CPT® Code 31287

A surgical nasal/sinus endoscopy with sphenoidotomy is a specialized procedure that involves the use of an endoscope to visualize and access the sphenoid sinus, which is located deep within the skull behind the nasal cavity. This procedure is typically performed to diagnose and treat various conditions affecting the nasal passages and sinuses, such as chronic sinusitis, polyps, or other abnormalities. Prior to the procedure, a topical nasal decongestant and a local anesthetic with a vasoconstrictor may be applied to minimize discomfort and reduce bleeding during the surgery. The endoscope, a thin, flexible tube equipped with a camera and light source, is inserted through the nostril to provide a clear view of the nasal cavity and the paranasal sinuses. The surgeon can then inspect these areas for any signs of disease or abnormalities. The sphenoid sinus can be accessed through different approaches, including a medial or lateral approach to the middle turbinate, or through the removal of the middle turbinate or a transseptal approach. Once the sphenoid sinus is accessed, the surgeon can perform a sphenoidotomy, which involves creating an opening in the sinus to allow for drainage and the removal of any diseased tissue. This procedure may also include the collection of tissue samples for culture and sensitivity testing, as well as irrigation of the sinus to ensure proper cleansing and healing.