Functional Endoscopic Sinus Surgery (FESS)
What is FESS?
Functional Endoscopic Sinus Surgery (FESS) is a modern, gentle surgery used to help people with long-lasting sinus problems that haven’t improved with medicines. During FESS, Dr Fragkiadakis uses a tiny camera (endoscope) and special tools to look inside your nose and clear out anything that’s blocking your sinuses, like swollen tissue, polyps, or thick mucus. The goal is to help your sinuses drain better and make you feel more comfortable, all while causing as little disruption as possible.
Why Might I Need FESS?
FESS is usually recommended if I have:
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Chronic sinusitis: Sinus infections or stuffiness that last more than 12 weeks, even after trying medicines.
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Nasal polyps: Soft, non-cancerous growths in your nose or sinuses that can block airflow.
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A deviated septum or other nasal structure issues: Sometimes, the shape of your nose inside can block your sinuses.
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Sinus growths or tumours: Rarely, abnormal growths may need to be removed.
Benefits of FESS
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No cuts on the face: Everything is done through your nostrils, so there are no visible scars.
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Faster recovery: Most people heal quicker and have less pain than with older types of sinus surgery.
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Better breathing and fewer infections: Clearing blockages helps your sinuses work normally again.
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Lower risk of complications: Because it’s less invasive, there’s less chance of problems.
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Keeps your nose looking the same: The surgery focuses on fixing function, not changing how your nose looks.
What to Expect After Surgery
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Right after surgery: It’s normal to have some stuffiness, drainage, or a little blood from your nose. This usually gets better in a few weeks.
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Caring for your nose: Dr Fragkiadakis may suggest using saline sprays or decongestants to help keep things clear and reduce swelling.
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Follow-up visits: You’ll have a check-up within a few weeks so Dr Fragkiadakis can make sure you’re healing well.
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Taking it easy: Avoid heavy exercise or blowing your nose for a couple of weeks. Sleeping with your head raised can help, too.
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Back to normal: Most people feel ready to return to their usual activities in about 2 weeks, but full healing can take a bit longer.
Possible Risks
FESS is generally very safe, but as with any surgery, there are some risks:
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Infection: Rare, but possible.
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Bleeding: Usually mild and short-lived.
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Nasal dryness or crusting: Your nose may feel dry as it heals.
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Damage to nearby areas: Very rare, but possible (such as the eye or brain area).
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Symptoms coming back: Sometimes, sinus problems can return, but most people get long-lasting relief.
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