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Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure used to treat sinusitis and other related sinus diseases. This technique allows surgeons to access the sinuses through the nostrils, avoiding external incisions. FESS aims to restore normal drainage and function of the sinuses by removing anatomical and pathological obstructions.

Overview

Functional Endoscopic Sinus Surgery is primarily indicated for chronic sinusitis patients who have not responded to medical treatment. It is also used to treat nasal polyps, sinus infections, and certain cases of sinus tumors. The procedure is performed under general anesthesia or local anesthesia with sedation.

Procedure

During FESS, the surgeon uses a nasal endoscope, a thin, flexible tube with a light and camera at the end, to visualize the sinus passages. Specialized instruments are then inserted alongside the endoscope to remove blockages and improve sinus drainage.

Benefits

The benefits of FESS include less postoperative pain, shorter recovery time, and fewer complications compared to traditional sinus surgery methods. It also preserves the natural structure of the sinuses and nasal passages.

Risks

As with any surgical procedure, FESS carries some risks, including bleeding, infection, and a rare chance of damage to surrounding structures such as the eyes or the base of the skull. There is also a possibility of the need for revision surgery.

Recovery

Postoperative care is crucial for a successful recovery. Patients may be advised to use saline nasal sprays, undergo nasal irrigation, and avoid certain activities that could strain the nasal passages. Follow-up visits are necessary to monitor the healing process.

Conclusion

Functional Endoscopic Sinus Surgery has revolutionized the treatment of sinus diseases, offering a less invasive option with significant benefits for patients suffering from chronic sinusitis and other sinus-related conditions. However, it is essential for patients to discuss the potential risks and benefits with their healthcare provider.