FESS - Functional Endoscopic Sinus Surgery

The physicians of CCENT are trained in open and functional endoscopic sinus surgery for the treatment of chronic sinus infections, nasal polyps, and nasal obstruction. Image-guided surgery is also available, especially for revision surgery or difficult cases. Before any consideration of surgery, maximal medical management is sought. Depending on symptoms and examination findings, this includes a full head and neck evaluation, nasal endoscopy, antibiotics, nasal steroids, oral steroids, nasal irrigations, cultures, and allergy treatment. Imaging (CT- scan) is often needed during the evaluation of symptoms and before any surgical planning.

Endoscopic sinus surgery can also be used to treat patients with Graves ophthalmopathy with proptosis. A medial orbital decompression through an endoscopic approach in conjunction with possible additional surgery from an ophthalmologist can offer relief for some patients without relief from medical management. Patients unresponsive to maximal medical management may also require thyroidectomy.

Benefits of surgery

  • Improvement in nasal breathing
  • Decrease in nasal infections
  • Allow topical nasal medications to be more effective
  • Reduction and elimination of chronic polyps and infectious lining

Risks of surgery

  • Bleeding
  • Infection
  • Brain exposure
  • Leakage of cerebrospinal fluid
  • Eye damage
  • Failure to improve the disease process
  • Limited ability to explore entire sinus cavity

Post-operative expectations

  • Mild to moderate pain
  • Nasal bleeding
  • Avoid heavy lifting for one week

 

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