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Functional Endoscopic Sinus Surgery (FESS) in Gurgaon

Functional endoscopic sinus surgery (FESS) is a minimally invasive procedure used to treat chronic sinusitis and various sinus disorders. By accessing sinuses through the nostrils with an endoscope, FESS can address issues like nasal polyps, sinus tumours, recurrent sinus infections, and structural abnormalities.
If you're considering a functional endoscopic sinus surgery, reach out to us or book a direct appointment with our ENT specialist. At the CK Birla Hospital, we are dedicated to ensuring that your functional endoscopic sinus surgery is as safe, comfortable, and effective as possible. We're here to guide you every step of the way toward a successful recovery.
Functional Endoscopic Sinus Surgery (FESS):
CK Birla Hospital

Sinusitis, or sinus inflammation, can arise from various factors, such as:

  • Viral Infections: Common cold or flu viruses often trigger sinusitis by inflaming sinus tissues.
  • Bacterial Infections: Following viral illnesses, bacteria can infect sinuses, necessitating antibiotics.
  • Allergies: Reactions to pollen, dust, or pet dander cause nasal and sinus inflammation.
  • Nasal Polyps: Noncancerous growths obstruct sinus passages, leading to infections.
  • Deviated Septum: Structural shifts in the nasal cavity can block sinus drainage.
  • Respiratory Infections: Infections like upper respiratory infections can spread to sinuses.

Contributors to sinusitis include immune disorders, air pollutants, and activities like swimming. Consultation with a healthcare professional is essential for accurate diagnosis and tailored treatment.

Functional endoscopic sinus surgery (FESS) is vital for treating chronic sinusitis and related conditions. Delays in undergoing this procedure can pose these risks and complications:

  • Chronic Sinusitis Symptoms: Persistent nasal congestion, facial pain, and headaches can worsen, impacting daily life.
  • Recurrent Infections: Untreated sinus issues often lead to stubborn infections, requiring frequent antibiotic courses.
  • Spread of Infection: Chronic sinusitis can extend beyond the sinuses, causing severe infections in nearby areas like the eyes or brain.
  • Nasal Polyps: Delayed treatment may trigger nasal polyp growth, complicating future surgical interventions.
  • Loss of Smell/taste: Prolonged sinus issues can cause anosmia, challenging to restore.

Consulting with an ENT specialist is crucial. They assess the necessity of FESS based on your condition, minimising risks and enhancing outcomes. Early FESS intervention effectively manages chronic sinus problems, averting severe complications and enhancing overall quality of life. 

The cost of a functional endoscopic sinus surgery varies as per the specific type of treatment advised by a healthcare provider, such as:

  • Uncinectomy
  • Maxillary antrostomy
  • Ethmoidectomy
  • Sphenoidotomy
  • Frontal sinusotomy
  • Balloon sinuplasty

The cost can also vary widely depending on several factors, including the location, the extent of the treatment, the doctor’s experience, and the hospital’s pricing structure.

To get an explicit estimate for the cost of a functional endoscopic sinus surgery at the CK Birla Hospital, contact the hospital directly. Additionally, you can consult with our board-certified ENT specialist to discuss your specific needs and receive a personalised quote for the treatment. 

Functional endoscopic sinus surgery (FESS) encompasses several specific techniques targeting chronic sinusitis, which are:

  • Uncinectomy: Removal of the uncinate process to enhance sinus drainage.
  • Maxillary Antrostomy: Enlargement of the maxillary sinus opening for improved ventilation.
  • Ethmoidectomy: Removal of diseased ethmoid sinus cells to enhance drainage.
  • Sphenoidotomy: Enlargement of the sphenoid sinus opening for better ventilation.
  • Frontal Sinusotomy: Surgery on the frontal sinus to remove diseased tissue or enlarge the opening.
  • Balloon Sinuplasty: Minimally invasive procedure using a balloon to widen sinus openings

These procedures aim to restore normal sinus function while preserving nasal anatomy. Selection depends on patient symptoms and sinus condition assessed via endoscopic examination and imaging studies.

Preventive measures against sinusitis focus on the following:

  • Hygiene: Hand washing is a good way to stop the spread of bacteria.
  • Hydration: Stay well-hydrated to keep nasal passages moist.
  • Allergen Control: Minimise exposure to allergens like pollen and dust.
  • Nasal Care: Use saline sprays or rinses to clear nasal passages.
  • Humidification: Use a humidifier to maintain air moisture at home.
  • Avoid Smoking: Smoke irritates nasal passages.
  • Treat Colds Promptly: Manage symptoms to prevent complications.
  • Balanced diet: Support immune health with nutritious foods.

Also, manage stress and avoid prolonged dry air exposure. If sinus issues persist, consult a healthcare professional for tailored advice.

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What is the Diagnosis Before a Functional Endoscopic Sinus Surgery?

Before functional endoscopic sinus surgery (FESS), patients undergo comprehensive evaluation, which includes:

  • Medical History: Symptoms like nasal congestion, facial pain, and loss of smell are reviewed.
  • Physical Examination: An ENT specialist examines the nose, sinuses, and throat, often using nasal endoscopy.
  • Imaging Studies: CT or MRI scans provide detailed sinus images.
  • Nasal Endoscopy: Direct visualisation of sinus openings helps assess inflammation or polyps.

Allergy testing and additional diagnostics may complement the evaluation process. The goal is to ensure FESS is the appropriate intervention to address sinus issues effectively.

What are the Pre-treatment/surgery Instructions for a Functional Endoscopic Sinus Surgery?

Before undergoing functional endoscopic sinus surgery (FESS), patients should follow important pre-treatment guidelines to optimise their safety and outcome. Here’s what you need to know:

  • Medical Evaluation: Your overall health will be assessed to identify any conditions that might impact the surgery.
  • Medication Review: Inform your doctor about all medications, as adjustments may be needed before surgery.
  • Allergies: Provide a detailed list of allergies, especially to medications or anaesthesia.
  • Smoking Cessation: Quit or reduce smoking to promote better healing and reduce complications.
  • Blood Tests: Depending on your health, blood tests may be required to assess clotting ability.
  • Fasting: Typically, fasting (including water) for around 8 hours before surgery is advised.
  • Hygiene: Use antibacterial soap on the morning of surgery to lower infection risk.

Always notify your doctor if you develop any illness before surgery for potential rescheduling. Following these guidelines ensures a successful FESS procedure tailored to your health needs.

What are the Post-surgery Instructions for a Functional Endoscopic Sinus Surgery?

Following functional endoscopic sinus surgery (FESS), it’s crucial to adhere to these post-operative instructions for optimal healing and to minimise complications:

  • Nasal Care: Follow the advice on nasal packing removal and perform saline rinses to keep passages clean.
  • Activity: Avoid strenuous activities and bending over to reduce nasal pressure.
  • Medications: Take prescribed pain relievers, antibiotics, and nasal sprays as directed.
  • Diet and Hydration: Stay hydrated with fluids and opt for a soft diet initially.
  • Follow-up: Schedule appointments for monitoring and removal of nasal splints or stitches.
  • Complications: Monitor for signs of infection or excessive bleeding.
  • Rest and Recovery: Get ample rest and avoid smoking

Consult your surgeon promptly for concerns or unexpected symptoms.

How do You Recover After a Functional Endoscopic Sinus Surgery?

Recovering after functional endoscopic sinus surgery (FESS) involves careful steps to ensure proper healing:

  • Follow instructions: Adhere to post-operative guidelines from your surgeon regarding medications, nasal care, and activity restrictions.
  • Nasal care: Use saline sprays or irrigation to keep nasal passages moist. Avoid forceful nose blowing to prevent trauma.
  • Pain management: Take prescribed pain relievers and avoid aspirin or NSAIDs (non-steroidal anti-inflammatory drugs) unless directed.
  • Rest and hydration: Rest and stay hydrated to aid healing. Avoid strenuous activities initially.
  • Diet: Consume soft foods and fluids to ease swallowing.
  • Avoid irritants: Avoid being around allergens, pollutants and smoke. 

Attend follow-up visits and watch for signs of complications like infection. Gradually resume normal activities based on your surgeon’s advice. Recovery typically improves sinus symptoms within a few weeks.

FAQs about Functional Endoscopic Sinus Surgery (FESS)

FESS is a minimally invasive procedure for chronic sinusitis. An endoscope is used to remove obstructions and open sinus passages, restoring normal function. It’s effective for sinus-related conditions like nasal polyps and recurrent infections.

FESS candidates have chronic sinusitis resistant to standard treatments like antibiotics or nasal sprays. Also considered are nasal polyps, recurring infections, or sinus structural issues.

FESS is done under general anaesthesia as outpatient surgery. Using endoscopes, surgeons clear blockages, enlarge sinus openings and remove tissue, leading to quicker recovery and fewer complications than traditional surgery.

FESS improves chronic sinusitis symptoms like facial pain, headaches, congestion, and breathing issues by restoring sinus drainage and ventilation, reducing infection frequency, and enhancing quality of life.

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