Doctors for Fess Surgery

FESS Surgery, also known as Functional Endoscopic Sinus Surgery, is a surgical procedure used to improve sinus cavity drainage and relieve chronic sinusitis symptoms. The sinus cavities are visualized and accessed using an endoscope, which is a thin tube with a camera attached.

There are several types of FESS procedures that may be performed based on the specific needs of the patient. Some common types of FESS surgeries include:

• Sinusotomy: This procedure involves widening the natural openings of the sinuses to improve drainage and ventilation. It can be performed on any of the sinus cavities, including the maxillary, ethmoid, frontal, and sphenoid sinuses.
• Ethmoidectomy: Ethmoidectomy focuses on removing diseased or obstructed tissue from the ethmoid sinuses, which are located between the eyes. It helps improve airflow and drainage in this area.
• Antrostomy: Antrostomy is performed to enlarge the opening of the maxillary sinus, which is situated in the cheekbones. It allows for better drainage and can be beneficial in cases of chronic maxillary sinusitis.
• Frontal Sinus Surgery: Frontal sinus surgery may be necessary when the frontal sinuses, located above the eyes in the forehead region, are affected. The procedure can involve widening the frontal sinus opening, removing polyps or diseased tissue, or addressing structural abnormalities.
• Sphenoid Sinus Surgery: Sphenoid sinus surgery is performed to treat conditions affecting the sphenoid sinuses, which are located deep within the skull behind the nose. This procedure may involve widening the sphenoid sinus opening, removing blockages, or addressing other issues in this area.
• Septoplasty: Although not strictly a sinus surgery, septoplasty is often performed in conjunction with FESS. It involves straightening the nasal septum, the partition between the two nasal passages, to improve airflow and sinus function.

The following tests are performed before FESS Surgery:

• Physical Examination: The doctor will examine the nose, sinuses, and surrounding areas thoroughly to determine the extent of the sinusitis and any other factors that may affect the FESS surgery.
• X-rays, MRI, or CT scans: These imaging tests may be used to provide a detailed view of the sinus cavities, allowing the doctor to identify any structural abnormalities or other issues that may be contributing to chronic sinusitis.
• Complete Blood Count (CBC): This test is used to assess an individual's overall health.CBC test helps in detecting any infections or abnormalities. This test is important before FESS Surgery to ensure that the patient does not have any infections or other health conditions that may adversely affect the outcome of the surgery.
• Liver Function Test (LFT) and Kidney Function Test (KFT): LFT and KFT tests are used to evaluate whether the liver and kidneys are working properly or not. These tests are important before FESS Surgery as the procedure may cause stress to these organs. Therefore, it is important to ensure that the liver and kidneys are functioning properly before the surgery to avoid any complications.
• Urine Routine & Microscopy: This test assesses the overall health of the urinary system. The test helps in detecting any infection or abnormalities in the urine. This test is important before FESS Surgery as the procedure may affect the urinary system. As a result, it is critical to ensure that the urinary system is in good working order prior to surgery.
• Viral Markers: This test is used to detect any viral infections like HIV, Hepatitis B or C, etc. These infections can be transmitted through blood and it is important to check for them before FESS Surgery, as the procedure may expose the patient to blood.
• Blood Grouping: This test is used to find the patient's blood group. This is important before FESS Surgery as the procedure may require a blood transfusion. Knowing the blood group of the patient beforehand ensures that the transfusion is done with matched blood, reducing the risk of complications.

During a FESS Surgery, the following steps are taken:

• Patient Preparation: Before the surgery, the patient is prepared by administering general anesthesia or local anesthesia. The surgeon also reviews the medical history of the patient and verifies the area of the nose or sinus that needs treatment.
• Incision: The surgeon makes a small incision in the nostrils or at the base of the nose, which is called the columella. This gives access to the affected area.
• Sinus Exploration: The surgeon uses an endoscope, a thin tube with a light, and a camera at the end, to look inside the sinuses and identify the problem area. The surgeon may also remove any blockages or polyps during this step.
• Tissue Removal: If the surgeon identifies any damaged tissue, they will remove it using tiny surgical instruments. This may include removing bone or tissue that is blocking the sinuses.
• Repair: If there is any damage to the nasal structure or the sinuses, the surgeon can repair it at this point. To support the nasal structure, they may use grafts or implants.
• Incision Closure: When the procedure is finished, the incision is closed with stitches or staples. In some cases, the surgeon may employ dissolvable sutures that do not require removal later.
• Recovery: Following surgery, the patient is monitored in the recovery room before being discharged home. They are usually advised to avoid strenuous activity and to rest for a few days after the surgery. Follow-up appointments with the surgeon are planned to track the patient's progress.

FESS surgery offers the benefits listed below:

• Relieves Chronic Sinusitis: Chronic sinusitis can be effectively treated with FESS surgery. It involves the removal of inflamed and infected tissue, which helps to open up the sinuses and relieve congestion. This can provide significant relief from chronic sinusitis symptoms such as headaches, facial pain, nasal congestion, and post-nasal drip.
• Minimally Invasive: FESS surgery is a minimally invasive procedure performed with the aid of an endoscope. This means that the surgery is less invasive, resulting in less pain, faster recovery, and fewer complications.
• Improved Recovery Time: FESS surgery has a relatively quick recovery period as compared to traditional sinus surgery. Most patients can return to normal activities within a week to ten days of surgery.
• Reduced Risk of Complications: When compared to traditional sinus surgery, FESS surgery is known to have a lower risk of complications. This is due to the minimally invasive nature of the procedure which leads to less trauma to the surrounding tissue.
• Improved Quality of Life: Chronic sinusitis patients who undergo FESS surgery can significantly improve their quality of life. It can relieve symptoms that have been impacting the patient's daily life, such as difficulty breathing, headaches, and facial pain.
• Affordable Treatment: FESS surgery is an affordable treatment option as compared to similar procedures available in other countries. This makes it an appealing option for patients looking for high-quality medical care at a reasonable price.
• Experienced Surgeons: India offers highly experienced surgeons who are experts in FESS surgery. They have received extensive training and are capable of providing the best possible care to patients. This adds to the overall success rate and patient satisfaction.
• Access to Modern Healthcare Facilities: India has access to modern healthcare facilities that are well-equipped to handle advanced medical procedures. This ensures that patients receive the best treatment and care possible.

Here are some of the most common side effects of FESS surgery:

• Pain and Discomfort: One of the most common side effects of FESS surgery is pain and discomfort in the affected area. This is generally more prominent during the first few days after the surgery and can be managed with pain medications prescribed by the treating doctor.
• Bleeding: Another common side effect of FESS surgery is bleeding from the nose. While most patients experience only minor bleeding, some may experience more significant bleeding, which will require medical attention.
• Infection: Any surgical procedure, including FESS surgery, carries the risk of infection. Patients who have experienced an infection after the procedure will likely need to be treated with antibiotics.
• Numbness: Numbness or tingling in the face, teeth, or lips is one possible side effect of FESS surgery and it goes away on its own after a while.
• Changes in sense of Smell: FESS surgery can also cause temporary changes in a person's sense of smell, leading to a reduced ability to smell or taste things.
• Eye Problems: Some patients may experience eye problems after FESS surgery, such as double vision or a droopy eyelid. These side effects are usually transient and go away on their own.

The complete healing time after FESS can vary from several weeks to several months. While most patients experience significant improvement within a few weeks, it is essential to be patient and allow the body enough time to fully recover.

Here are some suggestions for a successful recovery after FESS Surgery:

• Follow post-operative instructions: Following the FESS (Functional Endoscopic Sinus Surgery) procedure, it is critical to follow the doctor's post-operative instructions. These instructions may include taking prescribed medications, rest, and a restricted diet.
• Manage pain and discomfort: Pain and discomfort after FESS surgery are normal. Taking the prescribed pain relievers and anti-inflammatory medicines will help manage the pain and reduce swelling.
• Use saline nasal spray: Using saline nasal sprays will keep the nasal passages moist, promote healing, and help wash out the debris that accumulates after surgery.
• Avoid physical exertion: During the initial recovery period, it is necessary to avoid any physical exertion, including strenuous exercises, lifting heavy objects, and bending over.
• Maintain oral hygiene: Poor oral hygiene can lead to various infections. It is critical to maintain good oral hygiene after FESS surgery by brushing and flossing on a regular basis.
• Attend follow-up appointments: Attending follow-up appointments with the doctor is crucial to monitor the healing process, checking for any complications, and make necessary adjustments to the treatment plan.
• Eat a healthy diet: Eating a well-balanced diet high in nutrients, vitamins, and minerals will aid in healing and recovery.
• Stay hydrated: Drinking plenty of fluids will help the body stay hydrated, avoid complications, and promote healing.