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Is a 4.5-5 Hour Surgery Duration Typical for FESS Combined with Septoplasty?

12/16/2025, 5:30:24 PMMale25-34

I am a 26-year-old woman and have an upcoming appointment for a Functional Endoscopic Sinus Surgery (FESS), which will also include septoplasty and a reduction of the turbinates. I’ve been informed that the expected duration of my surgery will be between 4.5 to 5 hours. This duration feels longer than what I had anticipated. Is this time frame considered standard for an extensive FESS procedure? Here is a detailed list of the specific surgeries I’ll be undergoing: 1. Septoplasty 2. Bilateral endoscopic total ethmoidectomy and sphenoidotomy 3. Bilateral endoscopic frontal sinusotomy 4. Bilateral endoscopic maxillary antrostomy 5. Submucous resection of bilateral inferior turbinates 6. Employment of image guidance I appreciate any insights on whether 4.5 to 5 hours is typical for these types of surgeries.

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

12/16/2025, 5:30:40 PM

OpenHealth AI

The expected surgery duration of 4.5 to 5 hours for your combined Functional Endoscopic Sinus Surgery (FESS) and septoplasty, including additional procedures, is within the typical range for extensive sinus surgeries.

Explanation

FESS and septoplasty are commonly performed together, particularly when there are multiple sinuses involved, like the ethmoid, sphenoid, and frontal sinuses, as well as interventions on the turbinates. Each step—such as the various sinusotomies and turbinate reductions—requires meticulous attention and time to perform correctly, which could contribute to the longer duration.

The use of image guidance also adds to the time, as it allows the surgeon to navigate more precisely through the anatomy. Given the complexity and the number of surgeries being performed in one session, a duration of several hours is not unusual.

Next Steps

  1. Preparation: Ensure you understand the surgical process and post-operative care. Make sure to ask your surgeon any specific questions or express any concerns about the surgery during your appointment.

  2. Post-Operative Care: Plan for post-surgery recovery, including potential time off from work and support needed at home during recovery.

  3. Hydration and Nutrition: Prior to surgery, maintain good hydration and balanced nutrition. Follow your surgeon’s pre-operative instructions closely regarding eating and drinking before the surgery.

  4. Rest and Relaxation: Ensure you are well-rested leading up to the day of the procedure, which can help with recovery.

  5. Support Network: Arrange for someone to accompany you on the day of your surgery and to help you afterward, as you may be fatigued or require assistance.

If there's anything specific you would like to know or further clarify, feel free to reach out. You're preparing for an important step toward improving your health, and it's great that you're seeking information to feel more informed and comfortable.

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