You’ve finished course after course of antibiotics. You’ve tried every nasal spray on the pharmacy shelf. Your sinuses still ache, your head still feels like it’s stuffed with concrete, and you’re still waking up exhausted. If this sounds familiar, you are not alone — and you are not out of options.
Chronic sinusitis is one of the most common ENT conditions in Ahmedabad and across Gujarat — and one of the most undertreated. Many patients accept years of symptoms as normal when effective treatment — surgical or otherwise — could resolve them completely.
At Evara Hospital, Gandhinagar, Dr. Neeraj Suri offers the most advanced medical and surgical management for chronic sinusitis in Ahmedabad — including Functional Endoscopic Sinus Surgery (FESS), the gold-standard keyhole procedure that has transformed outcomes for thousands of patients.
For a full picture of all ENT conditions treated at Evara Hospital,
Also Read: ENT Specialist in Ahmedabad — Dr. Neeraj Suri at Evara Hospital.
What Is Chronic Sinusitis?
Acute sinusitis is a short-lived sinus infection — typically resolving within 4 weeks with appropriate treatment.
Chronic sinusitis is defined as inflammation of the sinuses persisting for 12 weeks or longer despite adequate treatment — or as recurrent acute sinusitis (4 or more episodes per year).
The sinuses involved may be any combination of the four paired sinus groups:
- Maxillary sinuses (cheekbones) most commonly affected
- Ethmoid sinuses (between the eyes) — frequently inflamed in chronic disease
- Frontal sinuses (above the eyes) — responsible for forehead headaches
- Sphenoid sinuses (deep behind the nose) involvement causes deep-seated headache and pressure behind the eyes
Symptoms That Confirm Chronic Sinusitis
Chronic sinusitis is characterised by at least TWO of the following symptoms persisting for 12+ weeks:
- Nasal blockage or congestion
- Thick, discoloured (yellow or green) nasal discharge or post-nasal drip
- Facial pain, pressure, or fullness — worse on leaning forward
- Reduced or absent sense of smell (hyposmia or anosmia)
Additional common symptoms include:
- Morning headaches — particularly over the forehead or cheeks
- Bad breath (halitosis) from infected mucus
- Fatigue and poor sleep quality
- Ear pressure or muffled hearing
- Chronic cough from post-nasal drip irritating the throat
What Causes Chronic Sinusitis?
- Allergic rhinitis — the most common underlying trigger; ongoing nasal inflammation obstructs sinus drainage
- Deviated nasal septum — narrows the drainage pathways of the sinuses
- Nasal polyps — soft growths that block the sinus openings and trap mucus
- Anatomical variations — narrow drainage channels, concha bullosa (air-filled turbinate)
- Recurrent acute infections — that don’t fully resolve, leading to chronic inflammation
- Fungal sinusitis — increasingly recognized, requires antifungal treatment or surgery
- Immune deficiency — repeated infections may signal an underlying immune problem
Medical Treatment: The First Line of Approach
Dr. Neeraj Suri exhausts appropriate medical treatment before recommending surgery. Standard medical management includes:
- Nasal corticosteroid sprays — reduce mucosal inflammation; must be used correctly and consistently for 6–8 weeks minimum
- Saline nasal irrigation — daily high-volume nasal rinses (e.g., NeilMed or Neti pot) mechanically clear mucus and reduce bacterial load
- Antihistamines — for allergic rhinitis component
- Short courses in oral corticosteroids — to shrink polyps and reduce severe inflammation
- Culture-guided antibiotics — when bacterial infection is confirmed on endoscopy or culture; never blind antibiotic courses
- Allergy evaluation and immunotherapy — for patients with proven inhalant allergy driving recurrent disease
When symptoms persist despite 12 weeks of optimal medical treatment, surgery becomes the evidence-based next step.
FESS (Functional Endoscopic Sinus Surgery) at Evara Hospital
FESS is the surgical treatment of choice for chronic sinusitis that has failed medical management. It is a keyhole procedure — performed entirely through the nostrils using a thin, flexible camera (endoscope) and precision instruments.
What FESS achieves:
- Removes diseased tissue, polyps, and infected mucosa obstructing the sinus openings
- Widens the natural drainage pathways of the maxillary, ethmoid, frontal, and sphenoid sinuses
- Removes anatomical obstructions (deviated septum, concha bullosa) simultaneously
- Allows post-operative topical medications to reach the sinuses effectively — which they cannot in an obstructed sinus
What to expect at Evara Hospital:
- Anaesthesia: General anaesthesia
- Duration: 60–90 minutes depending on the extent of disease
- Hospital Stays: 1–2 days
- Return to work: Desk work within 1 week; physical labour in 3–4 weeks
- Post-operative care: Nasal irrigations, steroid sprays, and regular endoscopic cleaning visits for 6–8 weeks
Outcomes: Studies consistently show that 85–90% of patients report significant or complete resolution of sinusitis symptoms after FESS — including improved sense of smell, reduced infections, and better quality of life.
Conclusion: You Don’t Have to Live with Chronic Sinusitis
Chronic sinusitis is not something to endure indefinitely. Whether you need a thorough medical management plan or surgical clearance with FESS, Dr. Neeraj Suri at Evara Hospital delivers the most advanced sinusitis care in Ahmedabad — starting with the least invasive effective option and proceeding to surgery only when evidence supports it.
Book your sinus consultation at Evara Hospital today. Get a diagnostic nasal endoscopy, a CT scan interpretation, and a clear treatment plan — all in one specialist visit.