An Overview of Functional Endoscopic Sinus Surgery (FESS): A Guide with Illustrations

Dr Natwar Singh Rathore (Consultant ENT Surgeon, Shalby Hospital, Jaipur)

Year: 2024, Volume: 1, Issue: 2, Pages: 135-153, Date of Publication: 31 August 2024

Abstract: Functional Endoscopic Sinus Surgery (FESS) is a Minimally invasive procedure designed to enhance Sinus drainage and ventilation, often used to address various sinus disorders. This article offers an in-depth exploration of the fundamental concepts and techniques involved in FESS, supplemented with Illustrative examples for clarity. The discussion covers key topics such as the indications for FESS, anesthesia considerations, a detailed step-by-step procedural guide, and an overview of the essential surgical instruments. Special attention is given to Anatomical factors, Surgical methodologies, and Post-Operative care strategies to maximize success and reduce the risk of complications. This guide also highlights foundational surgical steps that are particularly useful for beginners in the field.

Keywords: Functional endoscopic surgery, Sinus surgery, FESS, Minimally invasive, Sinus, Illustrative, Surgical methodologies, Anatomical factors, Post-Operative