FESS — sinus surgery through the nostrils
Functional Endoscopic Sinus Surgery
Functional Endoscopic Sinus Surgery (FESS) is performed through the nostrils to open up the sinuses. Significant advances in imaging, instrumentation, anaesthesia, and post-operative care have led to greatly improved outcomes. Patients suitable for FESS have usually had a trial of medical therapy first. Modern technique focuses on opening all diseased sinuses to create a functional sinus cavity. Nasal packing is not used in most cases and same-day or overnight discharge is standard.
About This Procedure
- Performed entirely through the nostrils — no external incisions or scarring
- Focuses on opening diseased sinuses and creating a functional sinus cavity
- Intra-operative image guidance used in some cases for thorough clearance
- Nasal packing not used in most cases — significantly improved post-operative comfort compared to older techniques
- Same-day discharge or overnight stay
- 7-day course of antibiotics post-operatively
- Saline nasal wash 4 times daily for at least 3 months — using the wash bottle is as important as the surgery
- Multiple post-operative visits required to visualise the sinuses and clear debris
- No heavy lifting or strenuous exercise for 3 weeks
- No blood-thinning medication (aspirin, anti-inflammatories) for 2 weeks post-operatively
- No very hot showers or baths for 2 weeks post-operatively
Recovery
- 1Immediately post-op
Nasal breathing is reasonably good. Local anaesthetic in the nose provides initial comfort. Begin saline washing today.
- 2Day 1
Overnight blood ooze from the nose is normal — this is not active bleeding. Nose may feel more blocked. Two clear splints may be inside the nose. Change gauze under the nose as needed.
- 3Days 2–7
Feels similar to having a heavy cold. Possible numbness over the tip of the nose and upper lip — both are normal. Continue saline wash at least 4 times daily.
- 4Days 8–10
Splints removed at first post-operative visit (if used). Immediate improvement in breathing and relief of congestion.
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Ready to discuss Functional Endoscopic Sinus Surgery?
Our ENT specialists will assess your individual situation and recommend the right approach. A GP referral is needed for Medicare rebates.