Chronic Sinusitis

What is FESS?

Functional endoscopic sinus surgery uses high-definition endoscopes through the nostrils to remove diseased tissue, polyps, and obstructions, restoring natural sinus drainage. No external incisions, faster recovery than traditional sinus surgery.

Why China?

• Cost: $3,500-$6,500 vs. $10,000-$25,000 in the US
• Image-guided FESS: Stryker/Medtronic navigation systems available at top centers
• Biologics integration: Dupilumab/mepolizumab available for severe CRSwNP at lower cost
• Same-day surgery: Most patients discharged same day

Who is a candidate?

• Chronic rhinosinusitis with or without polyps refractory to medical therapy
• Recurrent acute sinusitis (≥4 episodes/year)
• Fungal sinusitis
• Mucocele or sinus tumor

Outcomes

Symptomatic improvement: 80-90%. SNOT-22 score reduction: 30-50%. Polyp recurrence: 30-40% at 5 years (lower with biologic add-on). Major complications: <1%.