Functional endoscopic sinus surgery (FESS)
Functional endoscopic sinus surgery (FESS) is an advanced surgical technique used to treat chronic sinus problems such as sinusitis, polyps, blockages and other anatomical abnormalities. In other words, this procedure is often the only effective solution for sinus diseases that can lead to headaches and difficulty breathing through the nose.
The FESS method enables the surgeon to perform the procedure with high precision and minimal invasiveness, without the need for large incisions, which allows for faster recovery and a lower level of pain after the procedure.
The goal of the procedure is to use precise microsurgical instruments and an endoscope to widen the natural sinus openings and remove pathological tissue or secretions, allowing the patient a quicker recovery and a return to everyday life.
What does the surgery look like?
During endoscopic sinus surgery, endotracheal anesthesia is used. As a first step, the surgeon inserts an endoscope into the nostril and sinus cavity while monitoring the image on a screen. Depending on the objective of the procedure, tissue may be removed, scraped or cauterized in order to widen the sinus cavity or repair damaged structures.
At the end of the procedure, the surgeon places a dissolvable patch at the treated site, and a separable spacer may also be placed in the nasal passage to keep it open in the intended shape until healing is complete.
Recovery after the procedure
After the surgery, nasal packs are placed in both nasal cavities and are removed after a few days. In the days following the procedure, the nasal mucosa is usually swollen, so nasal drops are recommended to reduce edema.
There are no visible changes on the face, such as swelling or bruising and patients can usually return to everyday activities after about one week.
After the procedure, most patients experience:
- fewer flare-ups and infections
- improved nasal breathing and better sleep quality
- improved sense of smell
- reduced facial pressure and headaches
