Doctors for Fess Surgery in Chennai

FESS (Functional Endoscopic Sinus Surgery) is done to cure the sinusitis disease. Sinusitis is an inflammation of the sinuses (sinuses are actually the air-filled spaces located behind the forehead, nasal bones, cheeks, and eyes in the skull). When healthy sinuses get filled with mucus completely then germs can grow in it that produce infection. People who have sinus related issues like allergy, asthma, structural blockages in sinuses, or people with a weak immune system are at a higher risk of this disease. The main symptoms of sinusitis are:

• Permanent congestion in the nasal area
• Facial pressure and pain due to congestion
• Toothache and headache due to congestion
• Continuous flow of mucus from nose
• Change in smell
• Discoloured mucus discharge
• Regular fever due to congestion

Generally the problem of sinusitis is treated by the ENT (Ear, Nose, Throat) physicians at an early stage. But when it does not get completely cured by the conventional medications and antibiotic courses then surgery is the best option for it. FESS is mainly recommended for the patients who face one or more of these conditions.

• Nasal polyps (It is a painless benign growth on the lining of the sinus)
• Acute sinusitis (when the person faces it at least four times per year)
• Chronic sinusitis that does not respond to antibiotics or other treatments
• Enlarged nasal turbinates (excessive growth of the turbinates, the bony structures inside the nose)

FESS is a minimal invasive surgery. The ENT surgeon uses a nasal endoscope to locate the infected areas of the sinuses and then removes the area to relieve the patient's symptoms. It is a modern and effective surgery with a success rate of and above 85%. Since the surgery is done from inside through the nostril so there is no scar or injury on the face. The surgery should be done at the right time otherwise the patient can face difficulty in breathing. The complete procedure of FESS is very safe and can be performed on children above the age of 2 years.

Functional endoscopic sinus surgery (FESS) is a surgical procedure commonly used to treat chronic sinusitis and other sinus-related conditions. The specific techniques and approaches used in FESS may vary depending on the individual's condition and the surgeon's preference. Here are some types or variations of FESS:

• Standard FESS : This is the most common form of FESS and involves the use of an endoscope, which is a thin, flexible tube with a light and camera on the end. The endoscope is inserted through the nostrils, allowing the surgeon to visualize the sinus cavities and perform the necessary procedures. Instruments such as microdebriders, suction devices, and small cutting instruments may be used to remove nasal polyps, clear blocked sinus passages, or correct structural abnormalities.
• Balloon sinuplasty-assisted FESS : This is a combination technique that incorporates the use of balloon sinuplasty alongside FESS. Balloon sinuplasty involves inserting a small balloon catheter into the blocked sinus opening and inflating it to widen the passage. This technique can be used to gently reshape and expand the sinus openings, improving drainage. After balloon sinuplasty, the surgeon may proceed with standard FESS techniques if further intervention is required.
• Image-guided FESS : In complex cases where the sinus anatomy is distorted or when precise navigation is required, image-guided FESS may be used. This technique utilizes advanced imaging technology, such as CT scans, to create a detailed three-dimensional map of the sinuses. The surgeon then uses real-time tracking systems to navigate through the sinuses during the surgery, ensuring accurate targeting of the affected areas.
• Revision FESS : This refers to FESS performed on individuals who have previously undergone sinus surgery but continue to experience symptoms or have recurrent sinusitis. Revision FESS can be more challenging due to scar tissue or anatomical changes resulting from prior surgeries. The specific techniques used in revision FESS depend on the individual's unique circumstances and may involve more extensive procedures to address persistent issues.

It's important to note that the specific type of FESS performed will depend on the patient's condition, the surgeon's expertise, and the individualized treatment plan developed for each case. The surgeon will assess the individual's specific needs and determine the most suitable approach to achieve optimal outcomes.

This surgery is a microsurgery and completely related to the immune system. So the doctors make sure that the patient does not have any other health issues especially about the nose and immune system. An overview of all tests recommended by the ENT surgeon is given as following:

• Blood tests: The surgeon checks a few things like the complete blood count, C-reactive protein, erythrocyte sedimentation rate, etc.
• X-rays and CT scans: In order to optimise the accurate condition of sinusitis.
• Preoperative medications: Some antibiotics and oral steroids are prescribed to patients before the surgery.These must be followed by the patients very strictly.
• Avoid smoking : The patient must stop smoking at least three weeks before the surgery as it increases the risk of surgical failure.
• Nasal endoscopy : A nasal endoscopy is a diagnostic procedure used to examine the nasal passages and sinuses. During this procedure, a thin and flexible tube called an endoscope, which has a light and camera at its tip, is inserted into the nasal passages. This allows the doctor to visualize and assess any potential blockages, nasal polyps, or other abnormalities that could be contributing to your symptoms. The endoscopic examination provides detailed visual information to help determine the cause of your symptoms and guide appropriate treatment decisions.
• Allergy testing : If allergies are suspected as a cause of your sinusitis, your doctor may recommend allergy testing, which can include skin prick tests or blood tests. These tests help identify the specific allergens that might be triggering your symptoms, assisting in developing an appropriate treatment plan.
• Culture and sensitivity tests: If there is suspicion of a bacterial infection, a swab or sample may be taken from your sinuses to identify the specific bacteria causing the infection and determine the most effective antibiotic treatment.

Functional endoscopic sinus surgery (FESS) is typically performed by an ear, nose, and throat (ENT) surgeon in a hospital or surgical center. The procedure is done under general anesthesia, which means the patient will be asleep and feel no pain during the surgery. Here is a general overview of the FESS process:

• Preparation : Prior to the surgery, the patient is positioned on the operating table in a suitable manner. Anesthesia is then administered to ensure the patient's comfort and to prevent pain during the procedure. This allows the patient to remain relaxed and unaware of any sensations throughout the surgical process.
• Nasal access: The surgical procedure starts with the surgeon inserting an endoscope, which is a thin tube equipped with a light and camera at its tip, through one of the nostrils. This enables the surgeon to have a direct visual examination of the nasal passages and sinuses. The endoscope provides a magnified and detailed view, allowing the surgeon to navigate and identify any abnormalities or issues within the nasal cavity and sinuses.
• Evaluation and mapping : The endoscope provides a clear view of the sinus anatomy, and the surgeon evaluates the condition of the sinuses, identifies any blockages, nasal polyps, or other abnormalities. Advanced imaging technology, such as CT scans, may be used to assist in mapping the sinuses.
• Removal of obstructions: Using specialized surgical instruments, such as microdebriders or small cutting instruments, the surgeon carefully removes any nasal polyps, diseased tissue, or other obstructions that are causing blockages or inflammation in the sinuses. The goal is to open up the sinus passages and improve drainage.
• Correction of structural abnormalities: If there are structural issues contributing to sinus problems, such as a deviated septum or narrow sinus openings, the surgeon may perform additional procedures to correct these abnormalities. This can involve reshaping or removing parts of the nasal septum or other nasal structures.
• Sinus irrigation and cleaning: After the necessary interventions are performed, the surgeon may rinse the sinuses with a saline solution to flush out any debris, mucus, or blood. This helps clean the sinuses and promote healing.
• Closure : Once the surgeon is satisfied with the outcome of the procedure, the endoscope is removed, and the nasal passages are allowed to naturally heal. In some cases, dissolvable nasal packing or nasal splints may be placed to support the healing process.
• Recovery : After the surgery, the patient is transferred to the recovery area where they receive close monitoring as the effects of anesthesia wear off. Pain medication and antibiotics may be prescribed to manage discomfort and prevent infection. The patient is usually discharged either on the same day or the following day, based on the surgeon's advice.

It's important to note that the specific details of the FESS procedure can vary based on the individual's condition, the surgeon's technique, and the complexity of the case. The surgeon will provide specific instructions and guidance for pre-operative preparation, post-operative care, and follow-up appointments to ensure a successful recovery.

Functional endoscopic sinus surgery (FESS) offers several benefits for individuals with chronic sinusitis or other sinus-related conditions in Chennai, similar to its advantages in other locations. Here are some benefits of FESS:

• Improved sinus drainage : FESS aims to open up blocked or narrowed sinus passages, allowing for better drainage of mucus and relieving congestion. By improving sinus ventilation, FESS helps reduce the frequency and severity of sinus infections and associated symptoms.
• Minimally invasive approach : FESS is a minimally invasive procedure that is performed through the nostrils, without the need for external incisions. This results in less scarring, reduced pain, and a faster recovery compared to traditional open surgeries.
• Customized treatment : FESS is tailored to each individual's unique sinus anatomy and specific needs. The surgeon can precisely target and address the affected sinus areas, such as removing nasal polyps, correcting structural abnormalities, or removing obstructions. This customized approach enhances the effectiveness of the procedure.
• Preservation of healthy tissue : FESS allows the surgeon to selectively remove diseased or obstructive tissue while preserving healthy tissue. This helps maintain the normal function of the sinuses and reduces the risk of complications.
• Faster recovery and shorter hospital stay : Due to the minimally invasive nature of FESS, the recovery period is typically shorter compared to traditional open surgeries. Many patients can go home on the same day or within a day or two after the procedure, allowing for a quicker return to daily activities.
• Long-term symptom relief: FESS has been shown to provide long-term symptom relief for individuals with chronic sinusitis or recurrent sinus problems. By addressing the underlying causes of sinus issues, FESS can significantly reduce symptoms such as nasal congestion, facial pain, headaches, and sinus infections.
• Enhanced quality of life : With improved sinus function and reduced symptoms, FESS can have a positive impact on an individual's overall quality of life. Breathing becomes easier, sleep quality improves, and the frequency of sinus-related discomfort and infections decreases.

In Chennai, FESS is performed by skilled ENT surgeons who are experienced in the procedure. It's important to consult with a qualified ENT specialist in Chennai to discuss your specific condition, understand the potential benefits of FESS in your case, and determine if it is the appropriate treatment option for you.

While functional endoscopic sinus surgery (FESS) is generally considered safe and effective, like any surgical procedure, it does carry some potential side effects and risks. It's important to discuss these with your surgeon before undergoing FESS. Here are some possible side effects and risks associated with FESS:

• Bleeding : Since this surgery is the surgery of the inner walls of the nose. So it is very difficult to do a proper soluble nasal packing. So there is a big risk of bleeding.
• Disease recurrence : The success rate of this surgery is 85%. So there is a little risk of recurrence of the disease in future.
• Leakage of fluid from brain : Since this surgery is related to the immune system. So it affects the brain also and this effect can be visible in the form of a fluid coming out from the nose. But it is completely temporary.
• Vision problems : The sinus is located just above the eyes. So the eyes also get affected just after the surgery. But some simple medications can be adopted to avoid it. Well this side effect is also completely temporary.
• Change in smell or taste : Since the tongue is also related to the immune system. So it also gets affected and since the anaesthesia has been also used before surgery so it affects the smelling sense also.
• Worsening of sinus symptoms: All the symptoms before the surgery can get worse even after the surgery. The surgeons are able to cure it by following a routined medication procedure.
• Problem of facial pain : As we know that the skin of nose and face is very sensitive. So after this surgery the patient will experience a pain around the nose. Even some swelling around the eye can also be visible.

After the FESS procedure, patients are typically able to return home on the same day. Within a week, most patients can resume their normal activities. However, it is crucial to adhere to all post-operative instructions provided by the ENT specialist or surgeon to ensure proper healing and recovery. Here are some general guidelines for recovery after this surgery:

• Rest : Take more and more rest just after the surgery for a few days to boost the recovery and also avoid strenuous activities.
• Pain Management : Some discomforts due to pain are common after the surgery. Especially the area around the nose. So follow all the prescribed dosage instructions given by the doctor in a strict and disciplined manner for good and fast recovery.
• Hydration : Stay well-hydrated by drinking plenty of fluids, especially water. Avoid cold beverages that could irritate the surgical site.
• Diet : After surgery, it is recommended to follow a soft or liquid diet initially, as these types of foods are easier to swallow. It is advisable to avoid consuming hot, spicy, or hard foods during the initial recovery period.
• Follow-up Appointments : Attending all follow-up appointments with the doctor is crucial after surgery. These appointments allow the doctor to monitor the patient’s healing progress and address any concerns or complications that may arise. Regular check-ups enable the doctor to ensure that the patient is recovering well and to make any necessary adjustments to the post-operative care plan.
• Monitor for Signs of Complications : Keep an eye out for any signs of infection, excessive bleeding, severe pain, or difficulty in breathing. Contact the doctor immediately if you notice any of the symptoms.
• Avoid smoking : The patient must avoid smoking for at least three weeks after the surgery as it increases the risk of disease recurrence.
• Avoid nose blowing : The patient should not blow his nose for the first week after surgery and later also as per the guidance of the surgeon.
• Avoid workout and exercises: All types of workouts should be avoided during the first week and later more as per the guidance of the surgeon. Also do not bend, stretch or lift more than 20 pounds as per the guidance. Only light walking and a restful routine is allowed after surgery.

It's important to note that recovery experiences can vary from person to person. The doctor will provide the patient all necessary instructions based on condition. Follow their guidance closely to ensure a smooth recovery process.