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Nose & Sinus Surgery

FESS (Functional Endoscopic Sinus Surgery)

Medically reviewed by Prof. Dr. Tamer Fawzy, Consultant ENT Surgen

Endoscopic Ethmoid & Maxillary Sinus Surgery

Precision Sinus Ventilation & Disease Clearance

Why We Perform It

Chronic inflammation of the ethmoid and maxillary sinuses can cause persistent nasal blockage, facial pressure, postnasal drip, and recurrent infections. When comprehensive medical therapy does not provide lasting relief, endoscopic sinus surgery restores natural drainage and ventilation.

Indications

  • Chronic rhinosinusitis unresponsive to medical treatment
  • Recurrent acute sinus infections
  • Nasal polyps affecting ethmoid or maxillary sinuses
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How is it done?

The Technique – Endoscopic Sinus Surgery

Using high-definition nasal endoscopes, the ethmoid air cells are opened and the natural maxillary sinus opening is enlarged to improve drainage. Diseased tissue is removed while preserving healthy mucosa whenever possible. The procedure is performed entirely through the nostrils without external incisions.

After the Procedure

The nose can feel blocked after surgery due to nasal dressings, mucus or swelling. The packing used dissolves on its own. Patients are advised to rinse the nose regularly with salt water to help clear the passages. The sensation of blockage usually improves within one week. Mild bleeding may occur but typically subsides within 48 hours. Blood-thinning medications should be avoided during this period unless otherwise advised.

Risks / Complications

Early (within 2 weeks)

  • Moderate to severe bleeding requiring hospitalization and a secondary procedure is extremely rare
  • Pain is typically minimal — more soreness or pressure than true pain — and usually does not require analgesia beyond the third postoperative day
  • Transient upper teeth numbness may occur and usually resolves within 5–7 days
  • Loss of sense of smell (Anosmia)
  • Eye injury (very rare ) never happened in 20 years of practice and over 2000 cases

CSF leak: one occasion in over a 2000 cases and was corrected by another procedure within 3 weeks.

Delayed (after 2 weeks)

Recurrence of sinusitis due to allergies and lifestyle (smoking), motorcycle riders, pets If medical management does not control symptoms, a secondary procedure may be considered.

Why Choose Our Clinic?

Specialist-Led Care

Your procedure is performed by a consultant ENT surgeon with focused expertise in advanced nasal airway surgery.

Precision & Preservation Philosophy

We prioritize functional preservation — maintaining the natural role of the turbinates while restoring optimal airflow.

Advanced Technology

State-of-the-art Coblation systems allow controlled tissue reduction with enhanced comfort and rapid recovery.

Tailored Surgical Planning

Every nose is different. Treatment is individualized, often combined with Septoplasty when required for complete airway optimization.

Care is delivered in a calm, private setting designed around comfort, safety, and clinical excellence.

Conditions treated

This procedure can treat the following conditions.

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Procedure videos

To help understand this procedure, Prof. Dr. Tamer Fawzy has created video content to inform and educate patients on making an informed decision when researching this procedure.

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Ready to Schedule Your Consultation?

If you would like to book a consultation with Dr. Tamer Fawzy to find out more about how he can use his expertise and experience to assist with Functional Endoscopic Sinus Surgery, please click the button below.