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  • Writer's pictureDr. Koralla Raja Meghanadh

Full House Fess Surgery with Balloon Sinuplasty

Sinusitis, a condition afflicting millions worldwide, often results in debilitating symptoms and declined quality of life. While Functional Endoscopic Sinus Surgery (FESS) has been a standard sinus surgery for treating sinusitis, it has its limitations, with a relatively low success rate and frequent reinfections after three years.

Full House Fess Surgery(TFSE) with Balloon Sinuplasty

Full House Fess Surgery

In response to these shortcomings, medical professionals have developed Total Fronto Spheno Ethmoidectomy (TFSE) surgery, also known as Full House FESS Surgery, a groundbreaking technique aimed at overcoming the limitations of FESS.

Full House FESS Surgery represents a paradigm shift in the treatment of sinusitis. In full house, all 30 to 40 sinuses are addressed during the procedure, whereas in FESS, only 4 or 5 are treated. This expanded scope of the surgery has boosted the success rate dramatically, bringing it up from 30% to 90%.

Full House FESS with Advanced Technologies

Currently, Full House FESS Surgery comes with a 10% risk of failure, which can be attributed to various factors, including the duration of surgery, scarring, and difficulties reaching all sinuses. However, recent advancements in medical technology can help increase the overall success rate to over 99.9%.

Key technologies that play a pivotal role in enhancing the success rate of TFSE surgery include:


Debriders are powered surgical instruments used in sinus surgery to enhance precision and reduce surgical time. They have rotatable and angled blades, improving success rates from 90% to 95%. However, a 5% failure rate remains due to unique sinus structures and potential human error. Debrider blades come in different versions, with the latest, M5, offering the highest precision and safety, albeit at a higher cost.

Image Guidance

Image-guided sinus surgery, also known as navigation-guided sinus surgery, is an advanced technique that uses a 3D navigation system to enhance the precision and safety of sinus surgeries. It transforms CT scans into a 3D map, allowing surgeons to track the exact location of surgical instruments in real-time. This technology increases the success rate of sinus surgeries from 95% to 98% and provides crucial information about proximity to critical structures.

Endoscopic Balloon Sinuplasty

Endoscopic Balloon Sinuplasty (EBS) employs a balloon-based approach to open sinus passages, minimizing scarring and the risk of blockages. This technique significantly enhances the success rate to over 99.9% when used in conjunction with debriders and a navigation system during a Full House FESS Surgery.

What is done in Full House FESS Surgery?

Unlike FESS, where only a few main sinuses are operated, in Full House FESS Surgery all the sinuses along with tiny sinuses present near critical structures are operated.

When do you need Full House FESS Surgery?

Full House FESS surgery is needed in the following situations:

  1. Full House FESS is considered when a majority of the sinuses are affected by sinusitis.

  2. In cases where the frontal and sphenoid sinuses, located deep within the skull, are involved.

  3. If a patient has already undergone FESS but experiences recurrent sinus infections, a Full House FESS may be considered.

How Successful is Full House FESS Surgery?

The success rate of Full House FESS Surgery is 90%. This is a substantial improvement over the basic FESS success rate, which is around 30%. The higher success rate of Full House FESS Surgery is largely due to its ability to treat a wider range of sinus cavities, providing long-lasting relief from sinusitis symptoms.

While Full House FESS Surgery offers a significantly better chance of success, there is still a small risk of failure, which can be around 10%. This risk can be influenced by factors such as the duration of the surgery, scarring, and the ability to reach and treat all the sinuses effectively.

The success rate of Full House FESS Surgery can be maximized to 99.9%. It's crucial to choose an experienced surgeon and utilize advanced medical technologies, such as endoscopes, navigation systems, debriders, and endoscopic balloon sinuplasty, which can further enhance the precision and accuracy of the procedure.

Side Effects after Surgery

After a Full House FESS, if everything goes well, there should be no side effects. The primary goal of FESS is to improve sinus function and alleviate symptoms associated with sinusitis or other sinus-related issues. However, there is a potential risk of complications, primarily infection-related, which can be effectively managed. Following your surgeon's post-operative instructions and promptly addressing concerns can help ensure a smoother recovery.

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