Sinus Surgery (FESS) - Functional Endoscopic Sinus Surgery

Sinus surgery is a key option for patients who suffer from chronic sinus problems and do not experience improvement with conservative treatments. These treatments include medications, natural methods such as inhalations and teas, or topical therapies. Sinus problems are common in modern society, with most cases caused by viral infections that often resolve on their own. However, complications such as bacterial infections require targeted medical intervention.

For individuals with certain anatomical abnormalities, such as a deviated nasal septum, nasal polyps, or other obstructions that hinder mucus drainage, the risk of developing chronic inflammation significantly increases. These patients often experience facial pain and pressure, headaches, nasal congestion, and an unpleasant sensation of postnasal drip, all of which can severely impact their quality of life.

Paranasal Sinuses – Importance and Function

The paranasal sinuses are air-filled cavities located within the skull that play a crucial role in proper breathing and the overall function of the upper respiratory tract. They are divided into maxillary sinuses (located below the eyes), frontal sinuses (in the forehead area), ethmoid sinuses (between the eyes), and sphenoid sinuses (deep behind the nose). All sinuses are lined with respiratory epithelium, which facilitates their function. When inflammation occurs, it is referred to as sinusitis, which is often associated with nasal inflammation, leading to a condition known as rhinosinusitis.

Sinus infections can range from acute (lasting up to one month) to chronic (persisting for more than three months), with some cases being linked to dental problems or anatomical deformities.

Functional Endoscopic Sinus Surgery (FESS)

FESS, or Functional Endoscopic Sinus Surgery, is currently the leading method for treating chronic sinus problems. This minimally invasive technique allows for precise visualization of the affected areas using an endoscope, eliminating the need for traditional skin incisions. The goal of the surgery is to remove obstructions that interfere with the natural drainage of the sinuses and restore their normal function. The procedure is performed through the nostrils, preserving the natural anatomy and functionality of the sinuses.

The endoscopic approach provides precise control during surgery and significantly reduces the risk of complications. Specialized tools, such as a microdebrider, can be used to remove damaged tissue, while lasers help minimize bleeding and accelerate healing.

Innovative Technologies for Precision and Safety

The integration of modern technologies into sinus surgery, such as navigation systems, enables surgeons to visualize anatomical structures in real time with three-dimensional accuracy. This significantly enhances the precision of the procedure and reduces the risk of damage to sensitive areas, such as the eye sockets or skull base. The microdebrider allows for gentle removal of diseased tissue, while the laser helps minimize bleeding, ensuring a faster recovery for patients.

Diagnostic Evaluation Before Sinus Surgery

Every patient with chronic sinusitis must undergo a thorough diagnostic evaluation to determine the optimal treatment approach. The evaluation includes:

• Physical examination

• Endoscopic nasal examination to assess anatomical irregularities.

• CT or MRI scan of the sinuses for a detailed analysis of the affected areas.

• Microbiological analysis of nasal samples.

• Allergy testing to identify potential allergens.

Recovery and Expectations After FESS

For most patients, recovery after surgery proceeds without complications and with minimal discomfort. Patients can often resume daily activities within a week. However, for a full recovery and return to physical activities, a waiting period of three weeks is recommended. The use of prescribed nasal drops can help reduce swelling and accelerate healing.

Advantages of the Minimally Invasive Approach

FESS offers numerous benefits over traditional methods, including:

✔ Reduced risk of complications
✔ Shorter hospital stay
✔ Faster return to daily activities
✔ Minimal trauma to surrounding tissue

Our mission is to provide each patient with an individualized approach that incorporates the most advanced methods and technologies, ensuring maximum safety and comfort. If you have any questions or need a consultation, feel free to contact us.