Minimally Invasive Sinus Care • Long-Term Relief • Faster Recovery
Breathe Freely Again with SurgiPartner Advanced FESS Surgery (Sinus Endoscopy)
FESS Surgery in Hyderabad — Functional Endoscopic Sinus Surgery for Sinusitis
Functional Endoscopic Sinus Surgery (FESS) is the internationally established, minimally invasive surgical standard for chronic rhinosinusitis, nasal polyposis, and anatomical sinus obstruction. Performed entirely through the nostrils using a rigid endoscope — no external incisions, no facial cuts, no nasal packing in most cases — FESS restores natural sinus drainage pathways under direct magnified visualisation. SurgiPartner connects patients in Hyderabad with ENT surgeons experienced in FESS, image-guided sinus surgery, and combined sinus and nasal procedures.
What Does FESS Treat? Complete Indications
- Chronic rhinosinusitis (CRS) without polyps — bilateral sinus disease lasting 12+ weeks despite medical therapy; the most common indication for FESS
- Chronic rhinosinusitis with nasal polyps (CRSwNP) — polypoid disease causing bilateral nasal obstruction, loss of smell, and bilateral sinus opacification on CT
- Recurrent acute rhinosinusitis — four or more separate episodes per year in a patient with anatomical drainage obstruction on CT
- Allergic fungal sinusitis (AFS) — a specific form of chronic sinusitis caused by hypersensitivity to inhaled fungi; characterised by characteristic CT findings, dense allergic mucin, and positive fungal cultures
- Sinus mucocele — an expanding cyst from obstructed sinus causing erosion of surrounding bone; requires surgical marsupialisation via FESS
- Anatomical causes of obstruction — concha bullosa (pneumatised middle turbinate), paradoxical middle turbinate, Haller cells (infraorbital ethmoidal cells) — identified on CT and corrected at FESS
- Orbital or intracranial complications — subperiosteal orbital abscess secondary to ethmoid sinusitis; intracranial extension requiring combined ENT and neurosurgical approach
- Biopsy of sinus tumours — endoscopic biopsy and occasionally resection of sinonasal tumours
Pre-operative Assessment — What Is Required Before FESS?
A CT scan of the paranasal sinuses (non-contrast, 1mm axial cuts, coronal and sagittal reconstructions) is mandatory before FESS — it is the surgeon’s roadmap. The CT identifies the extent of sinus disease, critical anatomical landmarks (skull base height, orbital wall position, anterior ethmoidal artery location), anatomical variants, and the specific sinuses requiring surgery. Nasal endoscopy complements CT by providing direct mucosal assessment. Allergy testing is recommended in patients with suspected allergic rhinitis driving chronic sinusitis.
FESS Procedure — Step by Step
FESS is performed under general anaesthesia. The patient is positioned supine with the head slightly elevated. The nose is decongested with topical vasoconstrictors to reduce bleeding. A rigid 0° or 30° endoscope is inserted through the nostril, providing a magnified, high-definition view of the nasal passages, middle meatus, and sinus drainage pathways displayed on a monitor.
Working through the endoscope alongside specialised instruments, the surgeon systematically opens the obstructed sinuses in a medial-to-lateral, anterior-to-posterior sequence — uncinectomy (removing the uncinate process), maxillary antrostomy (widening the maxillary sinus natural opening), anterior ethmoidectomy, posterior ethmoidectomy, sphenoidotomy, and frontal sinusotomy as required based on the CT and clinical findings. Nasal polyps are removed with microdebrider or forceps. Thickened mucosa is preserved where possible — true mucosal disease is drained, not stripped.
Image-guided navigation (CT-based or electromagnetic neuronavigation) provides real-time 3D instrument tracking relative to the CT anatomy — particularly valuable in revision cases, extensive disease, and when operating near critical structures such as the skull base, optic nerve, and carotid artery.
Balloon Sinuplasty — Minimally Invasive Alternative for Selected Cases
Balloon sinuplasty is a technique where a small catheter with a balloon is advanced into the sinus ostium and inflated to dilate the natural drainage opening without removing any tissue. It is suitable for isolated maxillary, frontal, or sphenoid sinusitis without significant polyp burden or anatomical obstruction requiring tissue removal. Advantages include reduced bleeding, potential for office-based performance under local anaesthesia, and rapid recovery. It is not a replacement for FESS in patients with polyps, extensive ethmoid disease, or anatomical variants requiring surgical correction.
Frequently Asked Questions — FESS Surgery Hyderabad
Why Choose SurgiPartner for FESS Surgery?
SurgiPartner combines advanced sinus care with personalized patient support for superior outcomes.
01.
Experienced ENT Specialists
Highly trained surgeons with extensive sinus surgery expertise.
02.
Advanced Endoscopic & Image-Guided Techniques
Improved precision, safety, and surgical success.
03.
Minimally Invasive Approach
No external cuts, reduced pain, and faster healing.
04.
Complete Care Journey
Consultation, surgery, and post-operative follow-ups handled seamlessly.
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