Endoscopic Sinus Surgery (VESS)

Endoscopic sinus surgery is a procedure to remove any blockages in the sinuses. It is also called Functional Endoscopic Sinus Surgery (FESS) or Video Endoscopic Sinus Surgery (VESS)

Loss of smell, breathing difficulties, pain, recurrent infections and drainage are common symptoms of these blockages. Sinus surgery helps to relieve symptoms from:

• Nasal polyps and Sinusitis
• Nasal obstruction
• Nasal congestion
• Chronic or recurrent sinus infections
• Nasal tumours

Why do I need an Endoscopic Sinus Surgery?

The procedure aims to improve drainage of the sinuses and improve airflow through the nose. The goals include:

• Improvement in the symptoms associated with sinusitis.
• Reduction in the number and severity of sinus infections.
• Improvement in airflow through the nose
• Improvement in the sense of smell
• Allowing access to the sinus cavities for cleaning and medication delivery during nasal rinses.

During your Endoscopic Sinus Surgery

You are not to eat or drink anything 12 hours before your surgery as the surgery involves general anaesthesia.

Endoscopic Sinus Surgery does not involve cutting the skin as it is performed entirely through the nostrils.

An endoscope is used to gain a magnified and clear view of the sinus tissues. Specialized instruments open the sinus cavities widely by effectively and safely removing whatever is causing the sinus blockage. Tissue like swelling, mucous membrane, nasal polyps and scar tissue are common causes of sinus blockage. If required, surgeons use special instruments to straighten the septum and reduce the size of the turbinates.

Recovering after Endoscopic Sinus Surgery

Post-operatively you would need to follow a couple of instructions from your doctor:

• Irrigate the sinuses with a large volume saline wash
• Take the prescribed medication on time 

You will feel some congestion after your surgery which will subside over time. It takes around one to two weeks for the congestion to entirely settle.

The importance of Nasal Irrigation after Endoscopic Sinus Surgery

Nasal irrigation is an effective deterrent to infections. It also helps in removing debris and mucous from the sinuses.

Commonly used systems include bulbs, syringes, netty pots and squeeze bottles. Around 200 ml of salt and water solution is rinsed through the nose repeatedly to flush out debris. Lean forward while irrigating your sinuses to allow the solution to drain out of your nose and mouth. After surgery, continue nasal irrigation for about 20 days.