What Is Fess?

It stands for Functional Endoscopic Sinus Surgery. In 1985 Dr. David Kennedy and Stammberger highlighted the importance of osteo-meatal complex. All the sinuses except the sphenoid drained in this area. The concept of FESS is to preserve the normal anatomy of the sinuses and remove the disease only.

This procedure is done with a endocamera attached to the endoscope. With the help of the endocamera the sinuses image is magnified many times. It is essential for the surgeon to have good knowledge of anatomy and experience to do the surgery skillfully. It can be done under local anesthesia with I/V sedation or general anesthesia.

microdebrides is a new tool used to do FESS. It comes with a disposable attachment and gives on excellent result post-operatively. Main advantage is less bleeding, removes only the diseased mucosa and preserves the normal mucosa at the same time. It has an excellent result where there is extensive polyps in the sinuses .