Sinus surgery - any improvements in the technology lately?

[Roni2]

Looks like I may need sinus surgery again, and I found the first time (polyp removal & other stuff) to be a miserable experience with a long recovery. This was about 10 years ago, they used the little endoscope with little cutting tools on the end.
Is anyone cutting with lasers? My searches have yielded little or no info so far. I really don't want to bleed for several weeks again - is there any good news about the state of the art?  Thanks.

[Roni2]

What kinds of problems can arise from repeated surgery (polyp removal)?  My doc failed to mention anything about risks.
Thanks

[Jordy]

It depends...I know that for turbinate reductions some ENTs sometimes use lasers or somnoplasty (radio waves.)  For actual structural changes they still need to cut and break, I believe.

In the end, it's really up to the ENT and also insurance approval.  A lot of insurances won't cover somnoplasty, for example.  I don't think there's been enough long-term research to determine if lasers or radio waves are any more long-term effective than regular cutting.

I'm having inflammation problems again, 8 years after and excellent septoplasty cleared everything up (or so I thought!)  My ent is trying to avoid another surgery and is having me try nasal sprays instead.  Or I may just live with it.  I'm undecided (too much surgery can cause even worse problems than just living with the original problem!)