FESS came into existence through the pioneering work of Drs. Messerklinger and Heinz Stammberger (Graz, Austria). Other surgeons have made contributions (first published in the USA by David Kennedy in 1985)
Telescopes with diameters of 4 mm (adult use) and 2.7 mm (pediatric use) and with a variety of viewing angles provide excellent illumination of the inside of the nasal cavity and sinuses. High definition cameras, monitors and a host of instruments, and debrider blades aid in identifying and restoring the proper drainage and ventilation of the sinuses into the nasal cavities.
All the sinuses can be accessed by means of this surgery: The frontal sinuses located in the forehead, the maxillary sinuses in the cheeks, the ethmoid sinuses between the eyes, and the sphenoid sinuses located in the back of the nasal cavity at the base of the skull.
This has revolutionized the management of chronic sinusitis
Hospital stay & recovery
Admission & discharge:
The patient is admitted the day before & is discharged the day after.
Duration of surgery:
The surgery takes approximately 2 hours.
We do not usually keep any nasal packs after surgery even in cases undergoing septal surgery. Special intranasal suturing is done to avoid packs. The postoperative healing will be completed in 6 weeks. During this time the patient should not get exposed to dust or infections.