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FESS Surgery in Pune

FESS, or Functional Endoscopic Sinus Surgery, is a minimally invasive surgery in which the surgeon uses nasal endoscopes to increase the size of the nasal drainage pathways of the paranasal sinuses to improve sinus ventilation. It is the most effective treatment for sinusitis.
Sinusitis is the inflammation of the tissue lining of the sinuses. Healthy sinuses are pneumatic, i.e., they are filled with air and responsible for humidifying and warming the inspired air. On the other hand, if sinuses are infected, they are filled with mucus and bacteria, which causes nasal congestion,  inflammation, etc., which makes breathing difficult.
When sinuses are too congested and are not responding to medicines, then surgical intervention becomes necessary to drain the sinuses and make breathing easier. If you have severe sinusitis and want to get long-term relief from your symptoms, book an appointment with the best ENT specialists in Pune for sinusitis treatment.


know-more-about-FESS Surgery-in-Pune
Benefits of sinus surgery for sinusitis
  • Long-term relief from chronic sinus infections
  • Reduce the number of sinus infections
  • Relief from sinus headaches and breathing problems (due to airway obstruction)
  • Relief from obstructive sleep apnea
  • Better sense of smell for chronic sinusitis patients
Benefits of FESS
  • Minimally invasive surgery
  • Long-lasting results
  • Minimal pain
  • No scarring on the nose or face
  • Few surgical complications
  • Quick recovery
  • Minimal post-surgical bleeding
Recovery time and cost of sinus surgery at Pristyn care
  • FESS surgery cost: Rs. 45,000 to Rs. 70,000
  • Hospitalization: Same/next day discharge
  • Resume work: 4-5 days
  • Complete recovery: 2-3 weeks
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Facts about sinus surgery
  • FESS is 80-90% effective in providing long-term relief from sinusitis.
  • Turbinate surgery or septoplasty may be needed with FESS for relief.
  • Sinus surgeries are covered under insurance.
  • There is only minimal post-operative pain and bleeding after FESS.
  • There are no external effects of sinus surgery on the face.
  • Sinus surgery is completely painless.
Risks of delaying sinusitis treatment
  • Reduced or Complete Loss of the Sense of Smell
  • Difficulty Breathing
  • Inflammation of your Voice Box, aka Larynx
  • Eye infections leading to redness, swelling, reduced vision, and blindness
  • Brain infections like meningitis, brain abscess, etc.
ENT Specialist performing Sinus Surgery

Sinusitis Treatment - Diagnosis and Procedure

Diagnostic procedures required for sinusitis treatment

One of the most important criteria for diagnosing sinusitis is a medical history and physical examination. Your doctor will collect a detailed medical history, along with your symptoms, their severity, duration, recurrence, etc., to determine whether you have acute or chronic sinusitis.

Other diagnostic tests that help diagnose the presence and severity of sinusitis are:

  • Imaging tests: CTs and MRIs help examine the details of the sinuses and the nasal area for inflammation, nasal polyps, tumors, infection, etc. 
  • Endoscopy: A diagnostic endoscopy involves the insertion of a long thin, flexible fiber-optic light to visualize the sinuses for the diagnosis of nasal problems like deviated nasal septum, nasal polyps, nasal tumors, etc.
  • Allergy test: In addition to infection, another condition that may be triggering recurrent sinusitis is an allergy. A skin allergy test is a safe, quick, and easy way to detect if there is an allergen behind the patient’s condition.
  • Tissue swab/culture: Tissue cultures are very important for the diagnosis and treatment of sinusitis. They help determine the causing bacteria/fungi responsible for sinusitis so that appropriate medication can be prescribed.

Treatments for chronic sinusitis in Pune

  • Medical management: Based on the results of the diagnostic tests, your ENT doctor will prescribe you medicines to help manage and reduce your symptoms. Different medicines that can help sinusitis patients are nasal corticosteroids, nasal sprays, oral or injected corticosteroids, allergy medications, antibiotics, antifungals, etc.
  • Surgery: Functional endoscopic sinus surgery, or FESS surgery, is a common and effective treatment for chronic sinus infections. It is a minimally invasive procedure in which the surgeon uses a magnifying endoscope to remove the infected tissues in the sinuses. The main goals of FESS surgery are to flush out the infected material and open block air passages in the nose while preserving enough healthy tissue so that sinuses can function normally.

In contrast to conventional surgery, FESS is less invasive and promises better recovery with minimal scarring. It is usually performed under local anesthesia. The surgical instruments are inserted through the nose to preserve aesthetic appearance. The infected sinuses are located, drained, and then washed using a saline solution. After all the infected tissue is removed, the incisions are closed.

If you are suffering from either acute or chronic sinusitis, you should consult the best ENT specialist for appropriate treatment.

Why Choose Pristyn Care For FESS?

Best ENT Clinics For Functional Endoscopic Sinus Surgery


Advanced Surgery Using A Debrider

At Pristyn Care, you can avail advanced sinus surgery with a microdebrider for better results and quicker recovery with low chances of recurrence.


Experienced ENT Surgeons

At Pristyn Care, we have ENT surgeons with 8-10 years of experience in performing advanced FESS surgery with successful results.


Over 95% Success Rate

FESS surgery at Pristyn Care has a success rate of over 95%, thanks to our advanced treatment facilities, expert surgeons, and state-of-the-art treatment centers.


Consultations With Diagnostic Endoscopy

At Pristyn Care, you can avail pre and postoperative consultations along with diagnostic endoscopy for diagnostic confirmation and treatment planning. You will also receive follow-up checkups with your ENT surgeon after surgery.

Frequently Asked Questions

How long does it take to recover from FESS procedure?

After sinus surgery, you can return to work within 1 week of the surgery, however, if your work entails physical labor, you may need to wait 4-5 weeks before returning to work. A patient can resume their regular routine within 3 weeks of the surgery. You may have to visit your ENT specialist for follow-up visits for 3-4 months to ensure there is no recurrence.

What is the cost of FESS in Pune at Pristyn Care?

FESS cost in Pune ranges from Rs. 45,000 to Rs. 70,000, based on a few factors such as choice of hospital and doctor, cost of diagnostic tests and other preoperative procedures, insurance coverage, etc. This cost includes all the pre and post-operative costs required for sinusitis treatment.

However, this cost can vary in case of postoperative complications, or if the patient has severe comorbidities, etc.

Is FESS operation effective for sinusitis treatment?

FESS surgery is very effective in relieving sinusitis symptoms as it directly targets the symptomatic areas. Since the surgery is performed using an endoscope, it is very precise. However, proper aftercare is required after the surgery to ensure that the effects of sinusitis treatment can are permanent.

Is FESS covered under health insurance?

FESS is usually covered by most major insurance providers. However, the extent of the coverage depends on the terms of the policy. Pristyn Care has a dedicated insurance team that can help you with the entire insurance documentation and claim process.

Is FESS safe?

FESS is generally a very safe technique. Since it is performed using an endoscope, the chances of operative injury to the surrounding tissues are rare. The success rate of the surgery is as high as 80-90%.

Can FESS surgery be repeated?

Yes. One of the rare complications of sinus surgery is further sinus obstruction to adhesion of the sinus. In such a case, a revision sinus surgery is performed to clear the air pathways and provide better results than the initial sinus surgery.

What are the complications of FESS?

Although rare, there are certain side-effects of endoscopic sinus surgery, such as:

  • Failure to resolve the symptoms
  • Recurrence of the initial sinus problem
  • Hemorrhage
  • Chronic nasal drainage
  • Operative damage to the eyes or base of the skull
  • Pain
  • Reduced or complete loss of sense of taste or smell
  • Empty nose syndrome

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.

Is FESS operation painful?

FESS is performed under either general or local anesthesia, as such, the surgery is not painful. However, depending on the extent of the sinus infection, there may be mild to moderate pain after the surgery that generally feels like a blocked sinus. Pain after sinus surgery lasts for about a week and is managed through over-the-counter pain medications and anti-inflammatories.

When does sinus surgery become necessary?

Sinus surgery is a major operation. Generally, even chronic sinusitis patients are not recommended sinus surgery till conservative treatments such as medicines and lifestyle modification habits have become ineffective.

How long does it take to complete FESS surgery?

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.

Should I get a septoplasty in addition to FESS to prevent the recurrence of sinusitis?

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.

What are the recurrence rates for sinusitis after sinus surgery?

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.

What lifestyle changes can I make to prevent the recurrence of sinusitis?

10 tips you can follow to avoid the recurrence of sinus infections are:

  • Avoid upper respiratory infections. Do not have physical contact with people who have colds or other infections.
  • Wash your hands with soap and water frequently, especially before meals.
  • If you have allergies then try to keep those under control and avoid contact with your allergens as much as possible.
  • Avoid contact with tobacco smoke and other air pollutants, even second-hand smoke.
  • If you feel that the air in your home is dry, then use a humidifier. Make sure that your humidifier is free of any dirt or mold by regularly cleaning it.
  • Regularly wash/irrigate your sinuses using a neti pot or other similar devices.
  • Avoid antibiotics as they may harm the natural bacterial flora that exists in the nasal cavity. If you are taking any antibiotics, then take oral probiotics to replenish this flora.
  • If you want to swim, then swim in saltwater pools instead of chlorinated pools as they are less irritating to nasal sinuses.
  • Try to maintain a healthy lifestyle to ensure you have a strong immune system that can fight all types of infections.

What happens if sinuses are not drained surgically for chronic sinusitis patients?

If left untreated, chronic sinusitis can cause serious complications.

  • Due to the close proximity, sinus infections can easily spread to the eyes and lead to redness, swelling, and reduced vision, known as orbital cellulitis. In severe cases, it may even lead to blindness.
  • If sinus infections spread to the brain, it can lead to a brain abscess or meningitis, which can be life-threatening.
  • Chronic sinusitis can cause hyposmia, or reduced sense of smell, in addition to nasal obstruction and olfactory nerve inflammation. This can eventually turn to anosmia, i.e., complete loss of sense of smell.
  • A paranasal mucocele can be formed which can lead to the obstruction of sinus drainage.
  • Cavernous sinus thrombosis is the development of a blood clot in the cavernous sinuses and can be life-threatening.

How can I improve recovery after FESS procedure?

Proper postoperative care is an important part of the recovery process. To improve recovery after the surgery, you should follow the given instructions:

  • Keep your head elevated using extra pillows to reduce postoperative bleeding and swelling, especially during the first 24 hours after the surgery.
  • Make sure that your nasal splint/packing material is not dislodged. You may need to breathe through your mouth if your nose feels too blocked, but you cannot remove the splint/tissue packing.
  • Though a little bleeding and drainage are common after the surgery, in case there is too much of either, contact your ENT surgeon immediately.
  • Do not cough, sneeze or blow your nose for at least a week after the surgery. If sneezing is unavoidable, try to sneeze through your mouth.
  • Do not perform any heavy lifting, strenuous exercise, or any other activity that can put a strain on your face as they can irritate the surgical site and increase bleeding.
  • Only take medicines that have been prescribed by your doctor. Medicines like aspirin slow down clotting and can cause a hemorrhage.
  • Visit your doctor for a follow-up consultation within a week of the surgery to make sure that you are healing appropriately.
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