitis with ongoing pain, pressure, and nasal congestion that does not improve despite antibiotic therapy, nasal steroid sprays, or nasal irrigation.
- Structural blockage: The presence of nasal polyps, a deviated septum, or narrowed sinus passages that obstruct mucus drainage.
- Recurrent infections: Sinusitis that frequently recurs despite adequate medical treatment.
- Fungal infection: The formation of a fungus ball that cannot be treated with medication alone.
- Rare complications: Sinus infections that spread to surrounding areas, such as the eyes or brain.
Balloon Sinuplasty: Balloon-Based Sinus Treatment Without Surgery or Incisions
Balloon sinuplasty is a minimally invasive procedure used to treat chronic sinusitis. During this procedure, the doctor carefully inserts a small balloon into the sinus passage and gradually inflates it. This inflation process widens the narrowed sinus cavity, allowing trapped mucus to drain more smoothly.
Balloon sinuplasty can be performed either in a hospital operating room or in a clinic or medical practice, depending on the patient’s condition and medical considerations.
Balloon Sinuplasty Procedure in the Operating Room
When performed in the operating room, the patient is given general anesthesia (full anesthesia) or conscious sedation, which allows the patient to remain awake without feeling pain. After the anesthesia takes effect, the doctor performs several steps, including:
- Applying a topical decongestant into the nose to help control bleeding during the procedure
- Injecting local anesthesia into the nasal tissues
- Using an endoscope—a thin tube with a camera and light—to guide catheter placement through the nostrils
- Directing a small balloon into the sinus cavity via the catheter
- Gradually inflating the balloon to gently open blockages in the sinus passage
- Deflating and removing the balloon, which may be repeated if narrowing persists
Balloon Sinuplasty Procedure in a Clinic or Medical Practice
If performed in a clinic or medical practice, the patient sits in a reclining examination chair. The procedural steps include:
- Administration of a topical decongestant into the nose
- Spraying anesthetic into the nasal cavity, followed by the insertion of thick cotton soaked in anesthetic to enhance absorption
- Removal of the cotton followed by injection of local anesthesia into the nasal tissues
- Use of an endoscope to insert the catheter through the nose
- Guiding the small balloon into the blocked sinus cavity
- Inflating the balloon to open the sinus passage
- Deflating and removing the balloon, with repetition if necessary
With its incision-free technique, balloon sinuplasty is one of the more comfortable treatment options for chronic sinusitis, offering a relatively fast recovery time.
Balloon Sinuplasty at RS Mandaya Puri, Performed by an ENT Specialist Trained in Italy
dr. Abdillah Hasbi Assadyk, Sp.THT-KL, is an ENT specialist with intensive training experience in Italy under Prof. Lino Di Rienzo Businco, a world-renowned ENT expert known for treating international figures, including legendary singer Andrea Bocelli and football icon Francesco Totti.
This international-level clinical experience equips dr. Abdillah with the expertise to deliver ENT services of global standards to patients in Indonesia. With a combination of deep medical knowledge, precision in procedures, and strong dedication to patient safety, he is often a referral specialist for sleep apnea, snoring disorders, and various other ENT conditions.
In his daily practice, dr. Abdillah is proficient in various modern ENT procedures, including plasma coblation for treating tonsillitis, balloon sinuplasty as an incision-free sinus therapy, and Quantum Molecular Resonance (QMR), an innovative solution for managing sleep apnea.
dr. Abdillah Hasbi Assadyk, Sp.THT-KL is available at RS Mandaya Royal Puri on:
- Monday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Tuesday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Wednesday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Thursday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Friday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Saturday: 08.00 – 20.00 WIB.
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