Functional Endoscopic Sinus Surgery (FESS) in Rockwall, Forney & Wylie

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What is functional endoscopic sinus surgery (FESS)?

Functional endoscopic sinus surgery, also known as FESS or the FESS procedure, is a type of sinus procedure that corrects structural abnormalities within the nose that can lead to chronic sinusitis and related breathing problems. It is performed using a small camera called an endoscope that enables the ENT doctor to complete the surgery using detailed image guidance.

Lakeside Allergy ENT is home to the best otolaryngologists in Texas. Our ear, nose, and throat doctors serve patients of all ages at our three convenient locations in Rockwall, Forney, and Wylie TX. If you suffer from chronic sinusitis or breathing problems, contact us today. Our board-certified otolaryngologists have years of experience performing functional endoscopic sinus surgery (the FESS procedure) to treat sinusitis.

Request an appointment using the form on this page, or learn more about sinusitis and FESS below.

When is a FESS procedure recommended?

Functional endoscopic sinus surgery may be recommended for patients who have painful sinus symptoms that are not effectively relieved through conservative treatment therapies. You may be a candidate for FESS if you have one or more of the following:

  • Chronic sinusitis that lasts for 12 weeks or more
  • Chronic sinusitis that has not responded to medications and other conservative therapies
  • A history of 4 or more cases of acute sinusitis in one year
  • A deviated septum
  • Nasal polyps
  • Enlarged nasal turbinates (turbinate hypertrophy)

What does the FESS procedure involve?

Functional endoscopic sinus surgery involves surgical removal of any tissue in the nose and sinuses that are preventing proper drainage. The FESS procedure is typically performed in a hospital setting or surgery center. Unlike the techniques used in older sinus surgeries, functional endoscopic sinus surgery involves more careful and strategic removal and repositioning of structures within the nose, done with the guidance and precision of camera imaging.

During FESS, patients can expect the following:

  • General and/or local anesthesia will be administered so that you feel no pain throughout the procedure.
  • Once sedated, your doctor will insert an endoscope, a tiny tube with a camera attached to it, through the nostril. Using this camera guidance, the problem areas within the nose can be examined up close and carefully treated with specialized tools.
  • Any abnormal tissue that is impacting sinus function and drainage will be removed or repositioned using small surgical instruments inserted through the nostrils.
  • In some cases, your doctor may place a device called the Propel sinus implant at the surgery site. The spring-like implant keeps the surgical area wide open, and slowly releases a low dose of cortisone to prevent scar formation or polyp regrowth. Propel usually dissolves over a four-week period.
  • After the surgery, you may experience some minor swelling and discomfort and you may experience a temporary feeling of stuffiness for about a week.
  • In most cases, you’ll be able to return home the same day as the procedure and resume normal activities within a week.
  • Most patients experience a significant improvement in breathing and relief from symptoms following surgery.

What are the advantages of Functional Endoscopic Sinus Surgery?

With endoscopic sinus surgery, there are numerous advantages over the traditional sinus surgery techniques of years past. Benefits of FESS include:

  • Less invasive sinus procedure
  • Positive, long-lasting results
  • Minimal discomfort
  • No external scarring
  • Less removal of tissue
  • Less bleeding
  • Less pain
  • Fewer complications
  • Can be performed in conjunction with placement of a Propel sinus implant for longer lasting surgical outcomes

Lakeside Allergy ENT is home to three board-certified otolaryngologists who specialize in diagnosis and treatment of all ear, nose, and throat related disorders, including sinusitis that requires surgical treatment. If you are suffering from the symptoms of chronic sinusitis and you want to learn more about functional endoscopic sinus surgery (FESS), call our office at 972-771-5443 or get started by requesting an appointment using the form on this page.

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