Sinusitis Treatment & Sinus Surgery (FESS) in Lahore

Facial pressure, thick discharge and a nose that never clears — sinusitis is one of the most common reasons patients visit Dr. Sajid Iqbal. Most cases settle with the right medical treatment; the rest are cured with endoscopic sinus surgery.

About sinusitis

Your sinuses are air-filled spaces in the cheeks, forehead and between the eyes that drain into the nose through small openings. When those openings swell shut — from infection, allergy, polyps or a deviated septum — mucus is trapped, pressure builds, and bacteria multiply. That is sinusitis. It is acute when it lasts under 4 weeks, recurrent when it keeps coming back, and chronic when symptoms persist beyond 12 weeks.

Lahore’s smog, dust and long allergy seasons make chronic sinusitis unusually common here. The good news is that it is very treatable once the actual cause is found.

Symptoms

  • Blocked or congested nose, often both sides
  • Pressure or pain over the cheeks, forehead, or between the eyes — worse bending forward
  • Thick yellow or green discharge from the nose or down the throat
  • Reduced or lost sense of smell
  • Headache, upper toothache, bad breath
  • Cough that is worse at night (post-nasal drip)
  • Fatigue and ‘heaviness’ in the head

Common causes

  • Viral cold that lingers and becomes bacterial
  • Allergic rhinitis (dust, pollen, smog) causing constant swelling
  • Deviated nasal septum narrowing the drainage pathways
  • Nasal polyps
  • Enlarged turbinates or adenoids (in children)
  • Dental infection spreading to the maxillary sinus
  • Fungal sinusitis (more common in diabetics)

How it is diagnosed in clinic

At your first visit Dr. Sajid takes a detailed history and performs a nasal endoscopy — a thin camera passed gently into the nose, done in clinic in a few minutes with local anaesthetic spray. It shows pus at the sinus openings, polyps, swelling, or a deviated septum that an ordinary examination misses. A CT scan of the sinuses is ordered only for chronic or recurrent cases, or when surgery is being planned. Allergy testing may be advised where allergy is the driver.

Treatment options

Medical treatment (first line)

  • Saline nasal irrigation (the foundation of every sinus treatment plan)
  • Intranasal steroid sprays for 6–12 weeks
  • A targeted course of antibiotics when bacterial infection is confirmed
  • Short-course decongestants (never more than 5 days)
  • Allergy control — antihistamines, allergen avoidance, immunotherapy where suitable
  • Treating reflux or dental causes where present

Surgical treatment — Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery (FESS) is recommended when chronic sinusitis does not respond to 8–12 weeks of maximal medical therapy, when polyps block the nose, or when infections recur several times a year despite treatment. It is performed entirely through the nostrils using an endoscope — no external cuts, no facial scars, no bruising. Dr. Sajid opens the natural drainage openings of the affected sinuses, removes polyps and diseased tissue, and, when needed, corrects a deviated septum in the same sitting so the result lasts.

Where suitable, balloon sinuplasty — dilating the sinus openings with a small balloon — offers an even less invasive option for selected patients.

What to expect: step by step

1

Before surgery

Pre-operative CT scan, blood tests, and an anaesthesia review. Stop blood-thinning medicines as advised. Fast from midnight.

2

The operation

Performed under general anaesthesia at [Hospital]. Typically 60–120 minutes depending on how many sinuses are involved. Light dissolvable packing is used; traditional painful packing is avoided where possible.

3

Same day / next day

Most patients go home the same evening or the next morning. Expect congestion, mild ooze of blood-stained mucus, and a dull ache — similar to a heavy cold.

4

Week 1–2

Saline rinses several times a day are essential. First clinic review at 5–7 days to clean the nasal cavity. Desk work is usually fine from day 5–7. No nose-blowing, bending or heavy lifting.

5

Week 3–6

Breathing improves steadily as swelling settles. Steroid spray continues to prevent recurrence. Final review at 6 weeks.

Cost of treatment in Lahore

The cost of sinus surgery in Lahore depends on how many sinuses are involved, whether septoplasty or polyp removal is combined, the hospital chosen, and the anaesthesia and stay required. After your endoscopy and scan, you receive a written estimate covering surgeon, anaesthetist, hospital and consumables — no hidden extras. Consultation fee: PKR [FEE]. Surgery estimate range: PKR [RANGE] (update with actual figures or remove).

Ready to get it sorted? Book a consultation with Dr. Sajid Iqbal at Horizon Hospital, Johar Town, Lahore — call 0321 4496160 or WhatsApp.

Sinusitis — frequently asked questions

Less than most people expect. Discomfort is mainly congestion and pressure for the first week, controlled with regular paracetamol. Modern dissolvable packing avoids the painful pack removal of older techniques.

Surgery opens the drainage pathways; it does not cure allergy. Patients who continue saline rinses and their steroid spray, and control allergies, have excellent long-term results. Polyps can recur in some patients and are managed with medication or minor revision.

Most desk workers return in 5–7 days. Physical or outdoor work: 2 weeks. Avoid flying for 2 weeks and swimming for 4 weeks.

Yes, and it is common — a deviated septum is often the reason the sinuses drain poorly. Doing both in one anaesthetic gives a better result with one recovery.

No. Come first for examination and endoscopy. A CT is only ordered if it will change the treatment plan.

Book a consultation

Same-week appointments at Horizon Hospital, Johar Town, Lahore.

Timings: Mon – Thu 9pm – 10pm

Consultation Fee: PKR 4000

ENT services

About the doctor

Dr. Sajid Iqbal, MBBS, MS-ENT, is a consultant ENT surgeon with 20+ years of experience treating patients in Lahore. Read his profile →

Book a consultation with Dr. Sajid Iqbal

Clinic in Johar Town, Lahore, Mon – Thu 9pm-10pm