Endoscopic Sinus Surgery at World Class Hospitals in India

Endoscopic sinus surgery is a procedure designed to open the natural drainage pathways of the sinuses to restore their function and health. In chronic sinusitis, the sinuses are unable to drain adequately due to inflammation of the narrow drainage pathways. As a result, nasal secretions can become trapped in the sinuses and become chronically infected.

The goal of surgery is to carefully remove the thin, delicate bone and mucous membranes that block the drainage pathways of the sinuses. The term “endoscopic” refers to the use of small fiberoptic telescopes that allow all of the surgery to be performed through the nostrils, without the need for any skin incisions. Endoscopic sinus surgery is generally performed on an outpatient basis.

Functional Endoscopic Sinus Surgery (FESS)

In earlier days, sinus surgery involved making cuts in the nose, face and mouth to reach the sinuses. The incisions were painful and slow to recover. The scars remained for a long

time. The advent of laparoscopic surgery has revolutionised nasal sinus surgery in India.

FESS is much less invasive than older conventional surgical methods. But because the extent of sinus disease varies from person to person, surgery may be a relatively minimal

procedure or an extensive and prolonged operation. With FESS there is very little postoperative discomfort – and an excellent chance of improvement in symptoms. It has

become a common procedure, but a background check of the surgeon is advisable.

What to expect before, during, and after surgery?

Before Surgery: In preparation for your surgery, your physician may prescribe preoperative medications to optimize the condition of your sinuses for surgery. The medications may include antibiotics and/or oral steroids. Please be sure to start any preoperative medications on the appropriate day and adhere closely to the prescription. In addition, you should avoid taking the following medications for at least fourteen days prior to surgery: aspirin, ibuprofen (Motrin/Advil), naproxen (Aleve), other non-steroidal anti-inflammatories (NSAIDS), vitamin E (multivitamin is OK), gingko biloba, garlic (tablets), and ginseng.

During Surgery: In most cases, you will receive general anesthesia for your surgery, which means you will be asleep for the entire procedure. However, if you have a preference for local anesthesia, please let your doctor know as this may also be an option in some cases. After your surgery has been completed, you will spend about one hour in the recovery room, followed by an additional recovery period of 1-2 hours in the second stage recovery unit. Most patients feel well enough to go home the day of surgery. You will most likely go home without nasal packing.

After Surgery: You can expect mild bleeding for 1-2 days after surgery and a general sense of fatigue for 1-2 weeks after surgery. In general, pain can be successfully controlled with narcotic or non-narcotic medications. For more details about postoperative care, please see the separate guide, “Postoperative Care Instructions.” You will have a series of postoperative visits that are critical for a successful outcome. At each visit your doctor will perform a procedure called nasal endoscopy to check how the sinuses are healing. An additional procedure called debridement may be necessary in order to clean blood from the sinuses and prevent early scar tissue formation. (Please note that these procedures are not included in the surgical charge and thus are billed separately.) Your visit schedule will usually consist of 3 visits over the first 6 weeks. Thereafter, your visits will be spaced a few months apart, depending on how well your sinuses are healing.

Advantages of Functional Endoscopic Sinus Surgery (FESS)

• It is a safe and minimally invasive procedure, usually no cuts, blood loss.
• It does not disturb healthy tissue.
• It is performed in less time with better results.
• No visible signs that surgery has been performed.
• Quick Recovery and return to normal lifestyle.

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