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Advanced Endoscopic Sinus Surgery

Minimally invasive endonasal procedures for chronic rhinosinusitis, polyposis, tumors, and skull base disease.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Advanced Endoscopic Sinus Surgery?

Advanced functional endoscopic sinus surgery (FESS) is a high-resolution endonasal technique that opens the natural drainage pathways of the paranasal sinuses, removes diseased mucosa, and treats benign or malignant lesions involving the sinuses and adjacent skull base.

Image-guided navigation, powered microdebriders, balloon dilation, and angled telescopes permit safe approaches to the frontal recess, sphenoid, and pterygopalatine fossa with preservation of normal mucosa.

Indications include severe chronic rhinosinusitis with nasal polyps, recurrent rhinosinusitis after primary surgery, fungal sinusitis, inverted papilloma, juvenile nasopharyngeal angiofibroma, cerebrospinal fluid leak repair, and select skull base tumors.

Symptoms

Persistent nasal obstruction despite medical therapy
Loss of smell (hyposmia or anosmia)
Chronic facial pressure or pain
Recurrent purulent nasal discharge
Postnasal drip and chronic cough
Recurrent sinus infections after prior surgery
Visible nasal mass on examination

Risk Factors

Severe chronic rhinosinusitis with polyps
Allergic fungal rhinosinusitis
Aspirin-exacerbated respiratory disease
Cystic fibrosis
Prior incomplete sinus surgery
Skull base tumor or CSF leak
Inverted papilloma or sinonasal tumor

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Failure of maximal medical therapy for chronic rhinosinusitis
  • Recurrent disease after primary FESS
  • Suspected sinonasal tumor on imaging
  • Persistent CSF rhinorrhea
  • Orbital or intracranial complication of sinusitis
  • Severely impaired quality of life
  • Refractory unilateral nasal symptoms

Treatment Methods

01
Preoperative CT and MRI with image guidance planning
02
Complete ethmoidectomy and frontal sinus drillout when indicated
03
Powered microdebrider polypectomy
04
Endoscopic resection of inverted papilloma and select tumors
05
Endoscopic skull base CSF leak repair with multilayer technique
06
Postoperative saline irrigation and topical steroids
07
Long-term ENT follow-up and biologic therapy in type 2 inflammation

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.