Affordable Functional Endoscopic Sinus Surgery in India

Functional Endoscopic Sinus Surgery (FESS) is a surgical procedure performed to treat chronic sinusitis and other sinus-related conditions. Call us to book an appointment with the best Otolaryngologist-Ear, Nose, and Throat (ENT) specialist or a Sinus Surgeon near you.

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What is Functional Endoscopic Sinus Surgery (FESS)?

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure used to treat chronic sinusitis and other sinus-related conditions. It is considered a significant advancement in sinus surgery as it allows for a thorough examination and treatment of the sinuses using endoscopes and specialized instruments. In this article, we will delve into the details of FESS, including its purpose, procedure, recovery, and potential benefits.

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Understanding FESS: 

FESS aims to improve the drainage and ventilation of the sinuses by removing diseased tissue, polyps, and obstructions. Unlike traditional open sinus surgery, FESS is performed entirely through the nostrils without the need for external incisions, resulting in reduced post-operative discomfort, minimal scarring, and faster recovery.

Indications for FESS:

FESS sinus surgery is typically recommended for individuals with chronic or recurrent sinusitis that does not respond to medical treatments such as antibiotics, nasal sprays, or other conservative measures. It may also be indicated for certain nasal and sinus conditions, including nasal polyps, sinus tumors, fungal sinusitis, mucoceles, and structural abnormalities that affect sinus function.

The FESS Procedure

Prior to the surgery, a thorough evaluation of the sinuses is performed using nasal endoscopy and radiographic imaging. During FESS, the patient is placed under general anesthesia, ensuring a pain-free and comfortable experience. The surgeon uses endoscopes, which are thin, flexible tubes with a light and camera, to visualize the sinus cavities. Specialized instruments are then used to remove diseased tissue, polyps, and other obstructions, while preserving healthy structures.

FESS surgery steps:

  1. Anesthesia: The patient is placed under general anesthesia to ensure comfort and pain control throughout the surgery.

  2. Insertion of Endoscope: The surgeon inserts a thin, flexible endoscope through the nostril to visualize the nasal passages and sinus openings. The endoscope provides a magnified view of the sinus structures.

  3. Sinus Cavity Examination: The surgeon carefully examines the sinus cavities, looking for signs of inflammation, polyps, or other abnormalities. The endoscope helps guide the surgical instruments during the procedure.

  4. Removal of Diseased Tissue and Polyps: Using specialized instruments, the surgeon removes diseased tissue, polyps, and any obstructions that may be blocking the sinus passages. This step aims to improve sinus drainage and ventilation.

  5. Ethmoidectomy: If necessary, the surgeon may perform an ethmoidectomy, which involves removing the ethmoid sinus cells located between the eyes. This helps create more space and access for proper sinus drainage.

  6. Maxillary and Sphenoid Sinus Procedures: Depending on the patient's condition, the surgeon may address the maxillary and sphenoid sinuses using similar techniques. This may involve removing diseased tissue, enlarging sinus openings, or addressing specific issues within these sinuses.

  7. Septoplasty or Turbinate Reduction: If there are deviated nasal septum or enlarged turbinates contributing to sinus blockage, the surgeon may perform a septoplasty (straightening the nasal septum) or turbinate reduction (reducing the size of the turbinates) during the same procedure.

  8. Nasal Packing or Stents: After completing the necessary surgical steps, the surgeon may place dissolvable nasal packing or stents to support the healing process and reduce post-operative bleeding.

  9. Recovery and Follow-up: The patient is taken to a recovery area to allow for monitoring and initial recovery from anesthesia. In most cases, patients are discharged on the same day or the following day, but this can vary depending on the surgeon's preference and the patient's condition.

 

The FESS Procedure

Prior to the surgery, a thorough evaluation of the sinuses is performed using nasal endoscopy and radiographic imaging. During FESS, the patient is placed under general anesthesia, ensuring a pain-free and comfortable experience. The surgeon uses endoscopes, which are thin, flexible tubes with a light and camera, to visualize the sinus cavities. Specialized instruments are then used to remove diseased tissue, polyps, and other obstructions, while preserving healthy structures.

FESS surgery steps:

  1. Anesthesia: The patient is placed under general anesthesia to ensure comfort and pain control throughout the surgery.

  2. Insertion of Endoscope: The surgeon inserts a thin, flexible endoscope through the nostril to visualize the nasal passages and sinus openings. The endoscope provides a magnified view of the sinus structures.

  3. Sinus Cavity Examination: The surgeon carefully examines the sinus cavities, looking for signs of inflammation, polyps, or other abnormalities. The endoscope helps guide the surgical instruments during the procedure.

  4. Removal of Diseased Tissue and Polyps: Using specialized instruments, the surgeon removes diseased tissue, polyps, and any obstructions that may be blocking the sinus passages. This step aims to improve sinus drainage and ventilation.

  5. Ethmoidectomy: If necessary, the surgeon may perform an ethmoidectomy, which involves removing the ethmoid sinus cells located between the eyes. This helps create more space and access for proper sinus drainage.

  6. Maxillary and Sphenoid Sinus Procedures: Depending on the patient's condition, the surgeon may address the maxillary and sphenoid sinuses using similar techniques. This may involve removing diseased tissue, enlarging sinus openings, or addressing specific issues within these sinuses.

  7. Septoplasty or Turbinate Reduction: If there are deviated nasal septum or enlarged turbinates contributing to sinus blockage, the surgeon may perform a septoplasty (straightening the nasal septum) or turbinate reduction (reducing the size of the turbinates) during the same procedure.

  8. Nasal Packing or Stents: After completing the necessary surgical steps, the surgeon may place dissolvable nasal packing or stents to support the healing process and reduce post-operative bleeding.

  9. Recovery and Follow-up: The patient is taken to a recovery area to allow for monitoring and initial recovery from anesthesia. In most cases, patients are discharged on the same day or the following day, but this can vary depending on the surgeon's preference and the patient's condition.

Benefits of FESS

FESS offers several advantages over traditional sinus surgery, including:

  • Minimally invasive: The procedure is performed entirely through the nostrils, avoiding external incisions.

  • Precise and thorough: The endoscopic visualization allows for a detailed examination of the sinuses, ensuring a comprehensive treatment.

  • Shorter recovery time: Compared to open sinus surgery, FESS generally results in less post-operative pain, reduced hospital stays, and faster return to normal activities.

  • Improved outcomes: By addressing the underlying causes of chronic sinusitis, FESS can lead to long-term relief, improved sinus function, and enhanced quality of life.

Post-operative Care and Recovery OF FESS:

After FESS, patients are usually observed in a recovery area before being discharged on the same day or the following day. It is common to experience mild nasal congestion, drainage, and swelling for a few days. The surgeon may prescribe medications, such as nasal sprays or saline rinses, to promote healing and control inflammation. It is crucial to follow the post-operative instructions provided by the surgeon, including any activity restrictions, to ensure a smooth recovery.

Potential Risks and Complications of FESS:

While FESS is generally considered safe, as with any surgical procedure, there are potential risks and complications. These may include bleeding, infection, damage to surrounding structures (such as the eyes or skull base), or recurrence of sinus problems. However, serious complications are rare, and the benefits of FESS often outweigh the risks in appropriately selected patients.

Follow-up and Long-term Management:

Regular follow-up visits with the surgeon are essential to monitor the healing process, evaluate treatment outcomes, and address any concerns. Long-term management of sinus health may involve ongoing medical treatments, such as nasal sprays, allergy management, or lifestyle modifications to reduce the risk of recurrence.

 

Benefits of FESS

FESS offers several advantages over traditional sinus surgery, including:

  • Minimally invasive: The procedure is performed entirely through the nostrils, avoiding external incisions.

  • Precise and thorough: The endoscopic visualization allows for a detailed examination of the sinuses, ensuring a comprehensive treatment.

  • Shorter recovery time: Compared to open sinus surgery, FESS generally results in less post-operative pain, reduced hospital stays, and faster return to normal activities.

  • Improved outcomes: By addressing the underlying causes of chronic sinusitis, FESS can lead to long-term relief, improved sinus function, and enhanced quality of life.

Post-operative Care and Recovery OF FESS:

After FESS, patients are usually observed in a recovery area before being discharged on the same day or the following day. It is common to experience mild nasal congestion, drainage, and swelling for a few days. The surgeon may prescribe medications, such as nasal sprays or saline rinses, to promote healing and control inflammation. It is crucial to follow the post-operative instructions provided by the surgeon, including any activity restrictions, to ensure a smooth recovery.

Potential Risks and Complications of FESS:

While FESS is generally considered safe, as with any surgical procedure, there are potential risks and complications. These may include bleeding, infection, damage to surrounding structures (such as the eyes or skull base), or recurrence of sinus problems. However, serious complications are rare, and the benefits of FESS often outweigh the risks in appropriately selected patients.

Follow-up and Long-term Management:

Regular follow-up visits with the surgeon are essential to monitor the healing process, evaluate treatment outcomes, and address any concerns. Long-term management of sinus health may involve ongoing medical treatments, such as nasal sprays, allergy management, or lifestyle modifications to reduce the risk of recurrence.

Cost of FESS


City

Average Cost (INR)

Minimum Cost (INR)

Delhi

60,000 - 2,50,000

50,000

Mumbai

50,000 - 3,00,000

40,000

Bangalore

50,000 - 2,50,000

40,000

Chennai

50,000 - 2,50,000

40,000

Hyderabad

50,000 - 2,50,000

40,000

Kolkata

50,000 - 2,50,000

40,000

Pune

50,000 - 2,50,000

40,000

Ahmedabad

40,000 - 2,00,000

30,000

Jaipur

40,000 - 2,00,000

30,000

Chandigarh

40,000 - 2,00,000

30,000

Lucknow

40,000 - 2,00,000

30,000

Indore

40,000 - 2,00,000

30,000

Kochi

40,000 - 2,00,000

30,000

Bhopal

40,000 - 2,00,000

30,000

Coimbatore

40,000 - 2,00,000

30,000

Nagpur

40,000 - 2,00,000

30,000

Ludhiana

40,000 - 2,00,000

30,000

Goa

40,000 - 2,00,000

30,000

Varanasi

40,000 - 2,00,000

30,000

Surat

40,000 - 80,000

30,000

Vadodara

40,000 - 80,000

30,000

Patna

40,000 - 80,000

30,000

Raipur

40,000 - 80,000

30,000

Ranchi

40,000 - 80,000

30,000

Jamshedpur

40,000 - 80,000

30,000

Allahabad

40,000 - 80,000

30,000

Bhopal

40,000 - 80,000

30,000

Gorakhpur

40,000 - 80,000

30,000

Agra

40,000 - 80,000

30,000

Varanasi

40,000 - 80,000

30,000

Kanpur

40,000 - 80,000

30,000

Jodhpur

40,000 - 80,000

30,000

Rajkot

40,000 - 80,000

30,000

Jabalpur

40,000 - 80,000

30,000

Jamnagar

40,000 - 80,000

30,000

Dhanbad

40,000 - 80,000

30,000

Patiala

40,000 - 80,000

30,000

Meerut

40,000 - 80,000

30,000

Salem

40,000 - 80,000

30,000

Aligarh

40,000 - 80,000

30,000

Bhilai

40,000 - 80,000

30,000

Mangalore

40,000 - 80,000

30,000

Kolhapur

40,000 - 80,000

30,000

Udaipur

40,000 - 80,000

30,000

Tirunelveli

40,000 - 80,000

30,000

Jhansi

40,000 - 80,000

30,000

Nanded

40,000 - 80,000

30,000

Tirupati

40,000 - 80,000

30,000

Gorakhpur

40,000 - 80,000

30,000

Dehradun

40,000 - 80,000

30,000

Amravati

40,000 - 80,000

30,000

Warangal

40,000 - 80,000

30,000

Bikaner

40,000 - 80,000

30,000

Guntur

40,000 - 80,000

30,000

Saharanpur

40,000 - 80,000

30,000

Shimla

40,000 - 80,000

30,000

Muzaffarpur

40,000 - 80,000

30,000

Ajmer

40,000 - 80,000

30,000

Bokaro

40,000 - 80,000

30,000

Ujjain

40,000 - 80,000

30,000

Kurnool

40,000 - 80,000

30,000

Gulbarga

40,000 - 80,000

30,000

Rohtak

40,000 - 80,000

30,000

Durgapur

40,000 - 80,000

30,000

Bilaspur

40,000 - 80,000

30,000

Rourkela

40,000 - 80,000

30,000

Jammu

40,000 - 80,000

30,000

Mathura

40,000 - 80,000

30,000

Ambala

40,000 - 80,000

30,000

Dibrugarh

40,000 - 80,000

30,000

Jalandhar

40,000 - 80,000

30,000

Bhagalpur

40,000 - 80,000

30,000

Gwalior

40,000 - 80,000

30,000

Thrissur

40,000 - 80,000

30,000

Nellore

40,000 - 80,000

30,000

Raichur

40,000 - 80,000

30,000

Kadapa

40,000 - 80,000

30,000

Belgaum

40,000 - 80,000

30,000

Tiruppur

40,000 - 80,000

30,000

Bhavnagar

40,000 - 80,000

30,000

Tiruvannamalai

40,000 - 80,000

30,000

Puducherry

40,000 - 80,000

30,000

Udupi

40,000 - 80,000

30,000

Tiruchirappalli

40,000 - 80,000

30,000

Rishikesh

40,000 - 80,000

30,000

Alappuzha

40,000 - 80,000

30,000

Pathankot

40,000 - 80,000

30,000

Nizamabad

40,000 - 80,000

30,000

Kottayam

40,000 - 80,000

30,000

Karimnagar

40,000 - 80,000

30,000

Thanjavur

40,000 - 80,000

30,000

Gaya

40,000 - 80,000

30,000

Hospet

40,000 - 80,000

30,000

Ambala

40,000 - 80,000

30,000

Kakinada

40,000 - 80,000

30,000

Bharatpur

40,000 - 80,000

30,000

Ongole

40,000 - 80,000

30,000

Rewa

40,000 - 80,000

30,000

Bhimavaram

40,000 - 80,000

30,000

Eluru

40,000 - 80,000

30,000

Proddatur

40,000 - 80,000

30,000

Nalgonda

40,000 - 80,000

30,000

Guntakal

40,000 - 80,000

30,000

Srikakulam

40,000 - 80,000

30,000

Khammam

40,000 - 80,000

30,000

Kadiri

40,000 - 80,000

30,000

Chittoor

40,000 - 80,000

30,000

Kottarakara

40,000 - 80,000

30,000

Pathanamthitta

40,000 - 80,000

30,000

Kharagpur

40,000 - 80,000

30,000

Bhimavaram

40,000 - 80,000

30,000

Mirzapur

40,000 - 80,000

30,000

Pali

40,000 - 80,000

30,000

Ratlam

40,000 - 80,000

30,000

Haldwani

40,000 - 80,000

30,000

Sambhal

40,000 - 80,000

30,000

Raiganj

40,000 - 80,000

30,000

Morbi

40,000 - 80,000

30,000

Berhampur

40,000 - 80,000

30,000

Vellore

40,000 - 80,000

30,000

Bhuj

40,000 - 80,000

30,000

Dindigul

40,000 - 80,000

30,000

Orai

40,000 - 80,000

30,000

Bahraich

40,000 - 80,000

30,000

Rewari

40,000 - 80,000

30,000

Etawah

40,000 - 80,000

30,000

Hoshiarpur

40,000 - 80,000

30,000

Chhindwara

40,000 - 80,000

30,000

Chittorgarh

40,000 - 80,000

30,000

Alwar

40,000 - 80,000

30,000

Dhule

40,000 - 80,000

30,000

Anantapur

40,000 - 80,000

30,000

Purnia

40,000 - 80,000

30,000

Panipat

40,000 - 80,000

30,000

Adilabad

40,000 - 80,000

30,000

Katni

40,000 - 80,000

30,000

Arrah

40,000 - 80,000

30,000

Bardhaman

40,000 - 80,000

30,000

Firozabad

40,000 - 80,000

30,000

Khandwa

40,000 - 80,000

30,000

Barasat

40,000 - 80,000

30,000

Bidar

40,000 - 80,000

30,000

Surendranagar

40,000 - 80,000

30,000

Ratnagiri

40,000 - 80,000

30,000

Saharsa

40,000 - 80,000

30,000

Miryalaguda

40,000 - 80,000

30,000

Gonda

40,000 - 80,000

30,000

Jalandhar

40,000 - 80,000

30,000

Dharwad

40,000 - 80,000

30,000

Anand

40,000 - 80,000

30,000

Kolar

40,000 - 80,000

30,000

Baharampur

40,000 - 80,000

30,000

Nandyal

40,000 - 80,000

30,000

Thoothukudi

40,000 - 80,000

30,000

Some hospitals that offer FESS

Hospital Name

Address

Contact Number

All India Institute of Medical Sciences (AIIMS)

Ansari Nagar, New Delhi - 110029

+91-11-26588500

Postgraduate Institute of Medical Education and Research (PGIMER)

Sector-12, Chandigarh - 160012

+91-172-2746018

Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS)

Raebareli Road, Lucknow - 226014

+91-522-2494000

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

Dhanvantri Nagar, Puducherry - 605006

+91-413-2296562

Christian Medical College (CMC) Vellore

Ida Scudder Road, Vellore - 632004

+91-416-2281000

King George's Medical University (KGMU)

Chowk, Lucknow - 226003

+91-522-2257450

Sawai Man Singh Medical College (SMS Medical College)

JLN Marg, Jaipur - 302004

+91-141-2518380

Government Medical College and Hospital (GMCH) Chandigarh

Sector 32, Chandigarh - 160030

+91-172-2601023

Madras Medical College (MMC)

Park Town, Chennai - 600003

+91-44-25305301

Lok Nayak Jai Prakash Narayan Hospital (LNJP)

Jawaharlal Nehru Marg, Delhi - 110002

+91-11-23232400


Frequently Asked Questions About FESS Surgery

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