If you are experiencing sinus problems that are severe or difficult to treat with medication, Functional Endoscopic Sinus Surgery (FESS) is one of the primary approaches used to treat chronic sinusitis and rhinosinusitis.
Before any operation, patients are treated using decongestants, antibiotics or sprays for a period of weeks or months. If these treatments are unsuccessful, surgery can then be considered.
After an examination of your nose with a telescope, your surgeon will discuss whether or not you will need to have a CT scan to help prepare for the operation.
In the past, sinus operations were carried out through incisions (cuts) in the face and mouth. FESS allows the operation to be performed without the need for incisions.
The procedure is carried out under general anaesthetic in an operating theatre within a clinic or hospital. The goal is to improve sinus drainage by enlarging the pathways. This is most often achieved by removing nasal structures and expanding the openings of the sinuses.
Typically, you can expect to go home on the day of your surgery or the day after, depending on the size of your operation. You will need to rest at home for approximately a week before returning to normal activities.
However, if you are looking for a minimally invasive procedure, there is another option. Balloon sinus dilation, in addition to being a stand-alone procedure, can be used in combination with FESS, delivering instant relief that lasts.1
1Chandra RK, Kern RC, Cutler JL, Welch KC, Russell PT. REMODEL larger cohort with long-term outcomes and meta-analysis of standalone balloon dilation studies. Laryngoscope. July 2015. DOI: 10.1002/lary.25507.
Cutler J, Bikhazi N, Light J, Truitt T, Schwartz M. Am J Rhinol Allergy doi.org/10.2500/ajra.2013.27.3970. Standalone balloon dilation versus sinus surgery for chronic rhinosinusitis: A prospective, multicenter, randomized, controlled trial. Am J Rhinol Allergy doi.org/10.2500/ajra.2013.27.3970.