Overview
Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure performed through the nostrils to treat chronic sinus infections and nasal polyps. It removes obstructions like nasal polyps or swollen tissue to improve sinus drainage, relieve pressure, and restore smell.
Who It Helps
FESS may be recommended if you
- Have recurrent acute sinusitis, chronic sinusitis, nasal polyps or allergic rhinosinusitis that doesn’t respond to medication
- Have frequently used antibiotics or nasal sprays with little relief
- Experience persistent congestion, headaches, or loss of smell
What Happens
The Operation
Under general anaesthesia, an Ear, Nose and Throat (ENT) specialist inserts an endoscope to visualise the sinus cavities, then removes diseased tissue, bone or polyps.
Dissolvable packing will most often be placed in the nasal cavity. This does not need to be removed and will dissolve within a few days. In a minority of cases, removable plastic splints may be placed inside the nose, which are removed a week after your surgery by Dr Kelly.
Going Home
Most patients can be discharged on the same day and will require someone to take them home. It is recommended you allow at least 7 to 10 days away from work and/or studies. Depending on the nature of the surgery, some patients may require a longer period off work.
Recovery Information
Nasal Washes
You must commence nasal washes the day after surgery. It is recommended you do not blow your nose for 48 hours after surgery.
Healing
It may take several weeks for your nasal symptoms to resolve. During this period you may require antibiotics, nasal washes or nasal sprays to aid healing of the sinuses.
Activity
Sport or vigorous exercise should not be undertaken for 2 weeks.
What Is Normal
You can expect significant blockage and tenderness of the nose as well as headaches in the days after surgery. These symptoms may be quite pronounced for 1 to 2 weeks. Small amounts of blood from the nose in the initial days after surgery are common. Pain relief should be taken regularly for maximal effectiveness.
When To Call Your Doctor
High fever
Excessive bleeding that won’t settle with simple measures like compressing the nose
Excessive swelling of the nose or near any incisions
Visual disturbance or severe headache
Persistent nausea or vomiting
Post-Operative Care Instructions
Detailed aftercare guidance for your surgery, to keep and refer back to.
Frequently Asked Questions
Is FESS performed through the nose?
Yes. FESS is minimally invasive and performed through the nostrils using an endoscope, under general anaesthesia.
Will I go home the same day?
Most patients are discharged on the same day and need someone to take them home.
How much time off work will I need?
Allow at least 7 to 10 days away from work or study. Some patients may need longer depending on the surgery.
Does the nasal packing need to be removed?
Dissolvable packing is most often used and dissolves within a few days. If removable splints are used, Dr Kelly removes them a week after surgery.