Nosepns department functional endoscopic sinus surgery. Sinusitis is an inflammation swelling of the mucous membranes that line the sinus cavities. Radiographic evaluation of severe complications patricia a. Retrospective analysis of the effectiveness of functional.
Functional endoscopic sinus surgery involves inserting a narrow instrument endoscope with a tiny video camera on the end into the nose. Functional endoscopic sinus surgery is a minimally invasive technique used to restore sinus ventilation and normal function. By going through the nose, there are far fewer complications than when traditional open surgical techniques were used. Because this technique opens the natural sinus openings, fess has been shown to produce better results than procedures. Functional endoscopic sinus surgery fess is a highly. Functional endoscopic sinus surgery radiology reference. Functional endoscopic sinus surgery fess is a minimally invasive surgical treatment which uses nasal endoscopes to enlarge the nasal drainage pathways of the paranasal sinuses to improve sinus ventilation. Ample research supports its record of safety and success. Functional endoscopic sinus surgery fess endoscopic sinus surgery ess in 1978.
The most common type of sinus surgery is functional endoscopic sinus surgery fess. Will functional endoscopic sinus surgery cure my sinus problems. 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. It is very common for small amounts of bleeding to come from the nose in the days following the operation. In practice, most surgeons use a combination of both. When i started my ent training in 1975 with professor. This should decrease the severity, frequency, and duration of infections.
What are the advantages of endoscopic sinus surgery. The findings at surgery and the results of this technique arc described here. Functional endoscopic sinus surgery fess california. The instructions and information provided below and in the booklets we provide will help you understand your postoperative experience. Balloon sinuplasty and endoscopic sinus surgery duration. This is a well written and thoroughly illustrated book which is a must for both e. Functional endoscopic sinus surgery is a minimally invasive technique for treating chronic and acute sinusitis. Into its 22 nd iteration this year, this comprehensive course on techniques of endoscopic sinus and skull base surgery is for both beginners and surgeons who have some experience in endoscopic surgery. The goal of the functional surgery is to endoscopically open the obstructed sinus ostia, restore normal mucociliary function, and sinus drainage. Fess is usually performed to treat chronic or recurrent sinus infections, and or to remove polyps from the nose.
Endoscopic diagnosis and surgery of the paranasal sinuses and anterior skull base. The aim of the study was to evaluate how functional endoscopic sinus surgery fess modifies patients symptom profile and to also confirm that fess is the modality of treatment in patients with refractory crs. Functional endoscopic sinus surgery having a full and successful recovery from any surgery, including fess or functional endoscopic sinus surgery, depends on a fully informed patient. To report our experience with the radiographic evaluation of severe complications. Functional endoscopic sinus surgery with prof stammberger. Pdf functional endoscopic sinus surgery fess part 1. About functional endoscopic sinus surgery fess by gerry mcgarry bleeding bleeding is a risk of any operation. 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. Significant hemorrhage during endoscopic sinus surgery is an unusual event, and it occurs in only 0. Jul 06, 2018 endoscopic sinus dissection fess prof.
This goal is achieved primarily by the endoscopic removal of disease from key areas of the anterior ethmoid and middle meatus. This book literally is a handbook on how to perform functional endoscopic sinus surgery through the nasal cavity. Pdf functional endoscopic sinus surgery researchgate. The purpose of functional endoscopic sinus surgery is to reestablish ventilation and mucociliary clearance of the sinuses. However, for those that nonsurgical management has not proven effective then sinus surgery becomes an option. It is meant for treating sinusitis and nasal polyps, bacterial, fungal, recurrent acute, chronic sinus problems. You will likely have been given nose drops, sprays or antibiotics to try and improve your symptoms, however if these medications have been unsuccessful in treating your sinus problems. Endoscopes are used to restore drainage of the paranasal sinuses and ventilation of the nasal cavity. Functional endoscopic sinus surgery fess is a surgical technique used to help open the sinus drainage pathways and remove mucus from the sinuses, which helps to eliminate or decrease the number of infections in the future. Endoscopic sinus surgery ess has become the state of the art in management of most cases of persistent chronic rhinosinusitis, sinonasal polyps and fungal rhinosinusitis 123. In fess, your csc surgeon will use small cameras and instruments to work carefully in the nose. Endoscopic sinus surgery is the name given to operations used for severe or difficult to treat sinus problems. It is based on the concept that most diseases of the paranasal sinuses are due to obstruction of the anterior ethmoid cells in the region of the middle meatus. It is possible that the disease may not be cured by the operation, or that disease may recur at a later time.
Newcastle hospitals functional endoscopic sinus surgery. 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. Functional endoscopic sinus surgery fess what is functional endoscopic sinus surgery fess. Functional endoscopic sinus surgery fess patient information introduction to fess functional endoscopic sinus surgery fess is a technique that was initially introduced to the united states in the mid1980s. Endoscopic endonasal surgery new concepts in treatment of. Chronic rhinosinusitis with or without nasal polyposis which has not responded sufficiently to medical treatment. University of ottawa experience and an overview article pdf available in annals of saudi medicine 166. The technique of using fiberoptic instrumentation for sinus surgery is becoming more popular.
The evolution of functional endoscopic sinus surgery h. This technique allows the doctor to directly see the areas of the nose and sinuses while performing surgery. Functional endoscopic sinus surgery american family. This book literally is a handbook on how to perform functional endoscopic sinus surgery through the. Additionally, this study aimed to determine factors associated with the occurrence of complications including patient and provider characteristics and the use of image guidance system igs. In this 30 minute training program the worldrenowned ent surgeon and prominent karl storz key opinion leader, professor heinz. Pdf the effect of functional endoscopic sinus surgery on. The aim of this study is to investigate the effects of functional endoscopic sinus surgery fess as well as fluticasone proprionate nasal drops fpnd 400 microg b. Functional endoscopic sinus surgery information sheet indications. Concept, indications and results of the messerklinger technique. In addition, endoscopic sinus surgery significantly influences quality of life. Fess is a minimally invasive, mucosalsparing surgical technique utilized to treat medically refractory crs with or without polyps or recurrent acute rhinosinusitis. However, as with any surgery, there are several risks involved.
Endoscopic sinus surgery what is chronic sinusitis. This can interfere with normal sinus drainage and cause increased mucus production. Anatomy and its variations for endoscopic sinus surgery clinical rhinology. Sinus surgery is, in most cases, a safe medical procedure, if performed by qualified experts. In summary, the procedure consists of the following steps 7, implemented as dictated by the patients anatomy. 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. Rars has been defined as four episodes per year of acute. Mucoceles typically produce no symptoms until they are quite large and compressing the eye or brain. Disease usually starts in the nose and spreads through the ethmoidal prechambers to the frontal and maxillary sinuses, with infections of these latter sinuses thus usually being of secondary nature.
Endoscopical diagnosis and treatment of paranasal sinus mycoses, in krajina z ed. Article information, pdf download for the evolution of functional endoscopic sinus surgery open. Functional endoscopic sinus surgery american family physician. However, chapters have been deleted on the history of nasal endoscopy, special problems in endoscopic surgery and documentation. Goldberg, in complications in head and neck surgery second edition, 2009. From this video you will not only learn clinical and technical aspects of ent surgery, but also sales and business techniques. 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.
Heinz stammberger author of dissection manual for functional. Functional endoscopic sinus surgery fess patient information. Functional endoscopic sinus surgery fess indications. Functional endoscopic sinus surgery fess south infirmary victoria university hospital dept of otolaryngology. Egg shell in an inverted eggcup stammberger components and contents of frontal recess 1. Functional endoscopic sinus surgery 1 functional endoscopic sinus surgery functional endoscopic sinus surgery fess is the mainstay in the surgical treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute, and chronic sinus problems. Major bleeding is extremely uncommon and it is very rare for a transfusion to be required. They will remove obstructing tissues, allowing the sinuses to drain more naturally. Ppt functional endoscopic sinus surgery powerpoint. This book follows the same general outline as functional endoscopic sinus surgery the authors previous book covering the same subject.
Endoscopic sinus surgery technique is based on the anteriortoposterior approach of messerklinger 9 and the posteriortoanterior approach of wigand for ethmoidectomy completion. Functional endoscopic sinus surgery patient information. It should be noted that fess is excellent for improving the nasal airway and rhinorrhoea, but the results for hyposmiaanosmia are much less predictable. Heinz stammberger is the author of essentials of functional sinus surgery 5. Endoscopic sinus surgery techniques a laboratory dissection manual, endopress, tuttlingen, 2012 stammberger h. The following is a set of complications that may be caused due to this procedure.
Anatomy and its variations for endoscopic sinus surgery. Thirty two patients of chronic sinusitis were subjected to functional endoscopic sinus surgery fess by the technique described in the previous paper. An overview of sinus surgery functional endoscopic sinus surgery is a popular surgery used for treating sinus infections. Review article functional endoscopic sinus surgery. Upon completion of this program you will be able to explain the basic steps of functional endoscopic sinus surgery fess, the relevant anatomical structures that dictate the surgeon. However, endoscopic sinus surgery is often an important part of the overall management strategy.
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. The goal of this study was to determine the incidence of major complications following primary and revision functional endoscopic sinus surgery fess. Complications of primary and revision functional endoscopic. In addition, the chapter on radiology has been condensed. Functional endoscopic sinus surgery fess pediatric ent. Functional endoscopic sinus surgery fess fess is a procedure to open the pathways of your sinuses so they can drain well.
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. Endoscopic surgery for mycotic and chronic recurring sinusitis. Chronic rhinosinusitis crs is a common disease that restricts the quality of life of millions of involved patients. Endoscopic sinus surgery ess zoltan fent semmelweis university faculty of medicine dept. Subtle changes in the sound of your voice are common.
Damm et al reported an improvement in quality of life for 85% of their patient population, with a mean followup time of 31. The evolution of functional endoscopic sinus surgery. If you have chronic sinusitis, which is often not associated with an. Chronic rhinosinusitis crs is an inflammatory condition in which the nose and at least one sinus become swollen and interfere. Functional endoscopic sinus surgery with prof stammberger karl. In the ophthalmic field, fess plays a crucial role in the management of a few conditions. The messerklinger technique is a primarily diagnostic endoscopic concept demonstrating that the frontal and the maxillary sinuses are subordinate cavities. The most suitable candidates for this procedure have recurrent acute or. 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.