What Is Transnasal Endoscopic Surgery?

Transnasal endoscopic surgery is performed with fine instruments and a small camera called an endoscope. The surgeon passes these tools through the nostrils, creating a clear, magnified view of the treatment area. This method is used for a range of problems, such as chronic sinus disease, nasal polyps, certain tumours, and skull base defects.

In simple words, the procedure treats deeper structures of the nose and sinuses without making a cut on the face. For many patients, this means less discomfort and a quicker return to normal routines.

Why Is the Procedure Needed?

Doctors may recommend this surgery when symptoms persist despite medicines or when imaging shows structural issues that need correction. Common reasons include:

• Chronic sinus infections
• Nasal blockages affect breathing.
• Polyps or growths inside the nose
• Fluid build up or persistent congestion
• Certain skull base conditions requiring a precise approach

The goal is to reduce symptoms, improve airflow, and safely address deeper problems with minimal trauma.

Types of Procedures Performed Through This Approach

Transnasal techniques can be adapted for many ENT and skull base conditions. Examples include:

• Functional sinus surgery to clear blockages
• Removal of nasal polyps
• Repair of cerebrospinal fluid leaks
• Treatment of pituitary or skull-based tumors in selected cases

Each plan is tailored to the patient after detailed imaging and evaluation.

Why Choose Manipal Hospitals Global?

Reasons patients and international families choose Manipal Hospitals Global include:

• ENT and skull base surgeons trained in advanced endoscopic techniques
• High-definition imaging and navigation systems for improved precision
• Comprehensive pre operative evaluation and clear communication
• Support teams for travel, language needs, and accommodation arrangements
• Structured care pathways that help patients recover comfortably

Indications for Surgery

This approach may be recommended for:

• Persistent sinus infections affecting quality of life
• Large or recurring nasal polyps
• Obstruction of airflow or drainage pathways
• Selected tumours located near the nasal cavity or skull base
• Conditions where minimally invasive access is safer than open surgery

Who Should Avoid or Delay the Procedure?

In some situations, the surgeon may advise waiting or choosing a different approach. These include:

• Active infections that must be treated first
• Severe bleeding disorders
• Uncontrolled medical conditions that increase anaesthesia risk
• Anatomy that limits safe endoscopic access

A full examination and imaging study help the team make the safest decision.

Preparing for the Procedure

Preparation may include:

• A nasal endoscopy and detailed CT or MRI scan
• Review of medicines and history of allergies
• Fasting instructions before anaesthesia
• Guidance for managing symptoms while waiting for the procedure
• Explanation of how the Transnasal Endoscopic Surgery procedure works

What Happens During Transnasal Endoscopic Surgery?

The operation is performed under general anaesthesia. The surgeon inserts the endoscope and instruments through the nostrils. With a magnified view, they treat blockages, remove growths, or repair deeper structures depending on the diagnosis. No external cuts are made, and the surrounding tissues are handled gently.

Step-by-Step Breakdown

• Admission and final evaluation
• Anaesthesia and preparation of the nasal passages
• Insertion of the endoscope and surgical instruments
• Correcting the underlying issue with careful, targeted movements
• Inspection of the site to ensure stability
• Recovery room monitoring before transfer to the ward.

Recovery After the Procedure

Recovery is usually comfortable. Most patients experience mild congestion, slight bleeding, or pressure in the nose for a short period. Saline rinses, rest, and prescribed medicines help ease symptoms. Many people return to normal work within a week, depending on the extent of surgery.

Follow-up visits allow the specialist to clean healing areas gently and assess progress.

Risks and Complications

Possible risks include:

• Short-term bleeding
• Nasal dryness or crusting
• Infection
• Very rarely, complications related to deeper structures

These are uncommon, and careful planning helps reduce the chances further.

Benefits of Transnasal Endoscopic Surgery

• No visible cuts
• Faster recovery compared to open surgery
• Better visualisation of deeper structures
• Less discomfort for many patients
• Improved breathing and reduced sinus symptoms

What is the Cost of Surgery in Manipal Hospitals Global?

The cost depends on the diagnosis, imaging required, length of stay, and surgical complexity. Manipal Hospitals Global provides clear estimates for both local and international families after the evaluation.

International Patient Support at Manipal Hospitals Global

Travelling patients receive full assistance with airport transfers, visa support, accommodation planning, dietary needs, and language interpretation. The hospital team coordinates each stage so the stay feels organised and supportive.