Complications of Endoscopic Sinus Surgery

Complications of Endoscopic Sinus Surgery

How long does it take to recover from FESS surgery?

Is Fess safe?

Is Fess major surgery?

What is bilateral endoscopic sinus surgery?

Is endoscopic sinus surgery painful?

How long does endoscopic sinus surgery take?

What happens during endoscopic sinus surgery?

 

 

What are the complications of sinus surgery?

The following are the complications of endoscopic sinus surgery

  • Failure to resolve the sinus infectionsor recurrence of sinus problems and/or polyps.
  • In very rare situations, a need for blood products or a blood transfusionmay be required.
  • Chronic nasal drainage or excessive dryness or crusting of the nose.
  • Need for further and more aggressive surgery.
  • Need for allergyevaluation, treatments, or environmental controls. Surgery is not a cure for or a substitute for good allergy control or treatment.
  • Failure to improve or resolve concurrent respiratory illness such as, but not limited to, asthma, bronchitis, or cough.
  • Failure to resolve associated "sinus or nasal" headaches. The exact cause of headachescan be difficult to determine and may have many different causes that are not sinus-related.
  • The patient or physician may require consultation with another specialist such as a neurologist.
  • Damage to the eye and its associated structures.
  • Damage to the skull base with resultant meningitis, brain abscess, or leakage of spinal fluid.
  • Permanent numbness of the upper teeth, palate, or face.
  • Nasal obstruction due to failure to control infection or polyps
  • Prolonged pain, impaired healing, and the need for hospitalization.
  • Failure to restore or worsening of the sense of smell or taste.

 

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How long does it take to recover from FESS surgery?

 

After sinus surgery, most people can go home accompanied by a friend or relative. Rest with the head elevated is along with an icepack wrapped in a towel to stop any bleeding that commonly occurs. Recovery may take about 3 to 5 days. The tip of your nose and your upper lip and gums may be numb. Feeling will return in a few weeks to a few months. Your sense of smell will not be as good after surgery. It will improve and probably return to normal in 1 to 2 months.

You will probably be able to return to work or school in about 1 week and to your normal routine in about 3 weeks. But this varies with your job and the extent of your surgery. Most people feel normal in 1 to 2 months.

You will have to visit your doctor regularly for 3 to 4 months after your surgery. Your doctor will check to see that your sinuses are healing well.

 

 

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Is Fess safe?

FESS is universally considered a safe technique with few risks. In the Literature there is an incidence of 5% for minor complications and of 0.5-1% for major complications. The risks can increase in cases of Pt with pluri morbidity of revision surgery, or of a very advanced nasal pathology. 

 

 

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Is Fess major surgery?

In a FESS procedure, the surgeon uses a magnifying endoscope to see and remove affected tissue and bone. Before FESS, surgeons cut directly into the outside of the face to find the problem and remove it, increasing infection risk and recovery time. Functional endoscopic sinus surgery (FESS) is a minimally invasive surgical treatment.

 

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What is bilateral endoscopic sinus surgery?

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.

 

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Is endoscopic sinus surgery painful?

You should expect some nasal and sinus pressure and pain for the first several days after surgery.  This may feel like a sinus infection or a dull ache in your sinuses.  Extra-strength Tylenol is often all that is needed for mild post-operative discomfort. You should avoid aspirin and NSAIDs such as Motrin, Advil, and Aleve (see below). If Tylenol is not sufficient to control the pain, you should use the post-operative pain medication prescribed by your doctor. 

 

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How long does endoscopic sinus surgery take?

This can depend on several factors, including the chosen surgery technique, the specific condition being treated, the severity of the patient’s sinus condition, and others. In general, surgery takes a few hours enough time for the surgical team to place the patient under anesthesia, introduce the nasal endoscope and other necessary tools into the sinuses, remove the tissue that needs to be removed, and prepare the patient for recovery. The operation may take anywhere from 2 to 4 hours.

What happens during endoscopic sinus surgery?

Usually under general anesthesia, a surgeon will use an endoscope, a thin camera rod with a light at the end, to provide visualization and magnification of the sinus tissues. Specialized instruments can be used to safely and effectively remove causes of sinus blockage like natural blockages, nasal polyps and scar tissue.

Specialized instruments are also used to straighten the septum and reduce the size of the turbinates if required. Endoscopic sinus surgery does not involve cutting through the skin, as it is performed entirely through the nostrils. Therefore, most people can go home the same day.

 

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10 common questions about endoscopic sinus surgery complications

1Is endoscopic sinus surgery dangerous?
As with any surgical procedure, endoscopic sinus surgery has associated risks. Although the chance of a complication occurring are very small, it is important that you understand the potential complications and ask your surgeon about any concerns you may have
2How dangerous is sinus surgery?
Potential complications and risks of sinus surgery The serious complications of sinus surgery are rare. You may experience severe bleeding after the surgery. If you bleed too much, you may need a blood transfusion. Some people have vision problems or a decreased sense of smell.
3Is endoscopic sinus surgery painful?
What to Expect After Endoscopic Sinus Surgery: ... Pain: You should expect some nasal and sinus pressure and pain for the first several days after surgery. This may feel like a sinus infection or a dull ache in your sinuses. Extra-strength Tylenol is often all that is needed for mild post-operative discomfort
4How long does sinus surgery take?
The operation may take anywhere from 2 to 4 hours depending on the extent of surgery that is required. An overnight hospital stay is only rarely required. Pain tends to be of the dull achy variety and is well treated with pain medication
5Is sinus surgery a major surgery?
The most common type of sinus surgery is endoscopic sinus surgery.
6Do you get black eyes after sinus surgery?
These tissues include the brain and the eyes. This is very rare. Black eyes or bruising around the eyes after sinus surgery is not normal and should be reported to your surgeon immediately
7Do you get put to sleep for sinus surgery?
This is extremely important to understand because the anesthesiologists can not put you to sleep safely unless you have an empty stomach, and therefore they will cancel surgery if you've had anything to eat or drink. Sinus surgery is performed with general anesthesia so you will be asleep during your procedure
8Do they break your nose for deviated septum surgery?
Surgery is the only way to fix a deviated septum. Septoplasty is a surgical procedure to correct a deviated septum. Septoplasty straightens the septum, allowing for better airflow through your nose
9What is bilateral endoscopic sinus surgery?
Endoscopic sinus surgery is a surgical procedure used to remove blockages in the sinuses. These blockages can cause sinusitis, in which the sinus mucous membranes swell and become blocked, causing pain, drainage and impaired breathing
10How long is FESS surgery?
FESS procedures are usually done under general anesthesia. The procedure can last from 1 to 3 hours, depending on your particular condition.

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