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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.
Generally, people describe a sinus headache as a feeling of facial pain or pressure in the sinus area that might radiate to the rest of the head. "People typically talk about it like a pressure ...
Nasal endoscopy involves inserting a flexible fiber-optic tube with a light and camera at its tip into the nose to examine the nasal passages and sinuses. Sinus infections, if they result in tooth pain, usually present with pain involving more than one of the upper teeth, whereas a toothache usually involves a single tooth.
The symptoms are occipital headache, cough, middle ear effusion, cervical myalgia, and halitosis, i.e. bad breath. When there is an enlargement of the cyst, it causes symptoms like nasal obstruction, post-nasal discharge with foul-smelling odour, blockage of the Eustachian tube causing otalgia and secretory otitis media, retro-orbital pain.
After removal of nasal packing following epistaxis, routine nasoendoscopy is not necessarily indicated. [3] However, widely accepted indications for nasoendoscopy include: [ 4 ] abnormal speech characteristics: hypernasal resonance, excessive nasal airflow including nasal air escape and nasal turbulence (also called nasal rustle), and absence ...
Some polyps may be seen with anterior rhinoscopy (looking in the nose with a nasal speculum and a light), but frequently, they are farther back in the nose and must be seen by nasal endoscopy. [12] Nasal endoscopy involves passing a small, rigid camera with a light source into the nose.
Occasionally, a large concha bullosa may cause it to bulge sufficiently to obstruct the opening of an adjacent sinus, possibly leading to sleeping apnea or breathing disorder related to areas innervated by the trigeminal nerve. [2] In such a case the turbinate can be reduced in size by endoscopic nasal surgery (turbinectomy).
Once access to a blocked sinus is confirmed, a balloon catheter is advanced over the guide wire and positioned in the blocked sinus opening for inflation. The balloon is inflated. The entire procedure takes around 31 minutes and if the procedure is successful, the sinus will remain open after the balloon is deflated and removed for up to 24 months.