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FESS - Functional Endoscopic Sinus Surgery at Yapita Health

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Overview

What is FESS Surgery?

Functional Endoscopic Sinus Surgery (FESS) is a surgical procedure performed through the nostrils using an endoscope, a thin, flexible tube with a light and camera attached to it. It allows the surgeon to visualize the sinuses and remove any blockages or abnormalities that may be causing sinus problems.

Why would someone need to have FESS Surgery?

FESS surgery is recommended for individuals who have chronic sinusitis or other sinus-related issues that do not respond to conservative treatments such as medications or nasal sprays. Symptoms that may indicate the need for FESS surgery include chronic nasal congestion, facial pain or pressure, recurrent sinus infections, or loss of sense of smell.

What conditions can FESS Surgery treat?

FESS surgery can effectively treat a range of sinus-related conditions, including:

  • Chronic sinusitis

  • Nasal polyps

  • Sinus cysts

  • Deviated septum

  • Sinus tumors

  • Recurrent sinus infections

Requirements & Evaluation: FESS Surgery

Before undergoing FESS surgery, a thorough evaluation is necessary to determine if you are a suitable candidate for the procedure. Our team will review your medical history, perform a physical examination, and may recommend additional tests such as CT scans or allergy tests to assess the extent of your sinus condition.

Different Types of FESS Surgery

There are different types of FESS surgery, and the specific procedure will depend on your individual condition. Some common types include:

  • Septoplasty: Correcting a deviated septum

  • Sinus balloon dilation: Widening sinus passages using a balloon catheter

  • Ethmoidectomy: Removal of diseased ethmoid sinuses

  • Maxillary antrostomy: Opening the maxillary sinuses for improved drainage

  • Sphenoidotomy: Opening the sphenoid sinuses for better access and drainage

Procedure

During the FESS surgery, you will be under general anesthesia, ensuring your comfort throughout the procedure. The surgeon will insert the endoscope through the nostrils to examine the sinuses and remove any blockages, polyps, or other abnormalities using specialized instruments. The procedure is performed entirely through the nostrils, minimizing the need for external incisions.

 

Before the Procedure

Before your FESS surgery, our team will provide you with specific instructions to follow, such as fasting before the procedure and avoiding certain medications. It is essential to discuss your complete medical history, including any allergies or current medications, with your surgeon.

After the Procedure

After the FESS surgery, you will be monitored in the recovery area until the anesthesia wears off. You may experience nasal congestion and mild discomfort, which can be managed with pain medications prescribed by your surgeon. It is crucial to follow post-operative care instructions, including avoiding strenuous activities and keeping the nasal passages clean and moisturized.

What kind of follow-up care will I have during recovery?

During your recovery, you will have scheduled follow-up appointments with your surgeon to monitor your progress. The frequency of these visits will depend on your individual healing process. Our team will provide detailed instructions on wound care, managing any discomfort, and gradually resuming normal activities.

Risk & Benefits

While FESS surgery is generally safe and effective, like any surgical procedure, it carries certain risks. Possible risks or complications of FESS surgery may include temporary or permanent changes in the sense of smell, bleeding, infection, or injury to surrounding structures. However, our experienced surgeons and meticulous approach minimize such risks.

The benefits of FESS surgery include improved sinus drainage, reduced inflammation, relief from chronic sinus symptoms, and a better quality of life.

Recovery

The recovery time after FESS surgery can vary depending on the individual and the extent of the procedure. Generally, most patients can return to their normal activities within 1-2 weeks. However, it may take several weeks for full healing and resolution of symptoms. Our team will guide you through the recovery process, providing personalized care and support.

FAQs Related to FESS - Functional Endoscopic Sinus Surgery

Who needs FESS Surgery?

FESS surgery, also known as Functional Endoscopic Sinus Surgery, is typically recommended for individuals who have chronic sinusitis, which is a condition characterized by inflammation and infection of the sinuses. It is also considered for patients with nasal polyps or certain anatomical abnormalities that may obstruct the sinuses and lead to recurring sinus infections.


Is scoliosis FESS Surgery is safe?

Scoliosis is not treated with FESS surgery. Scoliosis refers to the abnormal curvature of the spine, and the treatment for scoliosis typically involves a different surgical procedure known as spinal fusion. The safety of FESS surgery is generally considered to be high, although like any surgical procedure, there are potential risks and complications. It is important to discuss the specific risks and safety considerations with a healthcare professional


How long will the FESS Surgery take?

The duration of FESS surgery can vary depending on the specific circumstances of each patient. On average, the procedure can last between 1 to 3 hours. However, the actual duration may vary based on the complexity of the case and individual factors.


What is the average hospital stay for a patient?

The average hospital stay after FESS surgery is typically around 1 to 2 days. However, the length of stay can vary depending on various factors such as the patient's overall health, the complexity of the surgery, and the presence of any post-operative complications


Are life-long medicines necessary after FESS Surgery?

The need for life-long medications after FESS surgery depends on the individual case and the underlying condition being treated. In some cases, medications such as nasal steroid sprays or saline rinses may be recommended for ongoing management of sinus symptoms and to prevent recurrence of sinus infections. However, this can vary from person to person, and it is best to consult with the treating physician for personalized recommendations.


Does a person have high infection rates and lead a very restricted life after FESS Surgery?

While FESS surgery carries a risk of infection like any surgical procedure, the infection rates are generally low1. Following the surgery, it is important to adhere to post-operative care instructions, including proper wound care and regular follow-up appointments, to minimize the risk of infection. The impact on lifestyle will vary based on the individual and the specific condition being treated. In many cases, FESS surgery can alleviate symptoms and improve quality of life by addressing chronic sinus issues.


What lifestyle changes are associated with FESS Surgery?

In general, FESS surgery is aimed at improving sinus function and alleviating symptoms, rather than requiring significant lifestyle changes. However, post-operative instructions may include recommendations for nasal irrigation, use of saline sprays or rinses, and avoiding certain irritants that could trigger sinus problems. These lifestyle changes may help support the healing process and optimize the outcomes of the surgery


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