Functional Endoscopic Sinus Surgery in Mumbai

As a medical journalist, I often step into hospital corridors not as a patient, but as an observer—listening to clinicians explain conditions that quietly affect quality of life. During a recent visit to Kokilaben Dhirubhai Ambani Hospital, I interviewed Dr. Shama Kovale to better understand how Functional Endoscopic Sinus Surgery in Mumbai is practiced in a tertiary-care setting. The discussion focused not on surgical headlines, but on clinical decision-making, patient selection, and long-term outcomes for chronic sinus disease.


Understanding Functional Endoscopic Sinus Surgery in Mumbai

Functional Endoscopic Sinus Surgery, commonly known as FESS, is a minimally invasive procedure designed to restore normal drainage of the sinuses. In metropolitan settings, it is frequently considered for patients with chronic sinusitis who do not respond to prolonged medical therapy.

During our discussion, Dr. Shama Kovale explained that Functional Endoscopic Sinus Surgery in Mumbai is not approached as a first-line treatment. Instead, it follows detailed evaluation, imaging studies, and medical management. The goal, she emphasized, is functional restoration—improving airflow and sinus ventilation—rather than removal of tissue without indication.


Dr. Shama Kovale: Qualifications and Clinical Experience

Based on verified professional information and my in-person interaction, Dr. Shama Kovale is a formally trained ENT surgeon with specialized experience in nasal and sinus disorders. Her academic background includes medical training in otorhinolaryngology, followed by years of focused clinical practice in managing sinusitis, nasal obstruction, and voice-related disorders.

Recognized as a Best ENT Specialist in Mumbai, Dr. Shama Kovale’s work reflects a balance between conservative medical care and surgical intervention. Practicing as an ENT Specialist in Mumbai, she routinely encounters complex cases referred from across the city, particularly patients with long-standing sinus complaints affecting sleep, breathing, and daily productivity.


Clinical Environment at Kokilaben Dhirubhai Ambani Hospital

Kokilaben Dhirubhai Ambani Hospital is structured as a multi-specialty tertiary care center, and this is evident in its ENT facilities. During my visit, I observed dedicated outpatient consultation areas, diagnostic endoscopy units, and advanced operating theatres equipped for minimally invasive ENT surgeries.

Dr. Shama Kovale explained that the hospital’s setup allows seamless coordination between radiology, anesthesia, and post-operative care teams. Such infrastructure is particularly relevant for Functional Endoscopic Sinus Surgery in Mumbai, where image-guided systems and endoscopic visualization enhance surgical precision and safety.


When Is Functional Endoscopic Sinus Surgery Considered?

From a clinical perspective, not every sinus patient requires surgery. Dr. Shama Kovale emphasized that FESS is typically recommended for individuals with:

  • Chronic sinusitis unresponsive to medication
  • Recurrent acute sinus infections
  • Nasal polyps causing obstruction
  • Anatomical variations affecting sinus drainage

She noted that careful patient selection remains central to achieving meaningful outcomes, and unnecessary surgery is actively avoided.


Benefits of Functional Endoscopic Sinus Surgery in Mumbai

When appropriately indicated, FESS may offer several benefits:

  • Improved sinus drainage and airflow
  • Reduction in frequency and severity of infections
  • Relief from facial pressure and nasal blockage
  • Better response to ongoing medical therapy

Dr. Shama Kovale highlighted that the endoscopic approach allows surgeons to preserve healthy tissue, aligning with modern principles of minimally invasive ENT surgery.


Risks and Limitations: A Balanced Medical View

Despite being minimally invasive, Functional Endoscopic Sinus Surgery carries certain risks. These may include bleeding, infection, scarring, or recurrence of symptoms over time. Rare complications can involve surrounding structures, given the proximity of sinuses to the eyes and brain.

Dr. Shama Kovale stressed that detailed pre-operative imaging and surgical expertise significantly reduce such risks. She also emphasized that surgery is not a permanent cure for underlying inflammatory conditions, making follow-up care essential.


Approximate Cost Range in Mumbai

When discussing cost, Dr. Shama Kovale maintained a neutral and factual stance. In Mumbai, the cost of Functional Endoscopic Sinus Surgery can vary depending on factors such as hospital setting, complexity of disease, need for advanced imaging, and duration of hospital stay.

Patients are generally advised to consider the procedure as part of a comprehensive treatment plan rather than evaluating it solely on financial terms.


Precautions and Aftercare Advice Shared During the Interview

Post-operative care plays a significant role in recovery and long-term success. Based on Dr. Shama Kovale’s guidance, patients are commonly advised to:

  • Perform saline nasal irrigations as prescribed
  • Avoid dusty environments during early recovery
  • Attend scheduled follow-up endoscopic examinations
  • Continue medical therapy if advised

She emphasized that healing is gradual and that adherence to aftercare protocols helps reduce recurrence.


A Journalist’s Closing Reflection and CTA

Observing ENT care at a tertiary hospital reinforces how chronic sinus conditions are managed through careful assessment rather than quick surgical decisions. My interaction with Dr. Shama Kovale reflected a practice rooted in clinical judgment, patient education, and long-term care planning.

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