Functional Endoscopic Sinus Surgery Market 2024 – Market Size & Segments Analysis, Industry Trends, Manufacturers Analysis, Opportunities and Forecast 2034

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Functional endoscopic sinus surgery (FESS) is a common surgical method to treat chronic sinus infections. In a FESS procedure, the surgeon uses a magnifying endoscope inserted through the nostrils to see and remove affected tissue and bone. In general, the goal of sinus surgery is to flush out infected material, open blocked passages, and keep enough healthy tissue intact so that your nose and sinuses can function normally. Functional endoscopic sinus surgery (FESS) is minimally invasive surgery for serious sinus conditions.

Healthcare providers use nasal endoscopes to ease your sinus symptoms without making incisions in or around your nose. Functional endoscopic sinus surgery is also called endoscopic sinus surgery. Some healthcare providers use the term “functional” because the surgery is done to restore how your sinuses work, or function. It helps to reduce the number and severity of sinus infections, improves the sinusitis symptoms, drainage of the sinuses and airflow through the nose with the sense of smell. 

MARKET OVERVIEW

The market valuation of functional endoscopic sinus surgery market was valued at approximately USD 1.1 billion in 2023 and is projected to reach USD 57.0 billion in 2034 exhibiting a CAGR of 7.5% during the forecast period of 2024-2034. Functional endoscopic sinus surgery reduces the number and severity of sinus infections and improve sinusitis symptoms with the drainage of the sinuses. The market is aligned with the healthcare sector, which makes it a sustainable and growing market.  


GROWTH DRIVERS

The rise in incidence of incidence of chronic sinusitis globally is one of the key drivers for the functional endoscopic sinus surgery market. Sinusitis is a prevalent health concern in the United States, with current statistics indicating that it effects nearly 29 million adults. This means around 11.6% of the adult population is dealing with this condition, making it one of the most common health complaints leading to physician visits. A variety of factors contribute to the rising prevalence of sinusitis. These include increased exposure to allergens, pollution, and changes in lifestyle such as diet and sedentary behavior.

An aging population and increased use of immunosuppressive therapies may also play a role in the increase of sinusitis cases. It’s worth noting that while these factors can increase the risk of sinusitis, the exact cause can vary greatly from person to person, according to TGH Urgent Care.  The old people or aging population are more susceptible to sinus related issues leading to increased demand for functional endoscopic sinus surgeries. Physiologic deterioration of nasal mucosa that occurs when people get older contributes to nasal obstruction, dryness, crusting, postnasal drip, and frequent throat clearing. Age-related immunosenescence renders people more vulnerable to infection, which may intensify nasal inflammation.

According to WHO, by 2030, 1 in 6 people in the world will be aged 60 years or over. At this time the share of the population aged 60 years and over will increase from 1 billion in 2020 to 1.4 billion. By 2050, the world’s population of people aged 60 years and older will double (2.1 billion). The number of persons aged 80 years or older is expected to triple between 2020 and 2050 to reach 426 million. The rising levels of pollution and environment allergens contributes to a higher prevalence of sinusitis and related conditions, driving the market towards significant growth.

According to National Institute of Environmental Health Sciences, air pollution, in all forms, is responsible for more than 6.5 million deaths each year globally, a number that has increased over the past two decades. Pollution is the largest environmental cause of disease and premature death. Pollution causes more than 9 million premature deaths, the majority of them due to air pollution, according to the World Bank. According to National Institute of Environmental Health Sciences, air pollution, in all forms, is responsible for more than 6.5 million deaths each year globally, a number that has increased over the past two decades.

MARKET SEGMENTATION:

·         By Product Type- endoscopes (sinuscopes and rhinoscopes), surgical instruments and navigation systems (optical navigation and electromagnetic navigation)

·         By Procedure- Ethmoidectomy, maxillary antrostomy, powdered septoplasty with turbinoplasty, ungiectomy (retrograde & anterograde), excision of Concha Bullosa, Sphenoidotomy and others

·         By Distribution Channel- Direct Sales, Distributors, Online Sales

·         By End-Users- Hospitals, ambulatory surgical centers and specialty clinics

·         By Region- North America, Europe, Asia Pacific, Middle East and Africa, South America

Functional Endoscopic Sinus Surgery Market Segment By Product Type Review:

Endoscopes critical tools in this surgery and comes in various types including sinuscopes and rhinoscopes. The endoscope with a thin camera rod with a light at the end is inserted into one nostril and uses it to magnify and visualize the sinus tissues. After locating the problem, the surgeon uses specialized instruments alongside the endoscope to open the sinuses by carefully removing causes of sinus blockage, such as mucous membrane swelling, nasal polyps and scar tissue. If there is a deviated septum that causes breathing problems, specialized instruments can straighten the septum and reduce the size of the turbinates, a bony structure inside the sinuses.


The surgical instruments include a variety of tools that are designed for precise manipulation and removal of tissue within the narrow space of nasal passage and sinuses. The surgeons insert surgical tools alongside the endoscope to use the endoscope to remove bone, diseased tissue or polyps that may be blocking your sinuses. The navigation technology allows surgeons to precisely track instrument positions and then project the instrument position onto the preoperative imaging data. These navigation systems utilizes infrared cameras and markers to track instruments, and it guides surgeons though the anatomy of the nasal passage and sinuses.

Functional Endoscopic Sinus Surgery Market Segment By Procedure Type Review:

The ethmoid sinuses are located between the eyes and the bridge of the nose. An ethmoidectomy removes infected tissue and bone in the ethmoid sinuses that blocks natural drainage. The surgeon views the ethmoid sinuses with an endoscope, a thin flexible tube with a very small camera and light at the end of it. The maxillary sinuses are located under the cheekbones. When they become blocked and no longer drain properly, an infection develops. Often, the sinus opening itself becomes blocked, too. The procedure to clear the sinus opening is called a maxillary antrostomy. The procedure to clear the osteomeatal complex is called an uncinectomy.

The septum is the bony cartilage wall between the two sides of the nose. It helps support the nose and guides airflow. The septum is supposed to be straight, but sometimes it’s not, due to injury or other factors. A crooked or deviated septum can make it hard to breathe through the nose and prevent proper drainage. This may make it more likely to get a sinus infection. During a septoplasty, the surgeon straightens the septum so that air can flow through both sides of the nose normally.

In a turbinoplasty, the goal is to reduce the turbinates enough to improve the breathing and sinus drainage, while preserving enough tissue for normal turbinate function. A concha bullosa is a sheet of bone structure within the middle turbinate. Excision of concha bullosa is a surgical procedure that uses endoscopic techniques to remove a sheet of bone structure in the nasal passages to improve breathing and respiratory function. Endoscopic sphenoidotomy is the surgical opening of the sphenoid sinus using an endoscope. This procedure improves the airflow through the nose.

Functional Endoscopic Sinus Surgery Market Segment By Distribution Channel Review:

The directs sales manufacturer sells products used in functional endoscopic sinus surgery directly to the end users without intermediaries, this approach often includes customized solutions tailored to specific customer needs. The direct interaction with customers allows manufacturers to understand specific requirements and provide tailored solutions. The distributor acts as a middleman between manufacturers and end users, handling the sales, marketing and often the installation and support if required.

They typically operate in specific geographic regions or industrial sectors. The distributors extend the market reach for manufacturers, allowing them to tap into new regions and customer segments. They have a deep understanding of local markets, regulations, and customer preferences, enabling effective sales strategies. The online sales involve the marketing, and the sale of products used in functional endoscopic sinus surgery through digital platforms. This channel leverages e-commerce websites, online marketplaces, and company websites to reach a broader audience. It allows customers easy access to information, specification, pricing and others facilitating informed purchasing decisions.

Functional Endoscopic Sinus Surgery Market Segment By End-Users Review:

The hospitals are the primary and major end-users of functional endoscopic sinus surgery equipment and procedures, as they cater to a wide range of patients suffering from different kinds of ENT problems. These large healthcare facilities have the infrastructure and resources in order to support complex surgeries and provide comprehensive care. The hospitals have ENT departments equipped with advanced surgical equipments, endoscopic systems and technologies necessary for the surgery.

The ambulatory surgical centres are specialized facilities that provide same day surgeries, including diagnostic and preventive procedures. They offer a convenient and cost-effective alternative to hospital-based surgeries. The specialty clinics, particularly those focusing on ENT conditions, are another significant end users of the market. These clinics are dedicated to diagnosing and treating diseases and disorders related to ENT.

Functional Endoscopic Sinus Surgery Market Regional Analysis:

North America is a significant market driven by factors like the region is known for well-established and a robust healthcare infrastructure with state of art healthcare facilities equipped with the latest endoscopic technologies driving the market towards significant growth. Moreover, the strong presence of key players of the market like Medtronic and Stryker drives the market towards innovation and enhancement. Europe is a valuable market driven by the presence of a large aging population which is more prone to chronic sinusitis, driving the demand for effective surgical treatment.

Asia Pacific is a significantly growing market driven by increase in health care expenditures, high population density and moreover, the government initiatives that are aimed at improving healthcare infrastructure and services. The Middle East and Africa are promising markets driven by investments in healthcare infrastructure. South America market is expected to grow driven by rising health care investments. 


Key Challenges:

The high cost of equipment and procedures that is associated with advanced technology and specialized equipment for functional endoscopic sinus surgery may be prohibitive. This high cost may be a significant barrier for smaller hospitals and clinics mainly in developing regions, hindering the market growth and adoption. Moreover, navigating the complex regulatory landscape for medical devices and surgical procedures may be challenging. The manufacturers must comply with stringent regulatory requirements, which involves delay in the product launches an increase in cost.

Competitive Landscape:

In the highly competitive functional endoscopic sinus surgery market, companies are investing heavily in research and development to innovate and improve their products and services. They are also collaborating, forming strategic partnerships, or acquiring other companies to gain access to new market segments, enhance distribution networks, and increase market share. The news and development include – in 2024, Integra acquired Acclarent, a pioneer in ENT surgical interventions, the addition of Accelarent’s innovative product portfolio expanded the breadth of integra's market leading brands. In 2022, Medtronic completed the acquisition of Intersect ENT, expanding the company's comprehensive ENT portfolio with innovative products used in sinus procedures in order to improve post operative outcomes and treat nasal polyps.

Global Key Players:

·         Medtronic

·         Stryker Corporation

·         Olympus Corporation

·         B. Braun

·         Karl Storz

·         Johnson & Johnson

·         Sinusys

·         Smith + Nephew

·         BrainLab AG

·         Rudolf Medical

·         Other Players

Attributes

Details

Base Year

2023

Trend Period

2024 – 2034

Forecast Period

2024 – 2034

Pages

215

By Product Type

endoscopes (sinuscopes and rhinoscopes), surgical instruments and navigation systems (optical navigation and electromagnetic navigation)

By Procedure

Ethmoidectomy, maxillary antrostomy, powdered septoplasty with turbinoplasty, ungiectomy (retrograde & anterograde), excision of Concha Bullosa, Sphenoidotomy and others

By Distribution Channel

Direct Sales, Distributors, Online Sales

By End-Users

Hospitals, ambulatory surgical centers and specialty clinics

By region

North America, Europe, Asia Pacific, the Middle East and Africa, and South America

Company Profiles

Medtronic, Stryker Corporation, Olympus Corporation, B. Braun, Karl Storz, Johnson & Johnson, Sinusys, Smith + Nephew, BrainLab AG, Rudolf Medical, Other Players

Edition

1st edition

Publication

August 2024

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