The FESS approach is beneficial to both the doctor and the patient. First, it permits physicians to make a more accurate diagnosis and target the medical and surgical treatment more precisely. After surgery, the endoscopic technique provides the tools to continue treatment right in the doctor’s office. During these subsequent checkups, the surgeon can remove persistent, recalcitrant and recurrent infections, scar tissue, and recurring polyps under a local anesthesia. Your surgeon can also direcdy observe and monitor medical treatment success.
FESS procedures are relatively pain free: most patients need no more than a few Tylenols after surgery. When FESS is performed in the operating room, the surgery is often completed under local anesthesia (therefore obviating the need for general anesthesia and the related risks). An anesthesiologist is always present to administer sedation as necessary. In most cases, the surgery is performed on an outpatient basis, though an overnight stay is occasionally required, especially if you live far from a hospital or suffer from asthma. It is interesting that FESS
is usually performed through the nostrils. The surgery rarely requires any cuts on the face, the way that traditional surgery was performed; therefore, there are rarely external scars. The procedure is performed after the patient is sedated with intravenous medicines and then involves an initial numbing of the nose. Then tiny telescopes are inserted along with a variety of microinstruments to remove diseased tissue and obstruction. This allows for appropriate drainage of the sinuses. During the surgery, you may hear a sound like the crunching of eggshells: This is normal and nothing to worry about. Packing is rarely required, and afterward there is minimal bleeding and rarely are there any black-and - blue marks on the face. Patients usually walk out of the hospital and are back to work the next working day. As a matter of fact, I have had patients leave the operating room and go straight back to work, or go shopping.