Functional Endoscopic Sinus Surgery (FESS)

Overview

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Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure used to treat chronic sinusitis and other sinus-related conditions. Below is an overview and detailed information on various aspects of FESS, including preparations, procedures, complications, benefits, infrastructure facilities, specialties, and frequently asked questions.

Functional Endoscopic Sinus Surgery aims to restore normal drainage and function of the sinuses. By removing obstructions and infected tissue, FESS helps relieve symptoms such as nasal congestion, facial pain, and headaches.

Functional Endoscopic Sinus Surgery (FESS)

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How is Functional Endoscopic Sinus Surgery (FESS) Done?

Consultation:
  • A thorough evaluation by an ENT specialist, including a physical exam and imaging studies (CT scans).
Medical History:
  • Detailed history of symptoms, allergies, and previous treatments.
Preoperative Instructions:
  • Avoid blood-thinning medications (e.g., aspirin, warfarin) for a certain period.
  • Discuss any existing medical conditions (e.g., diabetes, heart issues).
Anesthesia Consultation:
  • Assessment for anesthesia options (local or general anesthesia).
Fasting:
  • Patients may need to fast for a specified time before the procedure.

Anesthesia:
  • FESS is usually performed under general anesthesia, although local anesthesia can be used in some cases.
Endoscopic Examination:
  • A thin, flexible tube with a camera (endoscope) is inserted through the nostrils to visualize the nasal passages and sinuses.
Surgical Techniques:
  • Removal of polyps, infected tissue, or blockages.
  • Widening of the sinus openings to facilitate drainage.
  • Resection of the middle turbinate if necessary.
Duration:
  • The procedure typically lasts 1-2 hours.
Postoperative Care:
  • Patients are monitored for a few hours before being discharged home.
  • Nasal irrigation may be recommended to promote healing.

While FESS is generally safe, potential complications may include:
  • Bleeding: Minor bleeding is common, but severe bleeding may require intervention.
  • Infection: Risk of sinus or nasal infections post-surgery.
  • Nasal Obstruction: Swelling or scarring may lead to nasal blockage.
  • Changes in Smell: Temporary or permanent alterations in the sense of smell.
  • Cerebrospinal Fluid Leak: Rarely, there may be a risk of fluid leaking from the brain.
  • Vision Problems: Very rarely, damage to the eye may occur.
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What are the Benefits of Functional Endoscopic Sinus Surgery (FESS)?
  • Symptom Relief: Significant improvement in symptoms of chronic sinusitis.
  • Improved Quality of Life: Enhances nasal airflow and reduces the frequency of sinus infections.
  • Minimally Invasive: Shorter recovery time compared to traditional sinus surgery.
  • Preservation of Tissue: Focuses on restoring sinus function while preserving surrounding structures.
Specialty
  • Otolaryngology (ENT): FESS is primarily performed by ENT specialists trained in sinus surgery and endoscopic techniques.

Infrastructure Facilities

  • Operating Room: Equipped with advanced surgical instruments, endoscopes, and imaging devices.
  • Recovery Area: Monitored space for post-operative care.
  • Radiology Services: Access to CT scans for preoperative and postoperative evaluation.
  • ENT Specialty Clinics: Providing comprehensive evaluation and follow-up care.

FAQs

Most patients can return to normal activities within a week, although complete healing may take several weeks.

Some discomfort is normal, but pain is generally manageable with medications prescribed by the doctor.

Patients are usually advised to maintain a normal diet but may need to avoid hot, spicy foods and heavy lifting for a short period.

Studies show a high success rate, with many patients experiencing significant symptom relief.

Yes, follow-up appointments are important to monitor healing and assess nasal function.

While many patients experience long-lasting relief, some may require additional treatments in the future.

Functional Endoscopic Sinus Surgery offers a safe and effective solution for chronic sinus issues, significantly improving patients' quality of life. Always consult with a qualified ENT specialist to determine the best treatment options for your specific condition.

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