Functional Endoscopic Sinus Surgery (FESS)

Best sinus surgeon in Hyderabad | Dr Neetu Modgil

ENT specialists perform this procedure by inserting a thin and flexible instrument called an endoscope into the nose. A small camera with a lens mounted at its tip sends images to the screen – where doctor clearly sees blocked sinuses and other structural obstructions. In this surgical technique, the doctor uses other instruments to remove, diseased tissues, nasal polyps, scar tissue and any other obstructions to clean nasal channels. The surgeon may use local or general anaesthetic depending on the condition of the patient and their individual preferences.

In some cases, ENT surgeons repair nasal septum also during the procedure. The doctor may also perform the surgical reduction of the inferior turbinate. Before the procedure, your ENT doctor will discuss whether you require septal surgery and turbinate reduction.

What is Functional Endoscopic Surgery?

Surgery may sometimes become necessary to remove physical obstructions – such as nasal polyps – which may contribute to sinusitis.

Chronic sinusitis persists despite aggressive medical treatment. Antibiotic therapy may not be useful as the obstruction can only be removed by sinus surgery. Surgery becomes necessary if sinusitis is due to nasal obstruction – the root cause of which is any structural problems, nasal polyps or a deviated septum.

ENT doctors recommend sinus surgery for those who have chronic sinusitis to improve breathing by removing obstructions. The surgery helps in reducing the number of sinus episodes and improving the sense of smell and taste.

What are the Indications for Functional Endoscopic Surgery?

A bacterial infection is one of the main causes of chronic sinusitis. the treatment for it includes extensive antibiotics treatment. If the condition doesn’t improve and the symptoms persist for long, then an Ent surgeon recommends sinus surgery.

Functional endoscopic surgery might be required for mucocele drainage, which does not show any symptoms until they are large and compressing the brain or eye. Early drainage is required to prevent complications.

Diagnosis and Evaluation before the Surgery

ENT surgeon carefully considers several factors as this type of sinus surgery is complex. An initial evaluation includes a detailed patient history and physical examination, and then nasal endoscopy prior to beginning the procedure.

Dr Neetu Modgil performs a comprehensive head and neck examination with anterior rhinoscopy. For extensive nasal examination – if required – she will do full nasal endoscopy. The patient will be assessed for nasal polyps, turbinate hypertrophy, septal deviation, adenoid hypertrophy, ostiomeatal complex and nasal airway problems (dynamic external and internal valve collapse).

Before Functional Endoscopic Sinus Surgery

Before the surgery, the doctor orders a CT scan. Depending on the overall health of the patient, the other tests may include blood tests, ECG, and chest radiograph. The doctor may also prescribe some medications before the surgery.

What can you expect after a Functional Endoscopic Sinus Surgery?

Approximately two weeks after the procedure, some blood may ooze, which is normal, and slowly improves. It will be better if you do not blow your nose for at least two weeks following the surgery.

You will receive detailed instructions on your post-surgical care. This may vary depending on the extent and type of surgery.

Routine follow-up visits to the doctor after surgery is necessary for inspection and detailed monitoring of improvement. Medical treatment will be adjusted, and early scar tissues might be removed. A majority of the patients report significant improvement with surgery and continuous medical treatment.

If you are planning to have sinus surgery get done by the best sinus surgeon in Hyderabad who specializes in functional endoscopic sinus surgery, then discuss with him or her about the treatment outcomes and your expectations. To get better results, you should follow all the pre-and post-operative instructions of your doctor.

Dr Neetu Modgil is the best sinus surgeon in Hyderabad with more than 15 years of experience in FESS. For the best sinusitis treatment in Hyderabad, book an appointment with her.