Sinus Surgery

Functional Endoscopic Sinus Surgery (FESS) is a type of minimally invasive surgery used to treat chronic sinus problems. It aims to improve sinus drainage and function by removing blockages or diseased tissue using a thin telescope called an endoscope.

FESS may be recommended if you have:

• Chronic sinusitis not responding to medication
• Nasal polyps
• Recurrent sinus infections
• Sinus symptoms affecting quality of life
• A structural issue blocking the sinuses
  

• FESS is performed under general anaesthetic
• The surgeon uses an endoscope and fine instruments through the nostrils—no external cuts are made
• Blocked sinus openings are widened, polyps may be removed, and diseased tissue cleared
• The procedure usually takes 1–2 hours, depending on the extent of disease
  

• Mild nasal bleeding or discharge for a few days
• Nasal congestion and crusting while healing
• Some discomfort or pressure in the face
• You may need time off work for up to 2 weeks depending on your recovery
  

• Use saline rinses regularly to keep the nose clean
• Avoid blowing your nose for at least 1 week
• Avoid dusty environments and heavy lifting
• Attend follow-up appointments for nasal cleaning and review
• You may be prescribed nasal steroid sprays to prevent recurrence
  

FESS is generally safe but, like all surgery, carries some risks:

• Bleeding
• Infection
• Scar tissue or adhesion formation
• Eye injury (rare)
• CSF leak (very rare)
• Persistent or recurrent symptoms
  

• Relief from sinus pressure and congestion
• Reduced infections and need for antibiotics
• Improved nasal breathing and sense of smell
• Better quality of life and symptom control
  

• Heavy or persistent bleeding
• Fever or signs of infection
• Swelling around the eye or visual changes
• Clear fluid dripping from the nose (rare)
  

Speak to your ENT surgeon if you have questions about the procedure.

Useful websites:

• NHS: www.nhs.uk
• ENT UK: www.entuk.org