FESS (Functional Endoscopic Sinus Surgery) is sinus surgery that’s done on the nose with small telescopes (endoscopes). These endoscopes allow physicians to directly visualize the diseased area(s) and thus remove the disease effectively, while maintaining the normal function and anatomy of the nose.
Symptoms & Indications of FESS
Anyone suffering from the following symptoms may be a candidate for FESS:
- Chronic Sinusitis Problems (which have failed to respond to medical management)
- Nasal Polyps
- Facial Pain or Feeling of Fullness Around the Eyes
- Difficulty Breathing Through the Nose
- Decrease and/or Loss of Smell
- Persistent Bad Odor in the Nose
- Postnasal Drip
- Swelling around the Eyes
Candidates for FESS
Anyone who has the above symptoms and have undergone a thorough work-up, including:
- Complete History & Physical
- Possible Office Endoscopic Evaluation of the Nose
- CT scan Evaluation of the Sinuses
Where is the Surgery Done?
FESS is performed at one of the local hospital or surgical outpatient facilities in the area. It can be done under general anesthesia (preferred by most patients) or local anesthesia with IV sedation.
Surgical Risks Involved
Complications are uncommon, but can occur even in the best of hands. The most common problems are:
- Excessive Bleeding (hemorrhage)
- Post-Operative Infection
Other more rare complications can include:
- Double Vision
- Brain Fluid Leak
- Loss of Sense of Smell and/or Taste
- Tear Duct Injury
- Meningitis or Infection of Brain Lining
- Bruising Around the Eyes or Eye Injury
These serious complications are very rare, but they must be understood as part of the risk of surgery.