Sinus issues affect millions of Indians each year, leading to persistent nasal congestion, headaches, and breathing difficulties. When chronic sinusitis stops responding to medications, Functional Endoscopic Sinus Surgery (FESS) emerges as a minimally invasive and effective solution. To understand this procedure better, I visited Dr. Shama S. Kovale, one of the most reputed ENT specialists in Mumbai, known for her precision and patient-centered approach to Functional Endoscopic Sinus Surgery in Mumbai.
My conversation with Dr. Kovale revealed not just the science behind the treatment, but also the artistry involved in restoring something we often take for granted — the ability to breathe freely.
Dr. Shama S. Kovale: Expertise, Experience, and Approach
Dr. Shama S. Kovale is a highly qualified ENT and Head & Neck Surgeon with extensive experience in treating complex nasal and sinus disorders. Having earned her MBBS and MS in ENT, she pursued advanced training in Endoscopic Sinus and Skull Base Surgery, refining her skills under renowned specialists both in India and abroad.
Dr. Kovale practices at Kokilaben Dhirubhai Ambani Hospital, one of Mumbai’s leading multispeciality healthcare institutions. The hospital’s ENT department is equipped with cutting-edge imaging systems, high-definition endoscopes, and microdebriders — enabling surgeons to perform delicate procedures with utmost precision.
When asked about her approach, Dr. Kovale shared:
“Sinus surgery isn’t just about clearing blockages; it’s about restoring natural drainage and ventilation pathways while preserving normal anatomy. The goal is function — not just removal.”
Understanding Functional Endoscopic Sinus Surgery (FESS)
Functional Endoscopic Sinus Surgery is a minimally invasive technique that uses small nasal endoscopes to access the sinuses through the nostrils. This eliminates the need for external incisions. During the procedure, the surgeon removes obstructions like polyps or inflamed tissue, improving sinus ventilation and drainage.
FESS is typically recommended for:
- Chronic sinusitis unresponsive to medical therapy
- Nasal polyps
- Fungal sinus infections
- Structural issues like deviated septum
- Recurrent sinus infections impacting breathing and sleep
Dr. Kovale emphasized that modern FESS is guided by imaging and navigation systems, enhancing safety and accuracy while minimizing tissue damage.
Comparing Indian and International Experts
India’s ENT specialists have rapidly advanced in minimally invasive techniques. Surgeons like Dr. Milind Kirtane (Mumbai) and Dr. Satish Jain (Delhi) have made significant contributions to sinus and skull base surgeries. Internationally, experts such as Dr. David Kennedy (USA) and Prof. Valerie Lund (UK) are pioneers of endoscopic sinus surgery.
Dr. Kovale’s practice aligns with global standards — her integration of 3D endoscopy, CT-guided navigation, and intraoperative monitoring mirrors practices in leading international centers. What sets her apart is her balanced approach: blending technology with deep anatomical understanding and patient empathy.
Pros and Cons of Functional Endoscopic Sinus Surgery
Pros:
- Minimally invasive: No external cuts, reduced scarring, and minimal bleeding.
- Quick recovery: Patients usually resume normal activities within a week.
- Improved sinus function: Restores natural breathing and drainage.
- Long-term relief: Significantly reduces recurrence of sinus infections.
- Enhanced quality of life: Relief from chronic headaches, congestion, and sleep issues.
Cons:
- Temporary symptoms: Mild nasal congestion, swelling, or bleeding post-surgery.
- Possible recurrence: In rare cases, inflammation may return over time.
- Postoperative care needed: Regular saline irrigation and follow-ups are essential.
Dr. Kovale added,
“The key to long-term success after FESS lies in consistent postoperative care — it’s a partnership between doctor and patient.”
Cost Comparison: Mumbai vs. International Prices
The Functional Endoscopic Sinus Surgery cost in Mumbai depends on factors like hospital type, technology used, and the complexity of the condition.
Approximate Costs:
- Mumbai: ₹80,000 – ₹2,50,000
- Delhi / Bangalore: ₹1,00,000 – ₹3,00,000
- International (USA / UK): ₹4,00,000 – ₹8,00,000 equivalent
With highly trained surgeons like Dr. Shama S. Kovale and facilities at Kokilaben Dhirubhai Ambani Hospital, patients in India can access world-class ENT care at a fraction of global costs.
Precautions and Aftercare: Insights from Dr. Kovale
According to Dr. Kovale, recovery after sinus surgery is straightforward but demands discipline.
Before Surgery:
- Avoid smoking and alcohol for at least two weeks.
- Inform your doctor about any medications or allergies.
- Treat any active infections prior to the procedure.
After Surgery:
- Perform saline nasal rinses regularly to keep passages clean.
- Avoid dusty or smoky environments for a few weeks.
- Refrain from vigorous physical activity for at least 10 days.
- Use prescribed nasal sprays and antibiotics as directed.
- Attend scheduled follow-up appointments for cleaning and assessment.
She explained,
“FESS offers lasting results only when patients actively maintain nasal hygiene and follow postoperative protocols.”
A Journalist’s Observation
My time observing Dr. Shama S. Kovale’s clinic operations and patient interactions left a strong impression. Her practice reflects not only medical precision but also a deep commitment to patient comfort and transparency. Each patient receives individualized attention — from diagnosis and imaging to treatment and long-term guidance.
Unlike traditional sinus surgery, FESS under specialists like Dr. Kovale is a symptom-relief and lifestyle-enhancement procedure, restoring patients’ ability to breathe and live normally. Her work demonstrates how Indian surgeons are redefining standards in otolaryngology — merging technology, expertise, and compassion.
Closing Thought
Sinus problems might seem minor until they disrupt your everyday life. The ability to breathe easily — something most of us take for granted — can deeply affect overall well-being.
With experts like Dr. Shama S. Kovale, Functional Endoscopic Sinus Surgery in Mumbai has become safer, smarter, and more accessible than ever. For those struggling with chronic sinus issues, consulting an experienced ENT specialist at Kokilaben Dhirubhai Ambani Hospital might just be the first step toward reclaiming comfort and clarity — one breath at a time.
Your Path to Better Health Starts Here!
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Find Our Clinic: Kokilaben Dhirubhai Ambani Hospital 2nd Floor, ENT Department, Four Bungalows, Andheri West, Mumbai – 400053
