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Bleeding after Functional Endoscopic Sinus Surgery (FESS), Septoplasty, Inferior Turbinectomy (IT)

 

Functional Endoscopic Sinus Surgery (FESS)

FESS is a minimally invasive procedure to unblock the sinus openings into the nose resulting in a decrease of discharges, pain and pressure. A small camera is placed into the nose and with specialised surgical instruments, the sinus openings are enlarged to facilitate drainage.

Septoplasty

Septoplasty is performed to correct a deviated nasal septum (bone and cartilages separating the two nostrils). An incision is made to remove parts of the septum before it is straightened and repositioned to the middle of the nose. This procedure will help relief nasal blockage.

Inferior Turbinectomy (IT)

Turbinectomy is a procedure done to relieve nasal congestion. It can also be done along with FESS and Septoplasty, to treat obstructive sleep apnea. The inferior turbinate, consisting of soft tissues and bones, is prone to swelling causing obstruction. It is either partly or fully removed to improve breathing through the nose.

Bleeding after FESS, Septoplasty, and IT

As with any surgeries, FESS, Septoplasty and IT carries risks, such as bleeding. The Department of Otolaryngology (ENT) takes all precautions and measures to minimise bleeding post-surgery. From January 2016 to June 2018, the mean rate of bleeding after FESS, septoplasty, and IT was 0.5% (n=1), which is comparable to international rates of 0.5%.

 

References:

1. Complication rates after Functional Endoscopic Sinus Surgery: Analysis of 50,734 Japanese Patients (Laryngoscope 2015;125:1785-1791)

2. Postoperative Bleeding after diathermy and Dissection Tonsillectomy (Laryngoscope 2005;115:591-4)

3. About Functional Endoscopic Sinus Surgery (FESS) by Gerry McGarry, ENT UK, 2015

4. About Septoplasty Care at Mayo Clinic, US, 2018

5. Mehrzad, H., Irvine, M., & Bleach, N. (2007). A 5-Year Audit of Rhinology Procedures carried out in a District General Hospital. Ann R Coll Surg Engl, 89(8), 804-807. doi: 10.1308/003588407X209275

6. Zapanta, P. E, & Khoury, T. (US, 2016). Turbinectomy.