Functional endoscopic sinus surgery (FESS) was developed in the 1950s
and has revolutionized sinus surgery. The surgical strategy is to
remove diseased sinus mucosa from the major sinuses. The role of FESS is linked to
the theory that the best way to obtain healthy sinuses is to open the
natural pathways to the sinuses.
Once an improved drainage system is achieved, the diseased sinus mucosa may return to normal.
Modern-day FESS utilizes the endoscope, an ultra thin rigid camera, for direct
examination of the openings into the sinuses. With such state-of-the-art
micro-telescopes and instruments, abnormal and obstructing tissues are easily
removed. The entire surgical procedure is performed through the nostrils,
leaving no external incision or scar.
There is no facial swelling and only mild discomfort for a day or two.
The advantages of endoscopic sinus surgery include less removal of sinus tissue,
surgery in an outpatient setting, and faster recovery. Our patients undergo removal
of nasal packing 1 to 2 days following surgery and are given simple clearly
written postoperative instructions. They often resume work 1 week after surgery.
Balloon Sinuplasty System:
Balloon Sinuplasty devices represent a new technology
in the opening of blocked sinuses, and in many cases, without tissue or bone removal.
The FDA-cleared Relieva Balloon Sinuplasty procedures are used by qualified Ear,
Nose and Throat physicians.
Step 1:
Using the balloon Sinuplasty system, your physician
gently places a Sinus Guide Catheter and a flexible Sinus Guidewire through the
nostrils to access the target sinus. Then a Sinus Balloon Catheter is advanced over
the Sinus Guidwire.
Step 2:
The sinus Balloon Catheter is positioned across the
blocked sinus opening and gently inflated.
Step 3:
The Balloon Sinuplasty system
is removed, leaving an open sinus passageway and restoring normal sinus drainage
and function.