FESS uses an endoscope through the nose to improve sinus drainage pathways. In chronic disease the decision uses symptoms, objective findings and previous appropriate treatment; a universal 3-month antibiotic prerequisite is inappropriate.
Endoscopy and planning CT are reviewed beforehand. The aim is to address diseased tissue and obstruction and facilitate subsequent topical treatment; it does not always remove the inflammatory tendency. Discuss bleeding, adhesions, recurrence and rare eye or intracranial complications. Rinsing, selected medication and follow-up are part of care. Return to work and exercise is individualised.
Diagnosis uses symptom duration and examination; endoscopy and CT are selected when needed. Saline, appropriate nasal medicines and sometimes surgery may form an individual plan. Not every sinus complaint needs antibiotics.
Seek emergency care for swelling around the eye, reduced vision, severe unusual headache or neurological symptoms. Use sterile, distilled or previously boiled and cooled water in nasal irrigation devices.
This information does not replace an individual consultation. Diagnosis and treatment depend on a medical assessment.
Consultation and treatment