What is functional endoscopic sinus surgery (FESS)?
It is a minimally invasive surgery which is performed to improve sinus ventilation with the use of nasal endoscopes to widen the paranasal sinus nasal drainage pathways.
Consult our best ENT surgeon in Bangalore at Aster RV hospital to treat your sinus problems.
What is the diagnosis procedure for FESS?
Nasal endoscopy and CT scans.
In this procedure, an otorhinolaryngologist or ENT physician will diagnose the patient's condition with the use of a telescope. It allows for a clear view within the nose and sinuses, and along with sinus, CT scans to identify the underlying problem. The nasal telescope provides the view for opening the natural drainage passages during sinus surgery.
What are the benefits of FESS?
Lesser hospital stay
Resume back to normal activities in 1-2 weeks
When is functional endoscopic sinus surgery indicated?
The functional endoscopic sinus surgery is preferred for individuals with chronic rhinosinusitis that persists despite aggressive medical treatment.
What are the evaluations required for functional endoscopic sinus surgery?
It starts with an assessment of detailed medical history and physical examination, including nasal endoscopy, previous CT scans and treatment records.
What is the initial treatment for chronic rhinosinusitis?
The initial treatment is a medical therapy that includes antibiotics, oral steroids, topical nasal sprays, mucus thinning drugs, and/or anti-allergy treatments.
How do I prepare for Sinus surgery?
It is recommended to have a CT scan before surgery. Based on your overall health condition, tests such as blood work, EKG and CXR are recommended.
Typically, the physician will recommend medications before surgery and you should take medication as prescribed by the doctor. Also, follow the instructions below:
Do not take aspirin or salicylate-containing analgesics at least 10-14 days before the surgery.
Do not take non-steroidal anti-inflammatory drugs for at least five days before surgery.
Stop vitamin E supplements and herbal remedies to avoid the risk of bleeding.
Avoid smoke for at least three weeks prior to surgery.
Do not eat or drink before the surgery until midnight. If you are under medication, ask during your pre-surgical evaluation if the medication can be taken on the morning of surgery.
Schedule your post-operative visits before surgery, which is an important part of the surgical procedure.
What will happen during Sinus surgery?
Sinus surgery or procedures is usually performed under general anesthesia. The surgery will start after the anesthesiologist administers the anesthetic drugs and the surgeon performs surgery.
It is rarely necessary to place traditional nasal packing at the end of the surgery. In some instances, resorbable material may be placed in the sinuses as it helps to control bleeding and acts as a dressing and in other instances, no material whatsoever is placed in the sinuses. Intraoperative findings may need adjustments to the surgical procedure to obtain the best possible result. Also, Septal surgery and turbinate reduction will be reviewed before surgery with you if your surgeon feels that it is necessary.
What are the common risks of functional endoscopic sinus surgery?
Cerebral Spinal Fluid (CSF) Leak
Decreased sense of smell
Other risks you may experience include tearing of the eye, numbness or discomfort in the upper front teeth, swelling, bruising, or temporary numbness of the lip may occur, swelling or bruising around the eye and Subtle changes in the sound of your voice are common.
What can I expect after sinus surgery?
Some bloody discharge may occur for about 2 weeks, it is normal & improves slowly post-surgery. You should not blow your nose after surgery, as normal sinus drainage might be reestablished and you may blow the thick bloody mucus, which is also normal.
After surgery, you will receive the detailed guidelines from your doctor about post-operative care. The details may differ, but in most instances, these measures include nasal irrigations,
oral antibiotics and pain medicine.
Also, a routine checkup is necessary post-surgery for cleaning and inspection of the surgical cavity. Early scar tissue is removed and treatment strategy will be adjusted.
EES - Endoscopic Ear Surgery
What is Transcanal endoscopic ear surgery?
Transcanal endoscopic ear surgery (TEES) is minimally invasive surgery performed on tiny, delicate structures within the middle ear.
What are the benefits of Transcanal endoscopic ear surgery?
No visible incision
Better view of the treatment area
What are the conditions that need TEES?
Acoustic neuroma, Cerebrospinal fluid (CSF) leak, Cholesteatoma, Cholesterol granuloma, Facial nerve disorders, Congenital or acquired ossicular chain fixation or discontinuity, Osteoma, Otosclerosis, Paraganglioma, Ruptured eardrum, Temporal bone encephalocele and Tympanosclerosis.
What are the treatment options for endoscopic ear surgery?
What is stapedotomy?
It is a surgical procedure to remove the stapes bone, which is one of the three tiny bones of the
Why stapedotomy is performed?
Stapedotomy is performed to relieve the hearing loss caused by the disease called otosclerosis.
The Department of ENT at Aster RV consists of Best ENT specialist in Bangalore who are experts in handling complex ENT conditions.
What are the surgical risks and possible complications of stapedotomy?