FESS is a minimally invasive, endoscopic surgery for nasal congestion and chronic sinusitis.
The procedure is performed through the nostrils, without external incisions, opening and clearing the natural sinus pathways.
When is FESS needed?
• Chronic sinusitis (unresponsive to medication)
• Nasal polyps
• Sinus blockage associated with allergic rhinitis
• Pain around the eyes, forehead, headache, pressure sensation
• Sinus cysts or anatomical narrowing
• Endoscopic biopsy or tumor removal
How is FESS performed?
• Under general or local anesthesia
• Thin camera (endoscope) and micro-instruments inserted through nostrils into sinus cavities
• Inflammation, polyps, and blockage removed
• Sinus drainage pathways reopened and airflow restored
• No incisions or stitches
Advantages of FESS
• Incision-free, minimally invasive
• Short surgery and recovery time
• Preserves natural anatomy of nose and sinuses
• Minimal pain and discomfort
• Significantly improves quality of life
After surgery
• Duration: 30–90 minutes
• Patient discharged same day or next day
• Mild bloody discharge and nasal fullness may occur for 1 week
• Nose should be regularly rinsed and cleaned (as per doctor’s instructions)
• Full recovery: 2–3 weeks
• Usually painless, with quick return to normal life
FAQs
1. Is FESS painful?
• Usually no. Performed under general or local anesthesia. Mild discomfort may occur afterward.
2. Why doesn’t medication work?
• In chronic sinusitis, blocked sinus pathways prevent medicine from working. FESS removes the blockage.
3. Can sinusitis recur after FESS?
• If underlying cause (allergy, deviated septum, etc.) is not corrected, recurrence is possible. Regular follow-up reduces risk.
4. When can I return to work?
• Usually within 2–5 days.