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What is FESS (Functional Endoscopic Sinus Surgery) and why do we do it? Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive surgical procedure designed to restore proper drainage and ventilation of the paranasal sinuses. This advanced technique is particularly effective in treating chronic sinusitis, especially when it is complicated by the presence of infection and pus within the sinus cavities. The primary goal of FESS is to remove blockages in the sinus pathways, thereby allowing the sinuses to drain normally. This is achieved by carefully inserting an endoscope, a thin, flexible tube with a light and camera at its tip, through the nostrils to directly visualize the sinus openings. Specialized instruments are then used alongside the endoscope to remove any obstructions, such as swollen tissue, polyps, or other growths that contribute to sinus blockages and infections. By targeting the underlying causes of sinusitis, FESS offers a highly effective solution for patients suffering from persistent and recurrent sinus infections. The procedure is renowned for its precision and ability to preserve surrounding tissues, resulting in less post-operative discomfort and a quicker recovery period compared to traditional sinus surgery methods. FESS has been extensively studied and is supported by a wealth of scientific research. A notable study published in the "American Journal of Rhinology & Allergy" highlights the efficacy and safety of FESS, demonstrating significant improvements in patients' symptoms and overall quality of life post-surgery. This procedure is widely regarded as a standard treatment for chronic sinusitis that does not respond to conservative management, including antibiotics and nasal corticosteroids. In conclusion, Functional Endoscopic Sinus Surgery represents a cornerstone in the management of chronic sinusitis, particularly for cases complicated by infection and pus formation. Its minimally invasive nature, coupled with its high success rate, makes FESS a preferred choice for both patients and ENT surgeons in the quest to alleviate sinus-related ailments and enhance patients' well-being.