Ενδοσκοπική Χειρουργική Ρινός-Παραρρινίων

FESS (Functional Endoscopic Sinus Surgery)

The evolution of nasal surgery through the use of nasal endoscopes has revolutionised this field, making the older external accesses with long personal fields now rare. Previously, operations on the nasal area required a long recovery period and bandaging of the operated area, causing considerable discomfort to patients.

With the introduction of endoscopes, nasal procedures have become much less invasive. Modern nasal endoscopes are thin and provide a high-fidelity, high-definition image, allowing the surgeon to work effectively inside the nasal cavity without the need for extensive incisions in the face or mouth. This significantly reduces recovery time and post-operative discomfort, while improving patient outcomes and satisfaction.

Method

Under general anaesthesia, a small lighted endoscope connected to a camera and monitor is inserted into the nose. The entire nasal cavity is examined in terms of anatomy and mucosal condition and the drainage orifices of the paranasal sinuses are identified. These cavities contain air normally and are 4 on each side: the sinus behind the cheek, the ethmoidal alveoli between the eyes, the cuneiform sinus at the bottom of the nose about halfway up and the frontal sinus at the forehead.

The goal

Removal of the lesion from inside the nose, which is done without external incisions, involves restoring the nasal passages and ensuring that the drainage orifices of the paranasal sinuses are clear so that they can be ventilated normally.

Indications

  • Chronic sinusitis
  • Recurrent and recurring sinus inflammations
  • Nasal Polyps
  • Deviated nasal septum
  • Mucopyocele
  • Tumors of the nose, paranasal sinuses, and nasopharynx
  • Nasolacrimal duct obstruction
  • Hypertrophy of nasal turbinates

Benefits

The removal of the pathology from the inside of the nose, the restoration of its anatomy and the opening of the orifices of the paranasal sinuses result in the immediate improvement of nasal breathing and the reduction of the symptoms of inflammation. In the long term, treatments applied to the nose are more effective, as the sprays and washes are much better distributed. These advantages are achieved with a much shorter hospital stay, less post-operative pain and no scarring.

Surgeries