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Functional Endoscopic Sinus Surgery: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Sinusitis is a condition, which causes the nasal passageway to get blocked by a tissue or bone growth. Its severe stages are known as chronic sinusitis. In such cases, the passageways get blocked at such an extent that breathing becomes almost impossible. To alleviate the condition, doctors usually perform an intrusive procedure, known as functional endoscopic sinus surgery.

This surgery usually takes around an hour to be completed and relieves most of the symptoms of acute sinusitis. Once the treatment is complete, patients should be able to perceive the difference easily. The nasal passageways are usually cleared out, which should allow the patient to breath in an easier manner.

There are some side effects to the treatment that may show up. After the surgery, post-treatment is also required to completely recover from the effects. 90% of the patients report that the surgery is successful.

How is the treatment done?

Functional endoscopic sinus surgery is performed at a hospital or a clinic. In it, the doctor inserts an endoscope inside the nasal passageway. This gives the physician a better idea of the area inside that needs to be cleared.

Alongside the endoscope, specialized surgical instruments are also inserted into the nasal cavity. These instruments allows the removal of bones and tissue blocking the passage. Polyps and excess mucous are also removed using these instruments. In some severe cases, a laser tool may also be used to burn away the unwanted tissues, clearing the nasal cavity in the process. Local anaesthesia is normally used, but general anesthesia can also be administered.

The procedure does not take too long to be completed and in most cases such a surgery can be finished in under two hours. However, further treatment may be needed if the surgery is unsuccessful in removing the sinusitis completely. Medications are sometimes prescribed to avoid infection and relapse. Antibiotics are the most common form of drug that may be prescribed, but other medicines can be used as well.

Patients may take a few weeks to recover from the surgery. Blood from the nose may be noticed during recovery. Patients should keep gauze handy in case of blood discharge from the nasal cavity. In case of inflammation, nasal spray may also be used for six months post the surgery.

Who is eligible for the treatment? (When is the treatment done?)

Functional endoscopic sinus surgery is recommended for people who have acute sinusitis. The surgery is the last option and is usually reserved for those cases where the severe sinusitis does not respond to other forms of treatment and medication.

Who is not eligible for the treatment?

Acute sinusitis patients whose condition can be managed through medication are generally not eligible for the surgery. However, they may elect to go for the same, nonetheless. Individuals suffering from minor sinusitis or no sinusitis are not eligible for the surgery.

Are there any side effects?

As with any surgical procedure, there are some risks to the treatment. However, the risk decreases exponentially if the surgery is performed by an experienced doctor.

Some of the side effects include failure to resolve the issue, recurrence of the sinusitis even after surgery. Nasal damage may also be caused if an inexperienced physician performs the surgery. Similarly, damage can also be caused to the eyes and the base of the skull. Other possible side effects include partial loss of sense of smell.

If the surgery is being performed using general anesthesia, the patient must ensure that they do not eat or drink anything for at least 8 hours prior the procedure. The patient should not be suffering from fever during the surgery as well to avoid complications.

What are the post-treatment guidelines?

After the surgery, patients may notice blood from the nose. This usually stops a few weeks after the procedure. Antibiotics and anti-inflammatory meds may be prescribed to the patient as well. Saltwater washes for the nose needs to be used to keep the passageway moist. Certain activities such as blowing the nose and strenuous exercises must also be kept in check at this point.

How long does it take to recover?

Once the surgery is complete, the patient may need anywhere between 3-4 weeks to recover completely. In case of complications, the recovery period may be longer as well.

What is the price of the treatment in India?

The surgery costs anywhere between Rs. 20,000 to Rs. 75,000. Taking into account the cost of the medication and other items, the total cost comes to around Rs. 25,000 to Rs. 80,000.

Are the results of the treatment permanent?

The surgery may not always be successful in removing the issue completely. Further surgeries may be needed to weed out the disorder

What are the alternatives to the treatment?

Alternative treatment for chronic sinusitis includes a procedure known as Balloon Sinuplasty. A small balloon shaped catheter is inserted into the blocked passageway. After insertion, the balloon is inflated to open up a space in the nasal cavity, relieving the blockage.

Although this treatment is fairly unorthodox, quite a few clinic now offers this treatment. However, this treatment is most likely not available in India yet.

Popular Questions & Answers

Sir / mam I have diagnosed with chronic sinus .doctor gave me medicine like coriminic tablet, ryltras spray, antibiotic but after 15 day uses it does not go. And my medicine is ended .so can I continue coriminic tablet for longer use .as it relive my eye ,cheek pressure of sinus.

MBBS, MS - ENT
ENT Specialist, Lucknow
Dear lybrate-user, relax.as far as chronic sinus problems are concerned medicines have little to no role to play. You must explore surgical option as in fess (functional endoscopic sinus surgery. That done and your eye cheek pressure would get res...

Hi. I have been suffering from a constant ringing sound in my right ear since the last two months. Have also had a ct scan of the brain which showed I have sinus. Have been prescribed with trinergic l and otocap to be eaten once a day. But my condition hasn't improved. What should I do next?

MBBS, MS - ENT
ENT Specialist, Lucknow
Dear lybrate-user, you most likely have chr. Sinusitis the treatment for which is surgical fess {functional endoscopic sinus surgery}. This may relieve your tinnitus[ringing in ear].

She suffered with sinus infection. She contacted doctor and used some medicine. She is doing fine. But now again she is suffering with Sinus infection. Give some best Suggestions for her. Hopefully waiting for your Positive Responses.

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Bangalore
Septal deviation is one of the reasons for a sinus involvement. Get a CT scan of the sinuses done to confirm that the sinuses are affected. Enlarged inferior turbinates blocks the sinus openings thereby affecting the normal functioning of the sinu...

I have nose leakage And Blocking Problems From 2 or 3 months Recently I visited a doctor he said that I have a sinus operation And my question is What is sinus operation and what is exactly done in sinus operation?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Hi lybrate-user. Sinusitis occurs bcz of inadequate drainage of sinus that may be due to many reasons like mass or polyps in nose or deviated septum or polypoidal mucosa due to allergy. Surgery for sinusitis is called FESS (functional endoscopic s...
5 people found this helpful

Sir I have sinus .i usually take steam with karvol capsule. And it provides relif sir can I take steam by karvol capsule for long time as I have chronic sinus.

M.S. (Master of Surgery) - ENT, DLO, MBBS
ENT Specialist, Bhopal
Dearest Lybrate user, chronic sinusitis needs tobe investigated and may need appropriate intervention.

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