Functional endoscopic sinus surgery, or FESS, is a surgical procedure used to remove blockages in the sinuses. A thin camera with a light on the end called an Endoscope, will be used to magnify and see inside the sinuses. Specialized instruments will then be used to remove any sinus blockages such as nasal polyps or scar tissue. Straightening the septum and reducing the size of the turbinates may also be done, if needed. FESS is performed completely through the nostrils and does not involve cutting the skin. If Dr. Bublik, decides that you are a candidate for this procedure, he will discuss with you his recommendations, along with the associated risks.
Endoscopic sinus surgery uses a thin camera (endoscope) inserted through the nostrils to view and access the sinus passages. The surgeon removes or reshapes tissue, polyps, or bone that block drainage—without any external incisions—allowing the sinuses to function properly.
This procedure is typically recommended for patients with chronic or recurrent sinus infections, nasal polyps, or persistent sinus blockage that does not improve with medications such as antibiotics, nasal sprays, or saline rinses. An ENT will confirm candidacy through exams and imaging.
Most people return to light activities within about a week, though complete healing takes several weeks. During recovery, you should avoid nose-blowing, heavy lifting, or intense exercise until cleared by your surgeon. Gradual return to normal activity is expected.
While the procedure is very safe and effective, potential risks include bleeding, infection, changes in smell, or (rarely) injury to nearby structures. In some cases, sinus symptoms can return over time, and ongoing medical therapy or revision surgery may be necessary.
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