As of Sunday, December 18, 2022, Jefferson Surgical Clinic (JSC) physicians and staff are employed by Carilion Clinic.

JSC and Carilion share the same philosophy about the practice of medicine. As a patient, you’ll receive the same care and compassion from your surgical provider. Also, you’ll have access to additional resources including MyChart, a secure online health management tool, and easy connections to many specialty services through an electronic medical record system.

If you have questions regarding an upcoming appointment, you can continue to reach your care team at (540) 283-6000..

The patient portal is no longer active due to system changes. You are able to pay your account balance using the “Bill Pay” button below instead of calling. For account questions, you may still call (540) 283-6070.


Endoscopic sinus surgery is used to open blocked sinuses due to inflammation from recurrent infections, allergies or nasal polyps. Sinus mucous membranes swell and become blocked, causing pain, drainage and impaired breathing. Goals of endoscopic sinus surgery typically include:

  • Reduce or eliminate the number of and severity of sinus infections
  • Improvement in symptoms associated with sinusitis
  • Improvement of airflow through the nose
  • Improvement in sleep quality through better breathing and stopping snoring

Who is a candidate?

Good candidates for endoscopic sinus surgery include patients who have:

  • Chronic sinusitis
  • Chronic sinus pressure or headaches
  • Persistent nasal congestion and discolored drainage from the nose
  • Trouble breathing through the nose
  • A deviated septum
  • Nasal or sinus polyps
  • Sinus disease due to a fungal infection
  • Enlarged nasal turbinates

What to expect

In the past, this procedure was done under general anesthesia, but it can now be done in the office under local anesthesia by Dr. Zachmann. A thin camera rod with a light at the end is placed in the nose, providing visualization and magnification of the sinus tissues. Specialized instruments are then used to safely and effectively open causes of sinus blockage such as a deviated septum, nasal polyps or diseased tissue.

Specialized instruments are also used to straighten the septum and reduce the size of the turbinates if required. Endoscopic sinus surgery does not involve cutting through the skin as it is performed entirely through the nostrils. Recovery feels like recovering from a bad cold that improves over a period of days.

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