Sinusitis and Functional Endoscopic Sinus Surgery
.Your physician will prescribe many medications (antibiotics, decongestants, nasal steroid sprays, antihistamines) as well as saline flushing for treating acute sinusitis. There are occasions when physician and patient find that the infections are recurrent and/or non-responsive to the medication. When this occurs, surgery to enlarge the openings that drain the sinuses is an option.
Your surgeon will perform a detailed clinical history as well as physical examination including nasal endoscopy (examination of your nasal cavity with flexible or rigid scope) in the office to evaluate for evidence of nasal polyps, deviated sepum and active infection. Further testing will include a CT scan of the sinuses to determine the areas of the sinuses that are affected.
Functional endoscopic sinus surgery (FESS) was developed in the 1950s and has revolutionized the treatment of chronic sinusitis. FESS involves the insertion of the endoscope into the nose for a direct visual examination of the openings into the sinuses. With state of the art micro-telescopes and instruments, abnormal and obstructive tissues are then removed. In the most cases, the surgical procedure is performed entirely through the nostrils, leaving no external scars. There is little external swelling and only mild discomfort.
Stereotactic image guidance sinus surgery is a state of the art technique which provides the surgeon more accuracy and safety when performing endoscopic sinus surgery. The equipment will precisely track the instruments used during sinus surgery on the CT scan images in multiple planes. This will help to accurately address the disease found on the CT scan as well as prevent injury to surrounding structures and improve outcomes.