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What is an FESS Surgery?
Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure used to restore normal drainage and function of the sinuses. It involves using an endoscope, a thin, flexible tube with a light and camera, to visualize the sinuses and remove blockages such as polyps, scar tissue, or diseased tissue. FESS is often performed when medical treatments for chronic sinusitis or other sinus issues have failed.
Indications for FESS
FESS is recommended for patients with:
- Chronic Sinusitis: Persistent sinus inflammation despite medical treatment.
- Recurrent Acute Sinusitis: Frequent episodes of acute sinus infections.
- Nasal Polyps: Growths that block the nasal passages.
- Sinus Obstructions: Due to anatomical issues such as a deviated septum or narrow sinus passages.
- Fungal Sinusitis: Fungal infections in the sinuses.
- Complications of Sinusitis: Such as abscesses or infections spreading to the eye socket or brain
Procedure
FESS is typically performed under general anesthesia, though in some cases, local anesthesia with sedation may be used. The procedure involves the following steps:
- Preparation: The patient is prepped and given anesthesia.
- Endoscope Insertion: The endoscope is inserted into the nasal cavity to provide a clear view of the sinuses.
- Removal of Obstructions: Specialized surgical instruments are used to remove obstructions, such as polyps or infected tissue, and to enlarge the natural openings of the sinuses.
- Restoration of Drainage: The surgeon ensures that the sinuses can drain properly, reducing the likelihood of future infections.
Benefits of FESS
The benefits of FESS include:
- Improved Sinus Drainage: Restores natural drainage pathways.
- Reduction in Sinus Infections: Decreases the frequency and severity of infections.
- Enhanced Breathing: Alleviates nasal obstructions.
- Improved Quality of Life: Reduces symptoms such as facial pain, pressure, and congestion.
Conclusion
Functional Endoscopic Sinus Surgery (FESS) is a valuable surgical option for individuals with chronic or recurrent sinusitis and other sinus-related issues when medical treatments are ineffective. Understanding the procedure, recovery, and potential risks can help patients make informed decisions about their care. If you have persistent sinus problems, consult an otolaryngologist (ENT specialist) to discuss whether FESS is a suitable treatment option for you.