The once-blocked sinus is now able to drain continuously. For patients interested in Balloon Sinuplasty, Dr. Nathan Nachlas provides a comprehensive history and overview of this procedure designed to treat chronic sinusitis. Your surgeon will determine the type of anesthesia used, and the decision is based on factors such as medical history, which sinuses are affected, and potential anesthesia complications. The balloon is then inflated in order to enlarge the sinus opening and widen the walls of the nasal passages. If you underwent balloon sinuplasty and received less than desirable results, you may need to choose another type of treatment. Through years of careful observations inside the nose using a telescope he discovered that one thing that sinus sufferers had in common was a blockage of the outflow tract of the affected sinus. The procedure in its infancy was known as ‘functional endoscopic sinus surgery’ indicating that it restored the function to the diseased sinus, was done through a telescope (endoscope), but that it was still surgery (involving manipulation of tissue). Known as Computer Assisted Endoscopic Sinus Surgery (or CAESS), this is the standard procedure for most endoscopic sinus procedures including removal of polyps or tumors from the sinuses. Postoperative discomfort it typically minimal with patients returning to full activities anywhere from one day to five days depending upon which procedure(s) is required.

By keeping the sinus tissue intact, there is less trauma to the sinus area which reduces post-operative pain, scarring, bleeding, and recovery time.

He reasoned that if he could open that outflow tract he could help the sinus go back to normal. They may have one or more of the symptoms associated with acute sinusitis. In the early 1980s, the true revolution in surgical care of the sinuses happened. A wire catheter can be inserted into the frontal, maxillary, and sphenoid sinuses, and a small balloon is advanced over the wire. The balloon was then passed over the wire, inflated, deflated, then removed. This entails a comprehensive history of your sinus problems as well as a physical examination. If it doesn’t, then this is addressed during the intervention. Please prove you are human by selecting the. We check that for deformities that may be contributing to the patient’s symptoms. Only time will tell if balloon sinuplasty can be a permanently viable option for patients that suffer from sinusitis. It actually started in Austria by a sinus physician named Messerklinger. A qualified physician will take a look at your medical history and help you determine which sinus treatment options are best for you. The concept was pretty straightforward. The cost of a balloon sinuplasty tends to be more expensive despite it being minimally invasive. A saline solution is sprayed into the cavity to flush out mucus and other debris; the catheter is then removed. Acclarent was founded in 2004. All of these areas can suggest underlying factors related to the sinuses. This is a procedure where a small telescope is placed through each nostril to better visualize the inside of the nose. This procedure is performed in a hospital or doctor’s office, and the patient is placed under general anesthesia. Also, of the four potential sinus blockages, this procedure cannot adequately facilitate drainage in the ethmoid sinus. Leukotriene inhibitors (such as Montelukast) may also be used if underlying allergies are suspected. The walls inside the sinus passages are pressed open once the balloon is inflated, enlarging the sinus opening to help restore normal sinus function. Balloon Sinuplasty may be the answer. © 2019 Sinus and Nasal Specialists of Louisiana. Up to 95 percent of patients report a significant improvement in sinus symptoms following this procedure. Nasal endoscopy is performed next. The wire was passed into the nose through the nostril and guided into the affected sinus(es). Sometimes, in particularly bad frontal sinus disease, a bicoronal incision from ear to ear across the top of the head was required.

All patients require medical and/or allergic management prior to the decision to undergo intervention. This gives valuable information about the precise issues leading to the patient’s symptoms and also gives a road map for possible intervention. Request an Appointment. Patients recover approximately 20 to 30 minutes in the office and then are discharged. He is a summa cum laude graduate from Yale University, attended medical school at the University of Chicago, and trained in Otolaryngology/Head and Neck Surgery at the Johns Hopkins Hospital in Baltimore. Balloon sinuplasty is the ‘latest and greatest’ innovation to further minimize healing time and inconvenience of restoration of sinus function to the patient. The laser was gradually replaced by the microdebrider which is still used today as a means of greatly accelerating the healing process. Basically, there’s hope. It is generally accepted that at least four weeks of medical therapy be unsuccessfully attempted before intervention is considered. A CAT scan of the sinuses is performed not only to verify and sometimes quantitate the findings from the nasal endoscopy, but also to evaluate the inside of the sinuses, areas not visualized by the nasal endoscopy. A Balloon sinuplasty is an endoscopic sinus surgery with balloon catheters. Given the fact that the sinuses are anatomically situated between the brain and the eyes, this gave the surgeon added assurance as to the safety of this procedure. Balloon Sinuplasty is typically performed in an outpatient setting. It also allows the surgeon to view the areas where the sinuses drain into the nose, These areas might be affected by inflammation, polyps, or anatomic obstruction. Third, we evaluate the inferior turbinates. It is based in Irvine, Orange County, California. Following their success in the heart, they turned towards the sinuses. Nasal polyps that block the sinuses and cause breathing difficulties can make balloon sinuplasty an ineffective option. Because a balloon sinuplasty requires no cutting or removal of any tissue inside the nasal area, it is a very safe procedure. Balloon sinuplasty for the surgical management of immunocompromised and critically ill patients with acute rhinosinusitis. A qualified physician will take a look at your medical history and help you determine which sinus treatment options are best for you. Otolaryngol Head Neck Surg.2009;140(4):596-598. It also has a low complication rate. There are four areas that we focus on in evaluating patients for intervention. Sinusitis can also occur as a result of nasal polyps, a deviated septum or head trauma. You’ll be given an oral sedative and pain medication as well as local anesthetic before a balloon catheter is inserted into your sinus cavities. This inflammation of the sinuses occurs when the sinus opening becomes blocked, preventing mucus from draining properly.

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