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Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses.Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
This picture shows important anatomy involved in endoscopic endonasal surgery. The pituitary gland sits at the top of the picture behind the sphenoid sinus. This approach is the most common and useful technique of endoscopic endonasal surgery and was first described in 1910 concurrently by Harvey Cushing and Oskar Hirsch.
Kennedy pioneered endoscopic sinus surgery, a method which he named functional endoscopic surgery (FESS) and which became the standard surgical treatment for chronic rhinosinusitis. [2] [3] [4] Kennedy was recognized by the American College of Surgeons as one of the most influential surgeons of the 20th Century. He developed the first rhinology ...
Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia. The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization. A flexible guide wire is then introduced into the targeted sinus to confirm access.
Intranasal ethmoidectomy (Functional Endoscopic Sinus Surgery) is the most predominant type of ethmoidectomy with a success rate of 79%. [18] [20] First, the patient is injected with local anaesthetic and adrenaline to decongest the nasal cavity. Next, the middle turbinate is cautiously medialised to render the cribriform plate intact.
Sinusitis, also known as rhinosinusitis, is an inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include production of thick nasal mucus, nasal congestion, facial congestion, facial pain, facial pressure, loss of smell, or fever. [6] [7] Sinusitis is a condition that affects both children and adults.