Endoscopic Sinus Surgery in Corpus Christi, TX
Functional endoscopic sinus surgery (FESS) is the surgical standard of care for chronic rhinosinusitis, nasal polyposis, and other sinus conditions that have failed adequate medical management. Using a thin, illuminated nasal endoscope passed through the nostrils with no external incisions, Dr. Todd M. Weiss visualizes and removes diseased tissue, opens obstructed sinus drainage pathways, and restores normal sinus ventilation and mucociliary function. FESS is performed as an outpatient procedure and is associated with high rates of symptom improvement and patient satisfaction.
Indications for Endoscopic Sinus Surgery
- Chronic rhinosinusitis with or without nasal polyps, refractory to maximal medical therapy
- Nasal polyposis causing significant obstruction or refractory to biologic and steroid therapy
- Recurrent acute sinusitis caused by anatomical obstruction
- Complications of sinusitis (orbital or intracranial extension)
- Mucocele or mucopyocele (blocked sinus cyst)
- Fungal sinusitis requiring surgical debridement
- Anatomical variants obstructing sinus drainage: concha bullosa, Haller cell, paradoxically bent middle turbinate
- Biopsy of sinonasal masses
The Procedure
Performed under general anesthesia, the nasal endoscope provides high-magnification visualization of the sinus drainage pathways. Using a microdebrider and manual instruments, Dr. Weiss removes obstructing polyps, thickened mucosa, and obstructing bony partitions to widen natural sinus openings. Computer-guided navigation using CT-based tracking may be used in revision cases or near critical structures such as the orbit or skull base.
After Surgery
Days 1 to 3
Mild nasal bleeding, congestion, and crusting are expected; rest is recommended.
Week 1 to 2
Begin nasal saline irrigation to prevent crust accumulation.
Week 1
First post-operative endoscopic debridement appointment critical for optimal mucosal healing.
Weeks 4 to 6
Full mucosal healing; nasal airway improves progressively.
Outcomes
Studies consistently demonstrate significant, durable improvement in sinus symptoms, quality of life, and sense of smell. Patient satisfaction rates exceed 85 to 90 percent in appropriately selected candidates. Long-term outcomes are optimized by continuation of nasal corticosteroids and saline irrigation post-operatively.
FESS vs. Balloon Sinuplasty
FESS involves tissue removal and is indicated for extensive polyp disease, significant anatomical variants, or severe mucosal thickening. Balloon sinuplasty is a dilational technique for patent but obstructed sinus ostia without significant polypoid or tissue disease. Dr. Weiss will recommend the most appropriate approach based on your individual CT findings and clinical presentation.
Schedule an Appointment Today
If chronic sinus disease hasn’t responded to medical treatment, endoscopic sinus surgery may offer lasting relief. Call us at (361) 320-6130 or connect with us online to schedule a consultation.