If you’re suffering from chronic sinusitis and have exhausted all medical treatment options, your doctor may recommend a surgical procedure known as functional endoscopic sinus surgery (FESS). This involves using an endoscope—a tube with a tiny camera attached—to guide a surgeon in removing extra, inflamed tissue in order to open up the nasal passages with small instruments.
What Is Sinusitis?
Sinusitis is a common condition where the tissues that line the sinuses become swollen and inflamed. This traps fluid inside and promotes germ growth, causing an infection. Many factors can cause sinusitis, including nasal polyps, deviated septum, respiratory tract infections, allergies, foreign objects in the nose and additional medical conditions.
Chronic sinusitis results in a variety of cold-like conditions, including congestion, runny nose, facial pain and pressure, loss of smell, fever, fatigue and dental pain. It is considered chronic when symptoms last eight weeks or longer.
Treatment for chronic sinusitis involves medications such as decongestants, antihistamines, nasal sprays, saline rinses, oral steroids and antibiotics. Home remedies—using a humidifier, inhaling hot steam or a warm compress—often help relieve pain and discomfort. Sometimes, these treatments aren’t enough to clear up chronic infections. In those instances, your doctor might turn to surgery.
What Is FESS?
The goal of FESS is to open up the sinuses, allowing normal drainage to occur. This prevents infections and allows medications for allergies to work better.
To determine if you are a candidate for FESS, your doctor will thoroughly examine your ears, nose and throat, looking for obstructions and other abnormalities such as nasal polyps.
FESS is usually performed as an outpatient under general anesthesia. An endoscope is inserted in the nose, the sinus openings are inspected and excessive obstructive tissue is removed. The surgery is performed through the nostrils, making it a less invasive procedure than older, open procedures. It won’t leave scars or cause facial swelling or bruising. Post-operative care includes flushing the nasal passages to keep debris from building up. In some cases, antibiotics or steroids may be prescribed in order to speed up the recovery process.
Call St. Cloud Ear, Nose & Throat for more information or to schedule an appointment. (320) 252-0233