Functional Endoscopic Sinus Surgery Instruments
Nearly 29 million americans suffer from chronic rhinosinusitis 1 with more than 500 000 sinus surgeries performed annually.
Functional endoscopic sinus surgery instruments. Lasers might play an auxiliary function in the functional endoscopic sinus surgery fess procedure in chronic rhinosinusitis. Functional endoscopic sinus surgery was developed in austria in the 1970 s and brought to the united states in the mid 1980 s. Functional endoscopic sinus surgery fess is a minimally invasive surgical treatment which uses nasal endoscopes to enlarge the nasal drainage pathways of the paranasal sinuses to improve sinus ventilation. Developed in the 1950 s the nasal telescope has greatly changed the evaluation and treatment of rhinosinusitis.
The procedure requires no incisions on the face but utilizes telescopes which are long thin rods of glass wrapped with stainless steel providing illumination and visualization in the nose and sinus pathways. Antrostomy sinus surgery set basic ent instrument set basic plastic set blepharoplasty set caldwell luc set cleft palate repair set foreign body removal set functional sinus endoscopy instrument set lid set middle ear set myringotomy set nasal polyp set office instrument set rhinoplasty and submucous resection instrument set. Surgery is performed though the nostrils with no cuts or stitches on the face. This procedure is generally used to treat inflammatory and infectious sinus diseases including chronic rhinosinusitis that doesn t respond to drugs nasal polyps some cancers and.
Endoscopic sinus instrument sets include curettes nasal and ethmoid forceps nasal sinus scissors elevators endoscopes suction tubes speculums punches sickle knives and often other instruments such as rongeurs and electrosurgical cables. The fess alone relies mostly on other instruments bipolar electrocoagulation for acute haemorrhage management powered instrument shaver for nasal polyps removal but the laser is a very useful tool e g in revision cases where more fibrous tissue scar. Endoscopic sinus surgery is the name given to operations for sinus problems when treatment with tablets or sprays has not helped. Balloon sinus surgery with nuvent em balloon sinus dilation.
2 chronic rhinosinusitis can have significant effects on health and quality of life more disabling than angina congestive heart failure.