Functional Endoscopic Sinus Surgery (FESS)

Basic sinus surgery includes the maxillary and ethmoid sinuses. At Northwest ENT Surgery Center, we perform Functional Endoscopic Sinus Surgery (FESS), a minimally-invasive procedure that allows us to remove or correct diseased tissues in areas of sinus obstruction. It re-establishes normal sinus drainage pathways and greatly improves function.

Septoplasty, or deviated septum surgery, is often performed at the same time to ensure optimal nasal function and breathing.

Under general anesthesia, the natural openings of the sinuses are first enlarged. Any abnormalities in the sinuses are removed. The entire procedure is done through the nostrils with no external incisions. Surgery takes approximately 60 minutes, with patients ready to leave 3 to 4 hours after arrival.

After Surgery

Patients may experience minor discomfort for the first two to three days, but this should resolve over the next few days (Pain score: 3/10). Nasal bleeding is common the first day. Swelling and crusting inside the nose is common but gradually improve over several weeks.  There is usually no swelling or bruising of the face. No nasal packing is used.

Gradually resume normal activity 2-3 days after the procedure. Avoid exercise or heavy lifting for one week.

Out of town patients are cleared for travel the next day. We generally recommend a follow-up with an ENT specialist within one to two weeks after the procedure, although this may not be necessary in select cases.

For more information about functional endoscopic sinus surgery, contact Northwest ENT Surgery Center at (678) 483-8833.