Functional endoscopic sinus surgery is a minimally invasive technique used to restore sinus ventilation and normal function. The hummer microdebrider is a powered rotary shaving device with continuous suction. Functional endoscopic sinus surgery was developed in austria in the 1970s and brought to the united states in the mid1980s. More invasive externalapproach procedures were replaced with functional endoscopic sinus surgery fess, which is now the standard of care for. Functional endoscopic sinus surgery american family. The steps of functional endoscopic sinus surgery fess are described.
Endoscopic sinus surgery fess functional endoscopic. Functional endoscopic sinus surgery ut southwestern medical center page 4 department of otolaryngologyhead and neck surgery or temporary numbness of the lip may occur, as well as swelling or bruising around the eye. Jun 16, 2015 maa ent institute presents functional endoscopic sinus surgery fess is a surgical treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute, and chronic sinus problems. As an analogy, a sinus cavity can be thought of as balloon with an aerated portion and a small opening. There are four paired sinus cavities maxillary, ethmoid, sphenoid and frontal. Anatomy, threedimensional reconstruction, and surgical technique. Nasal endoscopy with debridement one week post fess. Functional endoscopic sinus surgery fess nuffield health. An overview of sinus surgery functional endoscopic sinus surgery is a popular surgery used for treating sinus infections. Chronic rhinosinusitis crs is an inflammation of the nose and paranasal sinuses that persists for 12 or more weeks. Subtle changes in the sound of your voice are common. Ppt principles of functional endoscopic sinus surgery powerpoint presentation free to download id.
The procedure requires no incisions on the face but utilizes telescopes which are long thin rods of glass wrapped with stainless steel providing illumination and visualization in the nose and sinus pathways. About functional endoscopic sinus surgery fess by gerry mcgarry bleeding bleeding is a risk of any operation. Sometimes, it is beneficial to widen this opening to aid in the longterm function of the sinus as well as to remove disease and secretions from the. Goldberg, in complications in head and neck surgery second edition, 2009. Endoscopic sinus surgery is performed through your nostrils and does not result in any facial scars or change to the outside shape of your nose.
Ppt principles of functional endoscopic sinus surgery. Functional endoscopic sinus surgery fess is a highly. Placement of steroideluting stent after sinus surgery. Review article functional endoscopic sinus surgery.
The sinuses are airfilled spaces at the front of the skull that are connected to the inside of your nose. Chronic rhinosinusitis crs is an inflammatory condition in which the nose and at least one sinus become swollen and interfere. Functional endoscopic sinus surgery fess is often a noninvasive medical procedure that discloses sinus air cells and sinus ostia openings by having an endoscope. Major bleeding is extremely uncommon and it is very rare for a transfusion to be required. Functional endoscopic sinus surgery is generally reserved for those patients with chronic rhinosinusitis inflammation of the mucosal tissues of the nose and sinuses that persists despite aggressive medical treatment typically antibiotics, oral steroids, topical nasal sprays, mucus. Functional endoscopic sinus surgery is most commonly used to treat chronic rhinosinusitis, only after all nonsurgical treatment options such as antibiotics, topical nasal corticosteroids, and nasal lavage with saline solutions have been exhausted. Ppt functional endoscopic sinus surgery powerpoint. Why have i been recommended for functional endoscopic sinus surgery. It should be noted that fess is excellent for improving the nasal airway and rhinorrhoea, but the results for hyposmiaanosmia are much less predictable.
Its use in functional endoscopic sinus fes surgery allows precise and delicate removal of diseased tissue. Functional endoscopic sinus surgery fess is a surgical treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute, and chronic sinus problems. On occasion, functional endoscopic sinus surgery may be required for the drainage of mucocele a blocked sinus that is filled with mucus and slowly expanding. Then you can start reading kindle books on your smartphone, tablet, or computer no kindle device required. The theory behind functional endoscopic sinus surgery fess is to reestablish drainage from the maxillary, ethmoid, sphenoid, and frontal sinuses. Functional endoscopic sinus surgery chicago, ill expert. Functional endoscopic sinus surgery enlarges pathways to the sinuses.
Functional endoscopic sinus surgery fess is a set of minimally invasive surgical techniques which allow direct visual examination and opening of the sinuses for the treatment of chronic rhinosinusitis which has not responded to medical. This video was given to the jlo website by dr mark samaha, assistant professor in the department of otolaryngology at mcgill university, montreal, canada functional endoscopic sinus surgery 3 on vimeo. It is done using a special tube that can be passed through the nose. This video segment illustrates the endoscopic visualization achieved during endoscopic sinus surgery.
Endoscopic sinus surgery fess functional endoscopic sinus. Functional endoscopic sinus surgery fess indications. Functional endoscopic sinus surgery article in operative techniques in otolaryngologyhead and neck surgery 203. Mucus and other fluids regularly drain from the sinuses through small pathways to the throat. Essentials of functional sinus surgery 2nd edition. Powered functional endoscopic sinus surgery sciencedirect.
Removal of tissue obstructing the osteo meatal complex 2. Sinusitis is an infection of the mucous membrane that lines the sinuses. May 08, 2019 please be advised that this video contains graphic footage of surgery. Functional endoscopic sinus surgery fess is a set of minimally invasive surgical techniques which allow direct visual examination and opening of the sinuses for the treatment of chronic rhinosinusitis which has not responded to medical treatment. They will use instruments to remove any polyps and to widen the passages from your sinuses into your nose. Module 1 functional endoscopic sinus surgery fess duration. Functional endoscopic sinus surgery fess has now become a well. Using fess just like a sinus surgical method is becoming broadly accepted. The remaining 35 patients underwent endoscopic frontal sinus drillout surgery without the use of an imageguidance system. Please be advised that this video contains graphic footage of surgery. Your doctor has suggested you have endoscopic sinus surgery as part of your treatment. Functional endoscopic sinus surgery with osteotomy and drainage of maxillary sinus.
They are connected to the nose and can get inflamed or infected leading to drainage, congestion, decreased smell. Functional endoscopic sinus surgery widens the passage between the sinus and the nose so that mucus can not get trapped. Inoffice balloon dilation of the frontal sinus under local anesthesia. The use of fess allows for a much less invasive and traumatic procedure, resulting in shorter. Functional endoscopic sinus surgery patient information. Will functional endoscopic sinus surgery cure my sinus problems.
It is called functional because it aims to return the working. Principles of functional endoscopic sinus surgery description. Functional endoscopic sinus surgery ethmoid mucocele. In the ophthalmic field, fess plays a crucial role in the management of a few conditions, but not without risks. Your surgeon will use a small telescope endoscope to examine your nasal passages. Endoscopic frontal sinus drillout in 100 patients facial. Mucoceles typically produce no symptoms until they are quite large and compressing the eye or brain.
The most suitable candidates for this procedure have recurrent acute or. A skillful and knowledgeable surgical team provides the greatest benefit to patients who undergo powered fess procedures. Pdf functional endoscopic sinus surgery fess part 1. In addition, allowing the ostiomeatal complex to stay patent is an important factor in reestablishing mucociliary clearance from the dependant sinuses. Functional endoscopic sinus surgery is considered a success if most of the symptoms, including nasal obstruction, sleep quality, olfaction and facial pain, are resolved after a 12 month postoperative healing period. May 10, 2020 in 1984, the concept of functional endoscopic sinus surgery fess, initially described in austria and germany, was introduced to the us since that time, it has become the approach of choice for.
Functional endoscopic sinus surgery is the use of telescopes and cameras through the nose to reach, open, and clear out the sinuses. In the first of a twopart series, martyn barnes and colleagues discuss indications for functional endoscopic sinus surgery fess, the surgical objectives and techniques, patient expectations and. Endoscopes are used to restore drainage of the paranasal sinuses and ventilation of the nasal cavity. Powered instrumentation in functional endoscopic sinus. Surgery fess information for patients from head and neck.
Blood loss and visibility with esmolol vs labetalol in. Sinus surgery, or fess functional endoscopic sinus surgery is a procedure where the sinus cavities are examined and opened to provide improved drainage. However, endoscopic sinus surgery is often an important part of the overall management strategy. Oct 10, 2012 how is functional endoscopic sinus surgery performed. Functional endoscopic sinus surgery winchester hospital. Functional endoscopic sinus surgery procedures have revolutionized the surgical treatment of chronic sinusitis, and the advent of powered instrumentation has further enhanced the results of these procedures. The use of the microdebrider provides an excellent, safe and thorough technique in. Functional endoscopic sinus surgery unc otolaryngology. Functional endoscopic sinus surgery fess has become the accepted standard approach and technique when surgical treatment of sinusitis is indicated. How is functional endoscopic sinus surgery performed. The sinuses are hollow areas in the skull that are arranged in pairs. Aug 21, 2017 functional endoscopic sinus surgery fess is a surgical treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute, and chronic sinus problems. Fess functional endoscopic sinus surgery mucocele mucous cyst ethmoid cells. Chronic rhinosinusitis with or without nasal polyposis which has not responded sufficiently to medical treatment.
Endoscopic sinus surgery functional endoscopic sinus surgery the sinuses are hollow areas in the skull occupying the space above, between and below the eyes. Functional endoscopic sinus surgery the introduction of endoscopic surgical techniques during the 1980s drastically changed the treatment for patients with recurrent or refractory rhinosinusitis. Significant hemorrhage during endoscopic sinus surgery is an unusual event, and it occurs in only 0. Functional endoscopic sinus surgery fess is now a well. This video demonstrates the microdebrider technique for functional endoscopic sinus surgery performed by dr. Anesthesia for functional endoscopic sinus surgery. Sep 19, 2016 functional endoscopic sinus surgery the introduction of endoscopic surgical techniques during the 1980s drastically changed the treatment for patients with recurrent or refractory rhinosinusitis. They are connected to the nose and can get inflamed or infected leading to drainage, congestion, decreased smell, fatigue and pain.
It is possible that the disease may not be cured by the operation, or that disease may recur at a later time. The location of the tip of the instruments was depicted on a video display of the patients preoperative ct scan including 3dimensional, axial, coronal, and sagittal views. Maa ent institute presents functional endoscopic sinus surgery fess is a surgical treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute, and chronic sinus problems. It is very common for small amounts of bleeding to come from the nose in the days following the operation. Fess is a set of minimally invasive surgical techniques which. Josephson, md, explains when its appropriate to opt for sinus surgery.
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