Endoscopic sinus surgery





Definition

Functional endoscopic sinus surgery (FESS) is a minimally invasive surgical procedure that opens up sinus air cells and sinus ostia (openings) with an endoscope.

The use of FESS as a sinus surgical method has now become widely accepted; and the term "functional" is meant to distinguish this type of endoscopic surgery from nonendoscopic, more conventional sinus surgery procedures.


Purpose

The purpose of FESS is to restore normal drainage of the sinuses. Normal function of the sinuses requires ventilation through the ostia (mouth-like opening) and is facilitated by a mucociliary transport process that maintains a constant flow of mucus out of the sinuses. All sinuses need ventilation to prevent infection and inflammation, a condition known as sinusitis. In healthy individuals, sinus ventilation occurs through the ostia into the nose. The sinuses open into the middle meatus (curved passage in each nasal cavity) under the middle turbinate (thin, bony process that is the lower portion of the ethmoid bone in each nasal cavity), which together are known as the osteomeatal complex, the key area of the nose. The hair-like cilia direct the flow of mucus toward the ostia.

Sinusitis develops when there is a problem in the area where the maxillary and frontal sinuses meet near the nose or, occasionally, by dental infection. When sinusitis occurs, the cilia work less efficiently, preventing the flow of mucus. The mucous membranes of the sinuses become engorged, resulting in ostia closure. Poor ventilation and accumulation of mucus then produce the conditions required for bacterial infection.

During endoscopic sinus surgery, a doctor uses an endoscope to view the inner cavities of the nose (A and B). Using special instruments, the doctor opens the sinuses to alleviate problems with sinusitis (C and D). (Illustration by GGS Inc.)
During endoscopic sinus surgery, a doctor uses an endoscope to view the inner cavities of the nose (A and B). Using special instruments, the doctor opens the sinuses to alleviate problems with sinusitis (C and D). (
Illustration by GGS Inc.
)

Demographics

Sinusitis is a very common condition, affecting 31 million Americans each year; 30% of the United States population have sinusitis at some point in their lives. The average adult has three to four upper respiratory infections a year; 1% of these infections are complicated by sinusitis, accounting for 16 million visits to the doctor each year.


Description

After inducing adequate vasoconstriction with cocaine or ephedrine, the surgeon locates the middle turbinate, the most important landmark for the FESS procedure. On the side of the nose at the level of the middle turbinate lies the uncinate process, which the surgeon removes. The surgeon opens the back ethmoid air cells, to allow better ventilation, but leaves the bone covered with the mucous membrane. Following this step, the ostium located near the jaw is checked for obstruction and, if necessary, opened with a middle meatal antrostomy. This surgical procedure often greatly improves the function of the osteomeatal complex and provides better ventilation of the sinuses.

FESS offers several advantages:

  • It is a minimally invasive procedure.
  • It does not disturb healthy tissue.
  • It is performed in less time with better results.
  • It minimizes bleeding and scarring.

Diagnosis/Preparation

As with many diseases, the history of a patient with sinusitis represents a key part of the preoperative evaluation. Before considering FESS, the ear, nose and throat (ENT) specialist will proceed with a thorough diagnostic examination. The development of such diagnostic tools as the fiberoptic endoscope and CT scanning has greatly improved the treatment of sinus disease. The fiberoptic endoscope is used to examine the nose and all its recesses thoroughly. The specific features the physician must examine and evaluate are the middle turbinate and the middle meatus, any anatomic obstruction, and the presence of pus and nasal polyps.

CT scanning can also be used to identify the diseased areas, a process that is required for planning the surgery. It shows the extent of the affected sinuses, as well as any abnormalities that may make a patient more susceptible to sinusitis.

FESS is usually performed under local anesthesia with intravenous sedation on an outpatient basis with patients going home one to two hours after surgery. It usually does not cause facial swelling or bruising, and does not generally require nasal packing.


Aftercare

FESS usually does not cause severe postoperative sinus pain. After the procedure, it is important to keep the nose as free from crust build-up as possible. To achieve this, the surgeon may perform a lengthy cleaning two to three times per week or the patient may perform a simple nasal douching several times a day. Normal function usually reappears after one or two months. In patients with severe sinusitis or polyps, a short course of systemic steroids combined with antibiotics may quicken recovery.


Risks

The most serious risk associated with FESS is blindness resulting from damage to the optic nerve. The chances of this complication occurring, however, are extremely low. Cerebrospinal fluid leak represents the most common major complication of FESS, but it occurs in only about 0.2% of cases in the Unites States. The leak is usually recognized at the time of surgery and can easily be repaired. Other less serious and rare complications include orbital hematoma and nasolacrimal duct stenosis. All of these complications are also associated with conventional sinus surgery and not only with FESS.

Normal results

The FESS procedure is considered successful if the patient's sinusitis is resolved. Nasal obstruction and facial pain are usually relieved. The outcome has been compared with that of the Caldwell-Luc procedure and, although both methods are considered effective, there is a strong patient preference for FESS. The extent of the disease before surgery dictates the outcome, with the best results obtained in patients with limited nasal sinusitis.


Morbidity and mortality rates

According to the American Academy of Family Physicians (AAFP), FESS usually has a good outcome, with most studies reporting an 80–90% rate of success. Good results have also been obtained in patients who have had previous sinus surgery.


Alternatives

  • Image-guided endoscopic surgery. This method uses image guidance techniques that feature a three-dimensional mapping system combining CT scanning and real-time data acquisition concerning the location of the surgical instruments during the procedure. It allows surgeons to navigate more precisely in the affected area. The surgeon can monitor the exact location of such vital organs as the brain and eyes as well as positively identifying the affected areas.
  • Caldwell-Luc procedure. This procedure is directed at improving drainage in the maxillary sinus region located below the eye. The surgeon reaches the region through the upper jaw above one of the second molars. He or she creates a passage to connect the maxillary sinus to the nose in order to improve drainage.

Resources

BOOKS

Bhatt, N. J. Endoscopic Sinus Surgery: New Horizons. Independence, KY: Singular Publishing Group, 1997.

Bhatt, N. J. The Frontal Sinus: Advanced Surgical Techniques. Independence, KY: Singular Publishing Group, 2002.

Marks, S. C., and W. A. Loechel. Nasal and Sinus Surgery. Philadelphia: W. B. Saunders Co., 2000.


PERIODICALS

Engelke, W., W. Schwarzwaller, A. Behnsen, and H. G. Jacobs. "Subantroscopic laterobasal sinus floor augmentation (SALSA): an up-to-5-year clinical study." International Journal of Oral and Maxillofacial Implants 18 (January-February 2003): 135–143.

Graham, S. M., and K. D. Carter. "Major complications of endoscopic sinus surgery: a comment." British Journal of Ophthalmology 87 (March 2003): 374–377.

Larsen, A. S., C. Buchwald, and S. Vesterhauge. "Sinus baro trauma—late diagnosis and treatment with computeraided endoscopic surgery." Aviation & Space Environmental Mediciine 74 (February 2003): 180–183.

Ramadan, H. H. "Relation of age to outcome after endoscopic sinus surgery in children." Archives of Otolaryngology & Head and Neck Surgery 129 (February 2003): 175–177.

Wormald, P. J. "Salvage frontal sinus surgery: the endoscopic modified Lothrop procedure." Laryngoscope 113 (February 2003): 276–283.


ORGANIZATIONS

American Academy of Otolaryngology-Head and Neck Surgery. One Prince St., Alexandria, VA 22314-3357. (703) 836-4444. http://www.entnet.org/ .

Association for Research in Otolaryngology. 19 Mantua Rd., Mt. Royal, NJ 08061. (856) 423-0041. (301) 733-3640. http://www.aro.org/index.html .

North American Society for Head and Neck Pathology. Department of Pathology, H179, P.O. Box 850, Milton S. Hershey Medical Center, Penn State University School of Medicine, Hershey, PA 17033. (717) 531-8246. http://www.headandneckpathology.com/ .

OTHER

"Factsheet: Sinus Surgery." American Academy of Otolaryn gology—Head and Neck Surgery [cited May 5, 2003]. <http://www.entlink.org/healthinfo/sinus/sinus_surgery.cfm> .

Slack, R. and G. Bates. "Sinus Surgery." American Family Physician . 1 September 1998 [cited May 5, 2003]. http://www.aafp.org/afp/980901ap/slack.html .


Monique Laberge, Ph.D.

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


This procedure is usually performed on an outpatient basis by an ear, nose, and throat (ENT) specialist, such as an otolaryngologist or an ophthalmic surgeon. ENT physicians are graduates of a school of medicine and typically undergo an otolaryngology residency with further specialization in sinus disease and endoscopic sinus surgery.

QUESTIONS TO ASK THE DOCTOR


  • Why is sinus surgery required?
  • What are the risks involved?
  • How many endoscopic sinus surgery procedures do you perform in a year?
  • How much time will I need to recover from the procedure?
  • Is the procedure painful?
  • What are the alternatives?


User Contributions:

zafar iqbal
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Mar 18, 2007 @ 3:03 am
Dear Sir,

i have problem of post nasal drip and allergic rhinitis.
and also have nasal septum and large bone in my right nose.
can nasal surgery will be effected for me.

Regards
Zafar Iqbal
Cyril
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Oct 31, 2007 @ 4:04 am
This is a very informative article. I have conveyed some of the info to my fiancée as she was on her way to see a GP about her accute sinus pains since yesterday.

Thanks a lot!!!
Tina Moon
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Jan 5, 2009 @ 11:11 am
I had this surgery a few years back. Ever since, I have had a bad sinus headache. I've spoken to my Dr. several times addressing this issue, but all they tell me is that my sinuses don't look blocked and they have no explanation for my headache. Is this a side effect that others have or is this just me? I have been suffering for years now and it is affecting my quality of living, depression, etc. If I had some new info to present to my Dr, maybe he can actually help me. Thank you.
Sangeeta
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Mar 11, 2009 @ 5:17 pm
Sir,
I think you are the ringt one to ask.....My husband is having sever headaches every day.He had his maxillary sinus surgery in 2002.Now his frontal sinuses are blocked.But on the other hand he is not having any symtums of sinus like runny nose and watery eyes.Doctors told us to go for surgery,but are saying that they don,t think his headaches are related to sinus.They said there is 50-50 chances if his headaces will go off or get lesser... I am worring about the leakage risk during this surgery..pl.tell me percentage of that risk and also tell me if the surgery will help his headache??????
angie
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Aug 24, 2009 @ 2:02 am
hi, for 8 years i have been getting sinus infections my my sym include massive migrains ,stuffed nose ,face and teeth pain sometimes even nose bleeds and I was thinking about getting the surgery .do you think that Fess will help ??
Diana Taylor
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Dec 31, 2009 @ 9:21 pm
I had sinus surgery 1 1/2 yrs ago for a bad smell in my nose. After the surgey the bad smell returned (which turned out to be a pseudomonas infection) along with a terrific headache that i didn't have before. Now i have constant head pain from the surgery. Think twice before having this surgery. I can't find any dr to help me with this pain. Drs are anxious to give you the surgery but when a complication arises they will wash their hands of you and tell you it's all in your head, so be well informed!
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Sep 27, 2010 @ 12:00 am
Iv'e started having sinus problems in the beginning of summer time. I have been having 3 colds a year for at least 3 weeks at a time. Now it's to the point where i can't smell hardly anything. Maye i could have a blockage in my nose, i don't know. I had a CT scan done for my sinus to and i'm hoping the results will be in soon. Now i'm getting armpit pain in my right arm with a little rash could that be compatible, i don't know. It sure is painful while resting maybe could be a lymph node there or a pimple. We don't get any younger so it's good to take care of yourselfs while were still living. Thanks
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Nov 29, 2010 @ 12:00 am
What is this bad odor in my nose after sinu surgery?
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Dec 14, 2010 @ 12:12 pm
I had sinus surgery done by Dr. Ardito 12/7/09 located in Paoli, PA. During my surgery, the surgeon left my sinus cavity, fractured a bone which my muscle entered. When the muscle finally released with help from Wills Eye Hospital it was damaged. I was operated in March. It is now a year later. I have double vision, nerve damage, and now I find out my right sinuses were never fully cleaned (which I thought all along). Ask about the risks...I was never told this could happen. My entire life has changed and it will never be the same. The damage is permanent. I now have a contact that blurs the eye out permanently.
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Feb 10, 2011 @ 7:19 pm
I had an operation. since that I lost quality of life, lack of smell sensitivity, waterly runy nose, constant pain in right nose that I had never had. Nose no longer functions as used to be.
I do not have any benefit out of the surgery. Now I have to suffer all my life.
Sinustis was harmless for living. It was just temporaly situation when I had a cold simptom,I think.
Try alternative treatment without operation, I suggest you patients.
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Apr 15, 2011 @ 12:12 pm
You can follow up your sinus operate by using traditional herbal that will prevent the sinus spot from breeding again - which will be a waste if u let that happens (the cost of the surgery is NOT cheap!). More on this at:

firnena.com/eng

Just trying to help. Because i know how suffer it is to let be operate and then not to have the right antidote to prevent it from breeding again.
Rob
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Jan 12, 2012 @ 2:14 pm
After reading this comments and after my experience with sinus surgery I wouldn't recommend it.
I had surgery in 2001. The purpose was to remove polops by"scraping"
After the surgery I had severe and painful headaches. They went away after a few weeks, but they can recur anytime, especially after a bad cold or flu.
I still get them every few years and they are awful. I recently went to a neurologist and He was quite sure they are the result of sensitivity of the scar tissue. Apparently the situation is not curable.
Also my sense of smell has been terrible since the operation
Michelle
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Jan 19, 2012 @ 9:09 am
I had sinus surgery 3 years ago and I am now suffering from chronic headaches. I wake up every morning with a headache. The pain is located right between my eyes and it feels as if someone has punched me in the nose. The headaches are severe and nothing seems to help them. I have had a cat scan done and was told it appeared nothing was wrong. I am going to a neurologist and/or an ENT within the next week. I truely believe the headaches are somehow related to the sinus surgery. I do not have any other symptoms, such as stuffiness or sneezing. Just the terrible daily headaches that always start overnight. Any comments or suggestions??
SGT08691
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Jan 27, 2012 @ 12:12 pm
I am going to have the CT scan guided surgery at University of Pennsylvania on Tuesday. This was all explained to me in detail. I was also told that there will be a drilling thru my bone to get to two of my sinuses but pain and swelling would be minimal. I am not sure what bone but did not mentioned it would be in my mouth? They also said this could be done outpatient but recommended an overnight stay due to non-malignant growths of bone and birth defects which may make this surgery a bit long, close to 4 hours they said.

Wish me luck all. I have seen the best I am told with Dr. David Kennedy at University of Pennsylvania. His staff was wonderful, extremely thorough and reviewed my scans and MRI even from 20 years ago. I feel VERY comfortable going into this surgery.

Any comments or helpful hints or suggestions to help me prepare for after care/post operative pain or help needed?

I was told no work for at least a week or two. Is this true? Has anyone seen this take that long?

Side effects other than above?

I wear contacts so hopefully my old glasses will work for me. I do not plan to drive and have taken the week off work to stay and get better.

Thanks all
florence
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Mar 17, 2012 @ 10:22 pm
I had sinus surgery 6 months back and during operation doctor said it would only take one week to get well. but ever since I had surgery, I have head aches and these are worse than I had earlier with sinusitis. yes I don't suggest anyone to go for surgery until and unless 100% required. better to avoid foods and drinks which aggrevate sinusitis and protect yourself from cold weather. instead try some other medication for sinusitis and don't go for surgery.
Mary
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Jun 17, 2012 @ 8:08 am
I had a left maxillary mucus retention cyst that was blocking my right side 100% and a left deviated septum repair 2 and 1/2 weeks ago. Every since then I have had a severe sinus migraine. I had no headaches prior to surgery and this is just ruining my life. Cannot drive, don't know how I am going to be able to back to my job as a teacher, sensitivity to light and sound, ears are cracking and popping. I wish I NEVER went through with this surgery. I am not snoring as much at night, but would gladly change everything back to the way it was prior to surgery...Good luck to all and think it over very carefully before choosing surgery!
Mike
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Jun 26, 2012 @ 1:13 pm
Anyone reading this who is considering sinus surgery should run and hide from the ENT surgeons! I had sinus surgery 4 years ago to combat sinus infections. I was frustrated by these infections 3 to 4 times per year, so I decided to go in for the procedure after hearing about someone who had this done and was happy. The surgery left me with constant headaches, some manageable, many so severe that laying in bed is the only option. After 18 months of trying to figure out what was wrong with me, I decided that I needed to call Mayo Clinic. The ENT doc could not find anything wrong with me, so he referred me to the headache clinic. The neurologist who was assigned to me(Dr Cutrer) came into the room and and within two minutes had diagnosed me (he sees one to two people like me a week, who were at the end on the line and ended up at Mayo). He stated the problem was the small fibrous nerves that were designed to protect the head were damaged from the removal of the sinus tissue. The nerves reside throughout the tissue, so they would be always cut during this procedure. The nerves should or could repair themselves normally, but in my case they have rewired themselves incorrectly, causing false signals being sent to my brain. These false signal are telling the brain their is a problem, when there is actually no problem. The main issue is the severe headaches from the damage to the small fibrous nerves. The treatment that I was prescribed is Gabapentin 300mg. The drug is designed to suppress the nerves, it does usually work; the problem is you can top out of the maximum dose, and then have no where to go. I had seen many other Dr's, and it took a very high end Mayo Dr to figure this out. There is no cure!! I'm stuck trying to make the meds work (yes there are med side effects too)This has been the worst decision by far that I have ever made, my life is effected every day due to this. I have 3 young children to raise, and thanks to Dr. Douglas Raedy Portage Michigan, it is a monumental task just to get through a day. I'm beyond mad, I would not wish this on anyone (except Dr Raedy himself, run from this idiot for sure), the anger from this just should not exist. The bottom line is the vast majority of sinus surgery is not needed, the thickeneing of the sinus cavities does not need surgery. A simple sinus rinse would probably help the majority of people (just ask an RPH at the local Walgreens or wherever). Just stay away from sinus surgery!! If you had it done and have headaches, then you have either temporary or permanent nerve damage. Go find a neurologist at a high caliber headache clinic.
Donna
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Oct 11, 2012 @ 5:17 pm
I had sinus surgery 5 months ago. My only symptoms were that I sounded nasal and was tired. The CT scan showed that I had chronic sinusitis so I was convinced that if I had this surgery, with septum reconstruction, all would be back to normal. I still sound nasal / stuffed up and I feel worse than prior to the BIG dollar surgery. Since my ENT charged $900 for the first office visit I will probably just throw in the towel and accept the problem. I will NOT go thru this surgery again.
David
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Dec 30, 2012 @ 12:00 am
I had sinuse problem for years and had a surgery 6 years ago which helped and was fine but, few attacks here and there that went away with antibiotic.
For past 4 month I been very sick with headache, took all kinds of antibiotic and storied with no result. The cat scan showed upper left sinus blockage. My ent who is well known in NYC referred me to another ENT to do the surgery and open up the blockage. I would like to know if anyone has done this and what is the success rate? Also could anyone refer a good ENT in NYC area that specialized in upper sinius surgery.

Thank you
kris
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Jan 14, 2013 @ 2:02 am
i am very sick every day and i feel like sinus surgery might be the only way to be healthy again. my body always aches an feel like i have the flu. no energy to run or even walk slot. Does any one know any other ways to get well besides this ssurgery if no antti biotics worked and just make me sicker? i just dont know what to do any more..
Carrie
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Jan 24, 2013 @ 12:12 pm
I am scheduled to have the sugery, at this point there is no alternitive for me. This all started for me in Oct. of 2012, I went to the local Urgent Care ( my Dr. was booked) to summerize I have had 2rounds of Z packs a sulfa based (cillian allergy) and Cipro for antibiotics. After finally taking it upon myself to schedule an appt. with ENT I had a CT scan, the scan showed a severe infection of some type ( not sure if bacterial or fungal, however culture showed no bacterial growth in 2 days). My entire lower left cavities are 100% full, no air at all, it also showed the right side starting to fill. I am very thankful to my ENT for taking action right away. I do have frustration with the urgent care and insurance if someone had just done a light test or examination other than just looking at me this wouldn't have gone on so long. All I heard from Urgent care was heres some antibiotics, its just rebound congestion here is some more antibiotics, use the netti pot twice a day for two weeks heres some more antibiotics. Then you have to navigate through the insurance crap, you need a refferal, you need to have a course of antbiotic treatmeant before you can do this or that, then you can see a specialist if you dont you wont be fully covered. Ummm, what, really? Lets see, my nose, throat and ears hurt who should I go see?! If this had been caught sooner maybe I wouldn't need sugery, its just ridiculas to me that urgent care means "I really dont have to pay much attention to you at all. After reading all these posts I am more nervous, I am going ahead with the sugery, I just cant take the pain anymore. I will repost after to update, I do appreciate the other posts so if I am any simular issues I know at the very least what to have looked at.
Dannielle
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Feb 23, 2013 @ 5:17 pm
Hi,
I have suffered from chronic sinusitis for many many years. At first it was treatable with antibiotics but due to the frequency of the infections I became allergic to the antibiotics. After that my ENT Dr began treating me with steroids in the step down dosage packs. This helped a lot but I did not want to have to take steroids so much. Finally he recommended that I have a septoplasty. That surgery was wonderful for the first 3 years, I had almost no sinus infection and I could breath for for the first time. The only issue I had at first was that the incision in my nostril never healed right the scar tissue would scab up and it would cause mild pain and pulling in my nostril. At year 3 I began having sinus infections again, not as bad as before the surgery but enough to be bothered by them. I also started getting upper respiratory infections with the sinus infections. The URI's were the worst. My ENT Dr explained that the septum has whats called memory and over time it can begin to revert to its original shape (my was in the shape of an S almost completely blocking one nostril). It is not 4 1/2 years since my septoplasty and its now very noticeable that my septum is curved, it has cause my nose to become crocked. I spoke with my ENT about the problem and she does not suggest redoing the surgery as it will weaken the septum which could cause me additional issues. I have consulted a plastic surgeon about having my nose restructured to aid in my breathing along with having the openings to my sinus fractured to widen them. I belive it is similar to FESS but I'm not exactly sure as the surgeon did not mention FESS during our consultation. Has any one had the openings to there sinus fractured to help with sinusitis?
chandra
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Mar 7, 2013 @ 12:12 pm
i have done the fess procedure, but i am still unable to smell. The doctor said there were no guarantees although when i am taking antibiotics i do smell and as soon as the course is complete the smell goes away. Can anyone suggest what else can i do to get back my smelling, really desperate
Nomsa G Dube
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Mar 20, 2013 @ 6:06 am
my son is giong for the surgery as the doctor said bt now i have second thought whn i read your emails
Jan
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Apr 28, 2013 @ 10:22 pm
I have had five sinus surgeries over the past 16yrs.The pus and foul smell from my mouth and noise has kept me going back with the hope this will be the last one.
shrikant
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May 29, 2013 @ 10:10 am
whats the complication after surgery of maxillary sinus?
Val Evans
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Jun 28, 2013 @ 1:01 am
Hi

Since FESS and Septaplasmy surgery last Aug, I have experienced the following complications:

Hole in Septum
More blocked on left side than previously
Severe dry/bluury eyes that I cannot get control of
loss of smell and taste
Ecoli od sinuses
Loud rattles nose with whistle
More catarrh than previously
Tinnitus
Vertigo
Painful Nerve damage to roof of mouth
Emotional shut down as trapped in a world of my own
Desperation for something to resolve

I live in the UK and although we have the benefit of NHS, I have to wait 4/5 months between consultant apps and so far nearly a year on I am getting worse and nothing being resolved.

I was perfectly healthy 48 year old woman before surgery who other than experiencing chronic catarrh and scans revealing diseased sinuses! I led a healthy and active life. I am trying to start up physical activity again but I am struggling big time and no one will take responsibility in helping. My GPni fell is despairing on my behalf. I currently take a steroid spray and decongestant for my nose and constant lubrication for my eyes with now trying heat pad therapy.

I would not recommend surgery unless is the last resort as has wrecked my life.

Any suggestions or shared experiences would help greatly.
Val Evans
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Sep 7, 2013 @ 1:13 pm
Anyone reading this article please take note of the following;

Only consider FESS/Septaplasmy as last resort.
I had op a year ago and as a result have experienced the following complications:

Hole made in my Septum
Permanent nerve damage to the roof of my mouth
Ecoli infection in my nose
Tinnitus after the Ecoli infection that remains with me for 10 months now
Extremely dry/blurry eyes since post op day two
Worse congestion
Lost my smell
Lost my taste
Lost my emotions and something has now shut down on me
Vertigo

Unfortunately I was not for warned of any of this, which is why you need to know.
So if it is not life threatening or seriously affecting your life try any other alternative treatment eg. acupuncture etc
DO NOT RISK THE SURGERY!
arvind jade
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Jul 15, 2014 @ 4:04 am
HI,

i am having very major sinus problem my doctor said to me for FESS surgery for drainage nasal way but i am confused. it is 100% cure.
Sarita Sehgal
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Nov 4, 2014 @ 11:11 am
We got our 15 yr son opetated onENT advice for septum and mini fess we were told he will be back to school in 5 days .It is a month and we are a mental wreck with guilt .he still has cold , blocked nose and worse, discoloured mucus . Suctions are a torture for him and we feel like we are caught in a situation where we hate ENT visit but cant do w/o . ENT should clearly explain post op situtions to patients so tbat they can be mentally prepared.

I Feel guilty for putting my son thru all this

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