FESS

Discover advanced FESS surgery solutions to relieve pain and restore comfort. Our expert team specializes in minimally invasive procedures, ensuring effective treatment for corns and related foot conditions to improve your quality of life.

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Introduction to FESS

Functional Endoscopic Sinus Surgery (FESS) is a specialized surgical approach designed to treat various sinus-related conditions, most notably chronic sinusitis. This procedure represents a significant advancement in the field of otolaryngology—the study of conditions of the ear, nose, and throat (ENT). It leverages the use of an endoscope, a thin, flexible instrument equipped with a light and camera, to provide the surgeon with a detailed view inside the patient's nasal passages and sinuses. The primary goal of FESS is to restore normal function to the sinuses. This is achieved by carefully removing any blockages, such as polyps or diseased tissue, that contribute to chronic inflammation or infection within the sinus cavities. Unlike traditional open surgery, FESS is minimally invasive, which means it involves less pain, fewer complications, and a quicker recovery time for patients. Due to its minimally invasive nature, FESS is typically performed as an outpatient procedure, allowing patients to return home the same day. The surgery can be done under local anesthesia, where only the nasal area is numbed, or under general anesthesia, where the patient is put to sleep. The choice between local or general anesthesia will depend on the specific details of the case and the patient's overall health and preferences. FESS has revolutionized the management of chronic sinus issues by offering a safer, less invasive option compared to traditional surgical methods. With its focus on precision and preserving the natural structure of the nasal passages and sinuses, FESS provides a highly effective treatment route for individuals suffering from persistent sinus conditions.

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Enhanced Quality of Care

Constant support, a network of premium hospitals and top-tier surgeons.

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Meet Our Doctors

Dr Anup Sabarwal

ENT

25 Years

Dr Bernice Stella

ENT

30 Years

Dr Debasish Ghosh

ENT

18 Years

Conditions treated with FESS

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure designed to treat a range of conditions affecting the sinus and nasal passages. This surgery is primarily recommended for individuals who experience chronic or recurrent issues that have not responded well to conservative treatment methods. Conditions that are commonly treated with FESS include: - Chronic Sinusitis: Chronic sinusitis is a condition characterized by the prolonged inflammation of the sinuses that lasts for several weeks despite medical treatment. FESS is used to open up the sinus passages, improve drainage, and alleviate the symptoms associated with chronic sinusitis. - Nasal Polyps: These are non-cancerous growths in the lining of the nasal passage or sinuses. They can cause blockages, leading to difficulties in breathing, loss of smell, and recurrent infections. FESS allows for the removal of these polyps and can help restore normal nasal function. - Sinus Tumors and Cysts: While sinus tumors are less common, they can occur and may require surgical intervention. Similarly, cysts can develop in the sinuses and may need to be removed if they cause blockage or other problems. FESS provides a way to safely extract these tumors and cysts, minimizing damage to surrounding tissues. - Recurrent Sinus Infections: For individuals who suffer from frequent sinus infections, FESS can be an effective treatment option. By improving the structure of the nasal passages and sinuses, it can help reduce the frequency and severity of infections. - Structural Abnormalities within the Nasal and Sinus Passages: Conditions such as a deviated septum or narrowed sinus passages can lead to chronic symptoms and discomfort. Through FESS, surgeons can correct these structural issues, improving airflow and overall nasal function. Healthcare providers will first conduct a thorough diagnosis process, which includes asking detailed questions about the patient's symptoms, performing a physical examination, and closely examining the interior of the nose. If the symptoms of nasal deviation are severe, and conservative treatments have been unsuccessful, surgery may be recommended to fix these structural issues, often through a specific procedure known as Septoplasty which is sometimes performed concurrently with FESS to address related conditions. Overall, FESS is a targeted approach that aims to not only alleviate symptoms but also address the root causes of nasal and sinus conditions, leading to significant improvements in quality of life for affected individuals.

Procedure of FESS

The procedure of FESS involves several critical steps, ensuring safety and effectiveness while aiming to alleviate symptoms of chronic sinusitis and improve the patient's quality of life. ### Pre-operative Preparations Before undergoing FESS, patients undergo a comprehensive pre-operation screening process. This includes evaluating the patient's medical history, a physical examination, and conducting a nasal endoscopy. These steps are vital for an accurate diagnosis of chronic sinusitis, distinguishing it from other conditions such as allergic rhinitis based on symptoms like nasal congestion, purulent drainage, and facial pressure. Additionally, patients might be prescribed medications and advised to take certain precautions, such as quitting smoking and avoiding aspirin, to minimize surgery risks and enhance recovery. ### Anesthesia On the day of the surgery, the patient is prepared for FESS under either intravenous sedation and local anesthesia or general anesthesia. The choice of anesthesia is determined based on the patient's medical condition, preference, and the surgeon's assessment. Once anesthesia is administered, the patient is draped for surgery, ensuring a sterile environment and minimizing the risk of infection. ### Surgical Process The core of the FESS procedure involves the use of endoscopic tools inserted through the nostrils, making it a less invasive option compared to traditional sinus surgery methods. This approach allows for direct visualization and access to the sinus passages without external incisions, reducing post-operative discomfort and speeding up the recovery process. The surgeon navigates the endoscope and other surgical instruments within the nasal passages, targeting obstructed or diseased sinus openings. The goal is to carefully remove any obstructions, such as polyps, diseased tissue, and other blockages, to restore normal sinus ventilation and drainage. In some cases, image-guided surgery may be utilized to enhance precision, especially in complex situations or where critical anatomical structures are involved. This advanced technology assists surgeons by providing a detailed map of the patient's sinus anatomy, ensuring a safer and more effective procedure. ### Post-operative Considerations After FESS, patients typically experience an improvement in symptoms associated with chronic sinusitis, including a reduction in nasal congestion and facial pressure. The minimally invasive nature of FESS leads to a quicker recovery period compared to more traditional surgical methods, with many patients resuming normal activities within a few days. It is important for patients to follow post-operative instructions provided by their healthcare provider, including medication adherence, nasal irrigation, and attending follow-up visits to monitor healing and prevent complications. This detailed approach to FESS emphasizes the importance of thorough pre-operative evaluation, precise surgical technique, and comprehensive post-operative care to achieve optimal outcomes for patients suffering from chronic sinusitis.

Recovery after FESS

Recovery after Functional Endoscopic Sinus Surgery (FESS) is a critical phase where patients must follow their healthcare provider's guidance meticulously to ensure proper healing and to avoid complications. After the surgery is completed, there are several steps and precautions that patients need to be aware of, which are crucial for a smooth and effective recovery process. Initially, to maintain the integrity of the surgical site and support the initial phase of healing, nasal packing and spacers may be placed inside the nose. These are usually removed before the patient is discharged from the hospital or medical facility. This practice is aimed at minimizing bleeding and stabilizing the area that has been operated on. Upon discharge, patients are provided with several aftercare products and instructions to aid their recovery. One of the key components of aftercare is the use of saline nasal spray. This spray helps to keep the nasal passages moist, reduces the risk of infection, and aids in the healing process by washing away any crusts or buildup. Additionally, antibiotics are prescribed to prevent post-operative infections, ensuring that the recovery phase is not complicated by additional health concerns. Follow-up visits are an essential part of the recovery process. During these visits, the healthcare provider will monitor the patient's progress, addressing any concerns and adjusting the treatment plan as necessary to promote optimal healing. It is important for patients to be vigilant about their recovery and to immediately contact their healthcare provider if they experience any of the following: - Pain that is not managed or relieved by the prescribed medication. Uncontrolled pain can indicate complications that may need to be addressed. - Development of a fever, which could be a sign of infection. Infections can jeopardize the success of the surgery and need to be treated promptly. A successful recovery from FESS can significantly improve a patient’s quality of life by addressing persistent sinus pain and congestion. Following the post-operative instructions carefully and maintaining open communication with the healthcare provider are key components to achieving the best possible outcome from the surgery.

Preparation for FESS

Preparation for a Functional Endoscopic Sinus Surgery (FESS) is a crucial step to ensure a smooth procedure and recovery. It involves several important instructions that patients are expected to follow prior to the surgery. Below are key guidelines to properly prepare for your FESS: 1. Fasting Before Surgery: Patients will be instructed to fast for a certain period before the surgery. This usually means no eating or drinking, including water, for about 8 to 12 hours prior to the procedure. The exact duration will be provided by your healthcare provider. 2. Prescribed Medications: It is essential to take any medications prescribed by your doctor as directed leading up to the surgery. These may include antibiotics or other medications to prepare your body for the surgery. 3. Physical Exam: Undergoing a comprehensive physical examination is part of the pre-operative process. This helps to assess your health and ensures that you are fit for surgery. Any potential risks or issues can be addressed beforehand. 4. Quitting Smoking: Patients who smoke are advised to quit several weeks before the surgery. Smoking can interfere with the healing process and increase the risk of complications. Therefore, quitting smoking as early as possible is beneficial for a smoother recovery. 5. Stopping Certain Medications and Supplements: Some medications and supplements can increase the risk of bleeding or interact with anesthesia. It is crucial to inform your healthcare provider about all medications and supplements you are taking. You may be instructed to stop taking certain ones before the surgery. 6. Over-the-Counter Medications for Postoperative Care: To manage discomfort and aid in the healing process after the surgery, your healthcare provider may recommend certain over-the-counter medications. It is important to have these ready for use after the procedure as directed by your doctor. By adhering to these preparation guidelines, patients can help minimize risks and promote a successful recovery following a Functional Endoscopic Sinus Surgery. Ensure to follow any additional instructions provided by your healthcare provider tailored to your specific health needs.

FAQ

What conditions make me a candidate for Functional Endoscopic Sinus Surgery (FESS)?

Candidates for FESS typically suffer from chronic or recurrent sinusitis, nasal polyps, sinus tumors and cysts, recurrent sinus infections, or structural abnormalities within the nasal and sinus passages that have not responded well to conservative treatments.

How long does FESS surgery take to perform?

Will I experience pain after FESS?

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