HealthBiHWhat it is
Surgery inside the nose using an endoscope, a small viewing instrument.
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Endoscopic sinus surgery in Bosnia and Herzegovina
Persistent sinus symptoms deserve a clear diagnosis and a plan for ongoing care. An ear, nose and throat (ENT) clinician can explain whether surgery has a role when medicines have not controlled the problem.
Bring details of treatments you have already tried and the symptoms that matter most to you, whether congestion, discharge or a reduced sense of smell.
At a glance
Starting point
Specialist assessment of symptoms and response to medicines.
Long-term care
Medicines may still be needed after surgery.
Cost comparison
Include follow-up, nasal care and any additional procedure.
What the operation aims to do
Endoscopic sinus surgery, also called functional endoscopic sinus surgery (FESS), opens blocked sinus passages using instruments inside the nose. The extent depends on the findings; polyps may be removed if present.
For chronic rhinosinusitis with nasal polyps, the aim is better symptom control and improved access for nasal medicines. Surgery does not cure the underlying long-term condition or guarantee that your sense of smell will return.
A decision based on your symptoms
Describe how the problem affects sleep, concentration and day-to-day activity, and whether you have had previous nasal surgery. Existing examination or scan reports can help the specialist decide what needs reassessment.
Review the treatments already used, including how long you took them and whether you could tolerate them. Ongoing medicines may be a reasonable alternative; surgery is generally considered when symptoms remain difficult despite treatment.
Confirm the assessment and operation
The clinical proposal needs to name the operation, operating location and team. If septoplasty is also recommended, understand its separate purpose and how it changes recovery and cost.
Compare the full cost
Include consultation, proposed investigations, surgery and anaesthesia, hospital care, medicines, nasal care appointments and follow-up. A plan for one sinus problem may involve a different extent of surgery from another.
Find out whether any removed tissue analysis is charged separately and how unplanned admission or later treatment would be paid for. Travel, an accompanying adult and extra nights should be visible in the same budget, not left until the operation has been booked.
Risks to discuss
Bleeding and infection can occur. Because the sinuses lie close to the eyes and skull base, rare serious complications include eye injury or loss of vision, leakage of fluid around the brain and meningitis. Your surgeon should relate these risks to the proposed extent of surgery.
New vision problems, marked swelling around an eye or severe bleeding after surgery need immediate local emergency assessment. Worsening nasal pain or blockage needs prompt clinical advice; the discharge plan should make escalation clear.
Recovery and aftercare
The nose may feel congested during early healing. For chronic disease with polyps, prescribed nasal steroid treatment and saline rinses remain part of care; the team should demonstrate how and when to use them.
A practical plan names the first review, any nasal cleaning appointment and the person who will continue treatment near home. Keep the operation summary and current medicines with you so a clinician can understand what was done.
Avoid planning recovery around sightseeing or an inflexible return flight. Get individual advice on flying, exertion and work, and allow time for the surgeon to review healing. Early congestion does not by itself show how well surgery will control symptoms.
Common questions
Will surgery mean I can stop nasal medicines?
Often not. In chronic rhinosinusitis with polyps, ongoing treatment helps control inflammation after the passages have been opened. Your clinician should explain the plan for your diagnosis.
Is sinus surgery the same as septoplasty?
No. Sinus surgery addresses the sinus passages; septoplasty addresses the partition inside the nose. They may be combined when there is a reason, but each should be explained in the proposed care plan.
Will my sense of smell return?
It may improve, but surgery cannot guarantee that it will return. With chronic inflammation and nasal polyps, improvement may be incomplete or temporary. Discuss this aim separately from relief of blockage and the need for continuing nasal treatment.
Explore clinics for this treatment
Explore the clinics below, then confirm who would assess and treat you, where the care would take place and whether an appointment is available. Any treatment proposal depends on your assessment.
Prepare for your consultation
Prepare questions about your options, the complete costs, the clinician responsible for your care and follow-up at home before booking.
Questions to ask a clinic