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Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses. Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia. The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization. A flexible guide wire is then introduced into the targeted sinus to confirm access.
Before and after surgical restoration of the lateral wall (arrow in right-side image) to simulate the function of the missing inferior turbinate. A 2015 meta-analysis identified 128 people treated with surgery from eight studies that were useful to pool, with an age range of 18 to 64, most of whom had been experiencing ENS symptoms for many years.
RSV vaccine side effects in older adults . The CDC lists the following as possible side effects of the RSV vaccine: Pain, redness, and swelling where the shot is given. Fatigue. Fever. Headache ...
Anticholinergics such as ipratropium bromide can help reduce secretions by blocking parasympathetic effects on the nasal mucosa. [7] [13] One study has found that symptoms of postnasal drainage improved after 8 to 16 weeks of lansoprazole 30 mg taken twice daily regardless of the presence or absence of typical symptoms of GERD. [14]
Endoscopic sinus surgery is minimally-invasive and is done entirely through the nostril with the help of a camera. Surgery should be considered for those with complete nasal obstruction, uncontrolled runny nose, nasal deformity caused by polyps or continued symptoms despite medical management. [7] Surgery serves to remove the polyps as well as ...
Antibiotics, nasal corticosteroids, and nasal irrigation may be used to control symptoms, though their role in definitive treatment is still unclear. In some cases, endoscopic sinus surgery may be required, particularly if medical management fails or if there is a complication to the eye or intracranial structures.
The sinus will fill with fluid or blood unless the pressure differential is neutralized. [6] If the outlet is blocked during ascent, the situation is reversed and "reverse squeeze" appears. [7] Pressure inside the sinus increases, affecting the walls of the sinus and producing pain or epistaxis.