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Functional Endoscopic Sinusitis Surgery or FESS is the most advanced sinus surgery that improves structural anomalies within the nose that were leading to chronic sinusitis and associated breathing problems. FESS is recommended to patients experiencing painful sinus symptoms or chronic sinusitis. Sinusitis needs to be treated at an early stage through medications and other medical interventions.
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The ENT specialist will diagnose sinusitis based on the symptoms, medical history, and a simple physical examination of the patient. The doctor will ask about your symptoms and how long they last, look into your ears, nose, and throat, and may tap or press on your face to test for tenderness over specific sinuses.
The modern and most advanced sinus treatment is minimally invasive where sinus air cells are opened under direct visualization. The surgeons use a small camera called an endoscope allowing the surgeons to complete the procedure using detailed image guidance. FESS is a minimally invasive technique where the complete procedure is performed using detailed image guidance. The procedure does not leave scar tissue and is painless.
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The patient should eat bland foods such as:
They should also drink plenty of water to promote their recovery.
The modern surgical treatment may take from 30 to 45 minutes as per the extent of surgery. The procedure is daycare treatment and the patient can leave for home within 24 hours of the surgery.
FESS is the most advanced treatment for sinusitis. It offers instant relief from the symptoms. You may have mild throat pain or discomfort after the treatment. You can get pain relief from drinking ice water.
It can lead to serious complications around the eyes. They can cause redness, or swelling around the eyes, sometimes, reduced vision, and even lead to blindness. In rare cases, it can infect the rear center of the head and can spread to the brain. This can be life-threatening for anyone.
Although rare, there are certain side-effects of endoscopic sinus surgery, such as:
In case you are experiencing heavy bleeding from the nose, high fever, sharp pain in the head, or increased swelling of the nose with clear fluid drainage (CSF leakage), you should contact your ENT doctor immediately.
Generally, a FESS procedure lasts for about 2-2.5 hours, although this time range can vary a lot depending on which sinuses are infected and how much the infection has spread.
Sinus issues can be very persistent, i.e., they can easily return even after sinus surgery, however, their recurrence rates are highly variable and depend on the patient themselves. According to research conducted by BMC (BioMed Central), the recurrence rates for sinusitis after FESS ranges from 4% to 60%, with a median of 20% over a two-year period.
Yes, if you have a badly deviated septum or a nasal septum perforation, then septoplasty may be necessary to prevent chronic sinusitis. However, if that is not the case, then septoplasty may not benefit you too much in preventing recurrent sinus infections.
10 tips you can follow to avoid the recurrence of sinus infections are:
If left untreated, chronic sinusitis can cause serious complications.
Proper postoperative care is an important part of the recovery process. To improve recovery after the surgery, you should follow the given instructions:
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