Functional Endoscopic Sinus Surgery

Functional Endoscopic Sinus Surgery

What Is Functional Endoscopic Sinus Surgery?

Functional endoscopic sinus surgery is a surgical procedure performed to improve sinus drainage and restore ventilation in patients with chronic rhinosinusitis (CRS). Functional endoscopic sinus surgery aims to open the natural sinus drainage pathways and remove obstructions using an endoscope for visualization.

Who Is A Good Candidate For Functional Endoscopic Sinus Surgery?

Patients with chronic sinus infections, inflammation, nasal obstruction, facial pain/pressure are candidates for functional endoscopic sinus surgery.

Functional Endoscopic Sinus Surgery

About Functional Endoscopic Sinus Surgery

Signs You May Need Functional Endoscopic Sinus Surgery

When medications and other basic treatments stop working to relieve your constant sinus issues, it might be time to consider other options from the Atkins Expert Sinus Care team. We provide personalized treatments for sinus and allergy problems in San Antonio, including functional endoscopic sinus surgery. Among the signs and symptoms that indicate you may need this procedure are:

  • Facial pain, pressure, or a feeling of fullness around your eyes and forehead
  • Constant nasal congestion that blocks your breathing
  • A reduced sense of smell or taste
  • Thick, discolored drainage from your nose or down the back of your throat
  • Frequent headaches linked to sinus pressure

Conditions We Can Treat With This Procedure

Functional endoscopic sinus surgery is highly effective for treating several ongoing nasal problems. By opening the sinus pathways, we can help your sinuses drain properly. We commonly use this procedure to address:

  • Chronic Sinusitis – This is a condition where the spaces inside your nose and head are swollen and inflamed for three months or longer, despite treatment.
  • Nasal Polyps – These are soft, painless, noncancerous growths on the lining of your nasal passages or sinuses. They can block your airways, making breathing difficult.
  • Recurrent Sinus Infections – If you get sinus infections multiple times a year, surgery can help stop the cycle.
  • Deviated Septum – Sometimes, surgery is combined with fixing a crooked nasal septum to improve airflow.

The Different Types Of Functional Endoscopic Sinus Surgery

Depending on your specific needs, your doctor will choose the right type of endoscopic sinus surgery. The goal is always to restore normal sinus drainage while keeping as much of your natural tissue as possible. Here are the main types we perform:

  • Ethmoidectomy – This clears out the ethmoid sinuses, which are located between your eyes. It helps remove blockages and infected tissue.
  • Maxillary Antrostomy – This procedure opens up the maxillary sinuses, located behind your cheeks, so that they can drain properly.
  • Sphenoidotomy – This targets the sphenoid sinuses deep behind your nose to clear out infections.
  • Frontal Sinusotomy – This opens up the frontal sinuses in your forehead to relieve pressure and pain.

Preparation Before Surgery

Getting ready for your procedure is simple, and our team will guide you every step of the way. Proper preparation helps ensure a smooth surgery and a quick recovery. You should do the following before your surgery date:

  • Stop Certain Medications – You’ll need to stop taking blood thinners, aspirin, and ibuprofen a week or two before surgery to reduce bleeding.
  • Avoid Smoking – Smoking can slow down your healing process. It’s best to stop smoking at least a few weeks before your procedure.
  • Arrange a Ride – Because you’ll be given anesthesia, you’ll need a friend or family member to drive you home after the surgery.
  • Fast Before Surgery – You’ll likely need to avoid eating or drinking anything after midnight the night before your procedure.

How Is Functional Endoscopic Sinus Surgery Performed?

Functional endoscopic sinus surgery uses small endoscopes and instruments inserted via the nostrils to visualize the blocked sinuses directly.

Obstructing tissue and bone can be precisely removed while preserving healthy structures.

Potential Risks And Complications

As with any medical procedure, there are some functional endoscopic sinus surgery risks you should know. Atkins Expert Sinus Care wants you to be fully informed so that you can make the best decision for your health. That also includes understanding the functional endoscopic sinus surgery side effects.

We warn our patients in San Antonio of the following side effects and risks:

  • Bleeding – Some minor bleeding is normal for the first few days after surgery.
  • Infection – There’s a small risk of infection after the procedure, which can be treated with antibiotics.
  • Changes in Smell or Taste – You might notice temporary changes in your sense of smell, though this usually improves as you heal.
  • Nasal Congestion – Swelling inside your nose can make you feel stuffy for a week or two.
  • Rare Complications – In very rare cases, there can be damage to the eye or spinal fluid leaks, but our highly trained experts take every precaution to prevent this.
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Functional Endoscopic Sinus Surgery

What Is Recovery Like After Functional Endoscopic Sinus Surgery?

For functional endoscopic surgery alone, most patients can resume work within 3-4 days. Some patients have other procedures simultaneously, such as septoplasty and turbinate reduction. Patients having multiple procedures may need a week off work.

Functional Endoscopic Sinus Surgery

What Are The Benefits?

Functional endoscopic sinus surgery is very effective at relieving the symptoms of chronic sinusitis, such as:

  • Facial pain
  • Congestion
  • Infection
  • Headache

FAQ About Functional Endoscopic Sinus Surgery

Does the Surgery Hurt?

You’ll be under general anesthesia during the surgery, so you won’t feel any pain. After the surgery, you might have some mild discomfort and pressure, but we’ll provide medication to help keep you better.

How Long Does the Procedure Take?

The surgery usually takes one to three hours, depending on how much work needs to be done inside your sinuses. Most patients go home the same day.

When Can I Go Back to Work or School?

Most people need to take about a week off to rest and recover. You should avoid heavy lifting, intense exercise, and blowing your nose during this time to allow your body to heal.

Will There Be Packing in My Nose?

In the past, doctors often used uncomfortable nasal packing. Today, we use modern techniques that usually don’t require it. If we must use packing, it’s mostly light and dissolves on its own.

How Successful Is This Surgery?

The success rate is very high. The vast majority of patients experience significant improvements in breathing and a substantial reduction in the number of sinus infections they get each year.

Let’s get you back to breathing well again.

Don’t let chronic sinus and nasal infections take control of your life. Book your consultation today for lasting relief.

Meet The Team

Atkins Sinus Expert Care is committed to providing personalized care, cutting-edge equipment, and a level of experience you won't find elsewhere.

Your First Visit With Us

  • Step 1

    Book Your Visit

    Book through our online patient portal and let us know some of the symptoms you’re experiencing.

  • Step 2

    Visit Our Office

    Our team will review your symptoms at your visit and decide what diagnostic tests are needed to get to the root of your problem.

  • Step 3

    Care Plan

    Once the diagnostic tests are done, our team will review them and make a plan of care for you. At that time, they will discuss whether you are a candidate for one of our procedures.

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