Sinusitis is one of the most common health problems in the
United States, affecting approximately 37 million people each year. According to the National Academy on an Aging Society, sinusitis is more prevalent than arthritis or hypertension and has a greater impact on quality of life than diabetes or congestive heart failure. Symptoms may significantly
affect people physically, functionally, and emotionally.
Sinusitis is usually preceded by a viral upper respiratory infection, allergy attack, or irritation from environmental pollutants causing mucosal edema and decreased mucociliary clearance. Usually the resulting symptoms run their course in a few days. However, when a secondary bacterial infection occurs, acute sinusitis may develop. If the condition clears but recurs frequently, recurrent acute sinusitis is the diagnosis. If the condition does not clear and persists for three months or more, it is considered chronic sinusitis.
The first line of therapy for chronic sinusitis remains medical
management which includes various combinations of
prolonged broad-spectrum antibiotics, intranasal steroid
sprays, occasional bursts of oral steroid, decongestants, antihistamines,
saline nasal sprays, and antibiotic nasal irrigations.
Most people respond to medical management with improvement in their symptoms; however, those who do not improve on medical therapy require surgery to treat their chronic sinusitis.
Approximately 25 years ago, functional endoscopic sinus surgery became available. This was a significant improvement in technology, allowing the surgeon to look directly into the nose and sinuses with an endoscope as opposed to operating solely with a headlight. This resulted in more precise, thorough surgical treatment of sinus disease. More recently CT image-guided technology has served as an adjunct to endoscopic sinus surgery.
Functional endoscopic sinus surgery continues
to be a very effective treatment
for chronic sinusitis. However, some
studies reported that 25% of patients
need eventual revision endoscopic sinus
The newest technology, Balloon Sinuplasty, is a surgical procedure that involves passing a flexible sinus guidewire into the affected sinus. The sinus balloon catheter is then advanced over the sinus guidewire. The sinus balloon catheter is positioned across the blocked sinus opening and gently inflated. The Sinuplasty system is then removed, giving a patent sinus passageway and restoring normal sinus drainage and function. This is all performed using direct visualization with nasal endoscopes as well as trans-illumination.
Balloon Sinuplasty is most commonly
performed on the frontal, maxillary, and
sphenoid sinuses. The ethmoid sinuses, if
involved with chronic sinusitis, are generally
opened using the standard functional
endoscopic sinus surgery technique. In select patients, Balloon Sinuplasty can be performed on the frontal and/or maxillary sinuses in the office using topical and local anesthesia. This procedure
takes approximately 30 minutes. Patients are able to drive to and from the appointment, have minimal discomfort afterward, and are able to return to work right away.
Studies have shown that Balloon Sinuplasty
is a very effective treatment. To
date, over one thousand patients have
been tracked in a retrospective patient
registry. There have been no serious complications
reported at two years. 98%
of the sinus ostia remain patent at six
months. 0.98% of sinuses and 2.75% of
patients required revision dilatation.
In addition to being very safe and effective,
the benefits of Balloon Sinuplasty include reduced bleeding due to less removal of tissue and bone and faster recovery time. Many patients are able to return to normal activity within 24 hours.
In conclusion, Balloon Sinuplasty is a safe and effective new surgical procedure now available in the treatment of chronic sinusitis.
Unlike traditional sinus surgery, Balloon Sinuplasty requires no cutting and no removal of bone and tissue.
Balloon Sinuplasty (BSP) uses a small, flexible, balloon catheter to open up blocked sinus passageways and facilitate drainage of the mucus that builds up in patients suffering from chronic sinusitis symptoms.
Step 1. A balloon catheter is inserted into the inflamed sinus.
Step 2. The balloon is inflated to expand the sinus opening.
Step 3. Saline is sprayed into the inflamed sinus to flush out the pus and mucus.
Step 4. The system is removed, leaving the sinuses open.
Balloon Sinuplasty is now available to eligible patients as a procedure performed in our office, under local anesthesia. One of our physicians will recommend the best approach for you.
Balloon Sinuplasty In-Office is an option for patients who decline or are ineligible for general anesthesia.
While recovery time varies with each patient, most patients who undergo the in-office procedure can return to normal activities and work within 2 days.
Experience the procedure in the comfort of your physician’s office rather than a hospital operating room.
High Patient Satisfaction
The majority of patients who had Balloon Sinuplasty In-Office would recommend the procedure to family and friends.
Potential for Significant Cost Savings
Some eligible patients may have lower out-of-pocket costs if the procedure is performed in a lower cost of care setting, such as a physician’s office.
Balloon Sinuplasty™ technology is a FDA-cleared, endoscopic, catheter-based system for patients suffering from sinusitis. The technology uses a small, flexible, Sinus Balloon Catheter to open up blocked sinus passageways, restoring normal sinus drainage and function.