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FESS: Taking The Pain From Chronic Sinusitis

Chronic sinusitis is a common condition which occurs when the sinuses become swollen and inflamed for a minimum of twelve weeks despite attempts at treatment. It can be caused by an infection, nasal polyps, or a deviated septum. Functional endoscopic sinus surgery is designed to alleviate the symptoms of chronic sinusitis when other treatments have failed. Before undergoing FESS, patients should understand the procedure and the possible complications.

Center for Minimally Invasive Surgery Understanding the FESS Procedure and Benefits

Under the knife: what to expect from FESS

FESS is a minimally invasive procedure involving the use of endoscopes (small telescopic cameras) to examine the nose and sinus cavities. This not only allows the surgeon to diagnose the condition properly but also to perform very precise surgery without causing damage to the surrounding tissue. FESS allows the surgeon to view all four sinus cavities and remove tissue to alleviate the condition. Frequently, this type of surgery is performed on an outpatient basis.

The surgery can be performed under local or general anesthetic. The operation can take anywhere between two and four hours; this will depend on the extent of the surgery that is required. The nose may feel congested for two or three days after surgery, and mild pain can be treated with over-the-counter analgesics. If the surgery also involved septum repair, the patient may require nose splints for up to one week.

Staying informed: FESS risks and complications

FESS does involve some risks and potential complications. These include infection, bleeding, double vision (this usually only lasts for an hour or two after surgery), leakage of brain fluid into the nasal cavity, blindness, and risk of meningitis. Although FESS surgery does provide long-term relief from chronic sinusitis, it only corrects areas that are damaged by the disease. People who have recurrent chronic sinusitis may need to repeat the surgery in the future.

Opting out: alternatives to FESS

People who are looking for a non-invasive alternative to FESS often choose balloon sinuplasty. During this procedure, a catheter is inserted into the opening of the sinus and inflated to open up the cavity. This relatively new technique is already showing promise for mild sinus disease. In cases of severe sinus disease, it is sometimes used alongside FESS. The risks are the same but somewhat lower than in FESS.  People who suffer from chronic sinusitis for a period of twelve weeks or more may be suitable candidates for FESS. If the disease is not too severe, balloon sinuplasty may be a possible alternative.

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“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
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“Dr. Best…is the best!”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”

“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”

“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”

“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”

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“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”

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“Anesthesia staff was outstanding!”

“Amazing nurses, very caring and friendly and put both me and my son at ease.”

“Everyone was concerned with my comfort.”

“The staff was very polite, they were excellent. They explained exactly what was going on.”

“All staff were wonderful.”

“Everyone was friendly and the place was very clean.”

“The nurses were very nice and caring!”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“Dr. Best…is the best!”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”

“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”

“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”

“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”

“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”

“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”

“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”

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“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”

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