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Medical Forum / Diseases and Disorders / Sinusitis / December 2005

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FESS - functional endoscopic sinus surgery - thoughts?

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dave @ stejonda - 28 Dec 2005 19:27 GMT
I've just signed up to have FESS done on me.

I'd welcome people's thoughts on the pros / cons.

Thanks.

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dave @ stejonda

Don Brady - 28 Dec 2005 22:22 GMT
>I've just signed up to have FESS done on me.
>
>I'd welcome people's thoughts on the pros / cons.

FESS is the only form of surgery commonly done now, so your question amounts to
"what are the pros and cons of surgery?" for a sinus problem.

Well, soimetimes it is needed and sometimes not..

You would have to give a lot more background on you history......
Steven L. - 29 Dec 2005 00:03 GMT
>>I've just signed up to have FESS done on me.
>>
[quoted text clipped - 6 lines]
>
> You would have to give a lot more background on you history......

This was a good opportunity for you to refer the poster to the FAQ, but
you didn't.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Don Brady - 29 Dec 2005 01:08 GMT
>This was a good opportunity for you to refer the poster to the FAQ, but
>you didn't.

Yes he msy find it quite hepful.  Here is the FAQ site:

http://www.sinusitisfaq.org/

Steven, I did not want to appear to brush him off too quickly by referring him
to a document.......

dave @ stejonda - 29 Dec 2005 07:44 GMT
>>This was a good opportunity for you to refer the poster to the FAQ, but
>>you didn't.
[quoted text clipped - 5 lines]
>Steven, I did not want to appear to brush him off too quickly by referring him
>to a document.......

I've been reading this group for several weeks & haven't noticed mention
of an FAQ before (compare with another group I'm in which the FAQ
maintainer posts an article "***Newbies - Please read this message about
the FAQ before posting***" every couple of days.

so, thanks both - I'll read... & return...

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dave @ stejonda

dave @ stejonda - 29 Dec 2005 07:47 GMT
>http://www.sinusitisfaq.org/

just reading the opening paragraph I come across this

>FESS (functional endoscopic sinus surgery).  It's considered minor
>outpatient surgery (you aren't hospitalized overnight)

I've been told I will be in hospital for at least 2 nights (maybe things
are done differently this side of the pond)

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dave @ stejonda

Don Brady - 29 Dec 2005 09:29 GMT
>>http://www.sinusitisfaq.org/
>
[quoted text clipped - 5 lines]
>I've been told I will be in hospital for at least 2 nights (maybe things
>are done differently this side of the pond)

One night is often done here "for observation" after surgery, in case of
bleeding etc.

I had that myself.   I had extensive surgery.  It is actually advisable in
cases of  more extensive surgery, despite the wording in the FAQ.

Really you check in at 8 a.m., and more extensive surgey may last up to 3 or 4
hours and may not be over until 7 p.m. due to scheduling with other patients.
Recovery from anesthetic may take a couple of hours, so if they discharged you
right away it could be precarious if you had not recovered.    

So I woudl recommend an overnight stay in cases liek that.

Very minor procedures would not require it.

*Two* nights would be very unusual here in the U.S.   I am very surprised if
you have that.   http://www.hadbai.co.uk/ent/fess.htm implies just one night (I
am not recommending them or anything, I just did a quick search on U.K.).

I would suspect they are just giving you a worst-case scenario in case of
complications.  But that is odd because complicatiosn are rare.  Perhaps
someone misspoke......
Steven L. - 29 Dec 2005 19:26 GMT
>> http://www.sinusitisfaq.org/
>
[quoted text clipped - 5 lines]
> I've been told I will be in hospital for at least 2 nights (maybe things
> are done differently this side of the pond)

You can say that again.

Here in the U.S., if you have a relative or friend who can stay with you
the first night, they may try to send you home with that person as soon
as the anesthetic has worn off.  If there's no one who can stay with you
the first night, and you're feeling poorly, they can allow you to stay
overnight in the hospital for one night.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Don Brady - 29 Dec 2005 19:50 GMT
>Here in the U.S., if you have a relative or friend who can stay with you
>the first night, they may try to send you home with that person as soon
>as the anesthetic has worn off.  If there's no one who can stay with you
>the first night, and you're feeling poorly, they can allow you to stay
>overnight in the hospital for one night.

Right and I was told that some insurance companies will not pay for even one
night.  (Mine did).
sedum41 - 30 Dec 2005 16:21 GMT
dave - just to be sure you have considered this -- it has been a while
since I checked the FAQ so this may be there as well.

Be sure to do the following before you consider sinus surgery:

1) Get a second opinion especially for sinus surgery. This type of surgery
is not like other surgeries where there are fewer post op complications and
the operation is much more standardized. FESS is a loose and broad type of
surgery that greatly depends on the surgeon's skill. Too much sinus
surgery can cause problems later -- refer to 'empty nose syndrome'. Also,
if you have untreated allergies the surgery may only work for a short time
before the problem returns. Have your surgeon go over your CAT scan and
detail what he/she will do during FESS.

2) Consider all non-surgical options such as allergy testing and allergy
prevention, nasal saline irrigations, check if your medications or other
conditions may be causing sinus problems, etc. see the FAQ or read this
group.

3) Check your ENT surgeon's background throughly -- their qualifications
and how many surgeries they have done and how many they do a week etc.

In my case I am glad that I had the surgery. I would say that I am 95%
better than before and most days I feel pretty normal. While going through
the process I did decide to change doctors and go with a more experienced
doctor that had an excellent reputation in my area. Of course it took
longer to get in to see him and get a surgery date. I took my time and
made sure I knew what the doctor was going to do. I am glad I waited for
the right doctor and researched and tried all other options before doing
the surgery.

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