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Functional Endoscopic Sinus Surgery (FESS)
FESS stands for Functional Endoscopic Sinus Surgery. It is the modern approach to sinus surgery using endoscopes and minimally invasive techniques. The basic concept behind this surgery is to try and re-
The surgery usually consists of removing very small amounts of tissue from the nose, but from critical areas, through which the sinuses drain. Some patients with sinusitis also develop nasal polyps and these are also removed during FESS. In some cases it is also necessary for the surgeon to straighten the nasal septum (the midline partition between the two nasal cavities) in order to gain access to the sinuses.
After suitable vasoconstriction using ephedrine, the middle turbinate is identified. This is the most important landmark for the procedure. On the lateral wall of the nose at the level of the anterior end of the middle turbinate lies the uncinate process. This is removed, exposing the ethmoid bulla and the opening called the hiatus semilunaris, into which the frontal and maxillary sinuses drain.
The anterior ethmoid air cells are then opened, allowing better ventilation but leaving the bone covered with mucosa. Following this, the maxillary ostium is inspected and, if obstructed, opened by means of a middle meatal antrostomy. This minimal surgery will often be sufficient to greatly improve the function of the osteomeatal complex and therefore provide better ventilation of the maxillary, ethmoid and frontal sinuses.
|Cardiac Care & Surgery|
|Ear, Nose & Throat|
|Stem Cell Therapy|
|Face and Head|
|Liposculpture - Liposuction|
|Face and Neck Lift|
|Genioplasty - Chin|
|Otoplasty - Ear Reshaping|
|Rhinoplasty - Nose|
|Functional Endoscopic Sinus Surgery (FESS)|
|Tonsillectomy & Adenoidectomy|
|Anterior Cruciate Ligament Repair|