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Advanced Functional Endoscopic Sinus Surgery

Long-lasting sinus problems significantly affect breathing, daily sleep, and overall quality of life. Nasal blockages, facial pain, recurrent infections and headaches indicate the underlying sinus issues. These sinus issues require a treatment, and these treatments are minimally invasive and advanced nowadays. Functional endoscopic sinus surgery (FESS) falls into this advanced category and is indicated to restore the normal sinus function. 

With experienced ENT surgeons and advanced endoscopic facilities, CARE Hospitals provides safe FESS (Functional Endoscopic Sinus Surgery) in Hyderabad for patients seeking long-term relief from chronic sinus conditions.

Why Choose CARE Hospitals for Functional Endoscopic Sinus Surgery (FESS) in Hyderabad?

A very crucial thing in treating your sinuses is where you go to receive the treatment and how you choose your hospital. CARE Hospitals is regarded as one of the finest hospitals for functional endoscopic sinus surgery (FESS) because we:

  • Has an ENT team with extensive experience and rhinology experts
  • Has endoscopic equipment with the latest technology available
  • Has diagnostics to perform a correct diagnosis with the help of advanced CT scans and nasal endoscopy
  • Develops the treatment plan tailored to the individual
  • Offers the most advanced and effective operating rooms
  • Provides complete pre- and post-operative care
  • Offers full transparency and assistance throughout the procedure

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What is Functional Endoscopic Sinus?

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive way to treat sinusitis and issues associated with sinusitis by using an endoscope, which is a flexible tube, to remove obstructions from the sinuses. This is recommended in order to improve the drainage of mucus from the sinuses without creating an external incision on your skin.

The main objectives of performing the FESS procedure are

  • To restore normal ventilation to the sinuses
  • To remove tissue or polyps that are inflamed
  • To clear blocked sinuses
  • To improve breathing and decrease the frequency of developing an infection in the sinuses

Why is FESS Recommended?

FESS is recommended for the patients whose symptoms from sinus conditions have not improved after taking antibiotics, nasal steroid sprays, antihistamines, or decongestants over an extended period of time. FESS is a successful surgical procedure for patients whose sinus medication has been ineffective in treating their symptoms long enough to warrant surgical intervention to return their sinuses to their normal state and to restore normal sinus drainage.

Indications for Functional Endoscopic Sinus Surgery:

  • For chronic sinusitis that lasts greater than twelve weeks.
  • Recurrent episodes of acute sinusitis.
  • Nasal polyps that obstruct the nasal passages.
  • A bent nasal septum that obstructs ventilation of the sinuses.
  • Allergic rhinitis that causes a blockage of the sinuses.
  • Fungal sinusitis.
  • Obstruction (abnormalities) of the normal drainage of the sinuses.
  • Facial pain, congestion, or loss of smell (anosmia) that persists despite treatment with medications.

The goals of functional endoscopic sinus surgery are to relieve redundant or obstructed areas of the sinuses, improve ventilation of the sinuses, and prevent future sinus infections, thus improving breathing comfort.

Symptoms Indicating the Need of Functional Endoscopic Sinus Conditions

People who are recommended for FESS often experience the following symptoms:

  • Facial Pain or Pressure: Experiencing long-lasting facial pain around the cheeks, forehead, and eyes due to the inflammation of the sinus glands.
  • Chronic Nasal Congestion: Nasal congestion is observed because of the sinus obstructions and does not respond to medications and requires surgical intervention.
  • Recurrent Headaches: The pressure and obstruction in the sinuses are the main causes of frequent headaches.
  • Thick Nasal Discharge: A sinus infection leads to a thick, yellow, or green discharge from the nose.
  • Reduced Sense of Smell: Difficulty in smelling is seen due to the inflammation of the sinus passages.
  • Post-Nasal Drip: Post-nasal drip may be experienced down the back of the throat, which results in cough and throat irritation.
  • Difficulty Breathing Through the Nose: Breathing difficulties are seen due to the obstruction in the nasal blockages.

Functional Endoscopic Sinus Surgery Procedure (Before, During and After)

  • Before Surgery: Prior to the surgery using the appropriate protocols, patients undergo imaging, a medical evaluation, and counseling regarding functional endoscopic sinus surgery.
  • During Surgery:
    • General or local anesthesia is used.
    • A thin endoscope is passed through the nostrils.
    • Obstructed sinus passages are unblocked.
    • Inflamed tissue, polyps, or obstructions are removed.
    • Natural drainage of the sinuses is restored.
    • The surgery is minimally invasive and does not require any major cuts on the body surface.
  • After Surgery: Post-surgery patients are monitored for several hours post-op and usually go home the same day or after a short period of observation. Patients will receive prescriptions for nasal sprays, saline irrigation kits, and medications.

Risks of FESS

Although functional endoscopic sinus surgery is generally safe, minor risks may include:

  • Small Amounts of Bleeding and Discomfort: Patients might have mild blood loss or some discomfort after an Endoscopic Sinus Operation, and that should respond to medication and appropriate care.
  • Nasal Drying or Difficulty Breathing: The patient might notice a dry nostril with crusting inside the nasal passages while healing, and this can be treated with saline irrigation and follow up care.
  • Mild Swelling: A temporary mild swelling of the nasal passage immediately after surgery is seen in few cases.

Complications of FESS

Complications following functional endoscopic sinus surgery are rare and may include:

  • Hemorrhage: Excessive bleeding is unusual and will typically require medical intervention should that occur after surgery.
  • Infection: The incidence of postoperative infections is low. The infection can usually be treated with antibiotics prescribed by the physician.
  • Recurrent Sinus Blockage: In certain cases, sinus symptoms can return due to allergies that "lie under the surface" or ongoing inflammation.
  • Orbital (eye) Complications: Very rarely, surrounding structures of the eye can become involved and cause swelling or visual disturbance.
  • CSF (cerebro-spinal fluid) Leak: This complication is extremely rare and may occur because of the proximity of the surgical site to the base of the skull.

The incidence of complications associated with functional endoscopic sinus surgery is very rare when performed by experienced surgeons and utilizing modern endoscopic surgical instruments.

Conclusion

Functional endoscopic sinus surgery (FESS) is one of the most effective minimally invasive surgical options for those suffering with chronic and severe sinus problems that are not treatable with medications. Our experienced ENT specialists employ the advanced endoscopic systems and develop the patient-centric treatment plans in order to provide the comprehensive FESS surgery in Hyderabad to our patients. Early diagnosis and timely treatments are very crucial for those who are suffering with sinus issues. CARE Hospitals is one such healthcare facility that gives the sinus treatments with excellent outcomes, in Hyderabad.

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