Episode # 256 • 13 Jan 2026
Keys to FESS: Intra-Op Pearls for Optimizing Outcomes in Sinus Surgery
The best approach to sinus surgery is the one tailored to the patient in front of you. In this episode of the BackTable ENT podcast, guest host Dr. Satyan Sreenath, rhinologist and Assistant Professor at Indiana University, and Dr. Dennis Tang, rhinologist and Assistant Professor at Cedars-Sinai, discuss advanced surgical techniques and post-operative management strategies in Functional Endoscopic Sinus Surgery (FESS).
Timestamps
00:00 - Introduction
03:28 - Case Study #1: CRSsNP with Nasal Congestion
04:59 - Factors Influencing Minimal vs. Maximal Surgery
14:23 - Case Study #2: Severe Nasal Polyposis
27:56 - Debating the Use of Packing in Sinus Surgery
40:24 - Scrutinizing Overhead Costs in Patient Care
42:45 - FESS Postoperative Care
43:54 - Evolving Biomaterials in Sinus Surgery
49:46 - The Debate on Middle Turbinectomy
50:46 - Middle Turbinate Management Strategies
01:13:17 - Concluding Thoughts on Surgical Practices
Resources
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More about this episode
The conversation covers the latest practices in intraoperative maneuvers, the use of bioabsorbable materials, and the contentious topic of middle turbinate resections. They review patient cases, surgical approaches, and provide insights into optimizing patient outcomes. Additionally, they emphasize the importance of individualized care tailored to specific chronic sinusitis phenotypes and patient-specific factors.
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