About Frontal Sinus Trephination
Key Highlights
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Minimally invasive approach with a small external incision.Provides rapid relief from severe sinus pressure and pain.Effective for draining pus or infected material from an obstructed frontal sinus.Can be a diagnostic tool to obtain cultures or biopsies.Often performed in conjunction with endoscopic sinus surgery for comprehensive treatment.Typically involves a short hospital stay and recovery period./ul
Who is this surgery for?
- Acute frontal sinusitis unresponsive to intensive medical therapy (antibiotics, decongestants).
- Frontal sinus mucocele (a mucus-filled cyst) causing pressure symptoms or infection.
- Frontal sinus abscess (empyema) requiring urgent drainage.
- Suspected tumor or neoplasm within the frontal sinus requiring biopsy.
- Complicated sinusitis with potential or existing spread to the orbit (eye socket) or brain.
- Severe frontal headache and tenderness due to sinus blockage.
How to prepare
- Complete medical history review and physical examination by the ENT surgeon.
- Imaging studies, typically a CT scan of the sinuses, to confirm diagnosis and plan the procedure.
- Pre-operative blood tests and possibly an ECG to assess fitness for anesthesia.
- Discussion of all medications; patients may need to stop blood thinners (e.g., aspirin, warfarin) several days prior.
- Fasting for 6-8 hours before the procedure if general anesthesia is used.
- Informed consent process detailing the risks, benefits, and alternatives.
Risks & possible complications
- Bleeding, bruising, or hematoma at the incision site.
- Infection of the surgical site or sinus.
- Scarring or minor cosmetic changes near the eyebrow.
- Injury to nearby structures, though rare, including the eye or its nerves.
- Cerebrospinal fluid (CSF) leak, a rare but serious complication.
- Recurrence of sinusitis or incomplete drainage.
- Risks associated with general anesthesia (e.g., allergic reaction, breathing problems).
- Persistent numbness or pain around the incision.
Recovery & hospital stay
- Hospital stay is usually 1-2 days for monitoring and initial pain management.
- The small incision is covered with a sterile dressing; stitches may dissolve or be removed after about a week.
- Patients may experience swelling and bruising around the eye, which subsides in 1-2 weeks.
- Pain is managed with prescribed medications; headaches should improve significantly.
- Nasal saline sprays and irrigations are often recommended to keep the sinuses moist and promote healing.
- Avoid strenuous activity, heavy lifting, and blowing the nose forcefully for at least 2 weeks.
- Follow-up appointments are crucial to monitor healing, remove any packing, and assess sinus drainage.
- Complete recovery and return to all normal activities typically takes 2-3 weeks.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-3 weeks
Frequently Asked Questions
If you are considering frontal sinus trephination in India, these questions and answers can help you make a confident, informed decision.
Popular choices for frontal sinus trephination in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform frontal sinus trephination. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for frontal sinus trephination compare across other countries where we have data.
Top hospitals for Frontal Sinus Trephination in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing frontal sinus trephination.
Myra Chopra, a 42-year-old architect and...
Myra Chopra, a 42-year-old architect and mother of two, had been battling relentless frontal headaches for over a year. The pain, centered just above her eyebrows, was a constant, pressure-filled presence that worsened with bending over or changes in weather. Multiple rounds of antibiotics for suspected sinusitis provided only fleeting relief. A CT scan finally revealed the culprit: a completely blocked and chronically infected left frontal sinus, with no drainage pathway. Her ENT, Dr. Sharma, explained that the infection was trapped, creating a 'mucocele' that was eroding the bony wall and posed a risk of spreading. Medication had failed; she needed a Frontal Sinus Trephination. This minimally invasive procedure would create a small opening to drain the infection and restore ventilation. Terrified but exhausted by the pain, Myra agreed. The surgery, performed under general anesthesia, involved a tiny incision hidden in her eyebrow. The immediate relief of pressure upon waking was profound. Recovery involved nasal rinses and a short course of antibiotics. Within weeks, the crushing headaches were gone. Myra's emotional journey shifted from a state of chronic anxiety and frustration, feeling like she was failing her family and work, to one of immense relief and regained vitality. She felt like she had her life and her focus back.
ENT Specialists for Frontal Sinus Trephination
Explore experienced ent specialists who regularly perform frontal sinus trephination and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- ENT Specialist
Manipal Hospital Yeshwanthpur, Bangalore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- ENT Specialist
- 26 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore