A Balloon sinuplasty is typically an out-patient procedure. Chronic sinusitis is defined as inflammation of the sinuses which lasts longer than 12 weeks. It is distinguished from ‘acute’ sinusitis by its duration. Patients with chronic sinusitis present with months or years of pretty much nonstop symptoms.

Some medical professionals believe that balloon sinuplasty is unable to solve the underlying causes of a sinus infection, as it only addresses drainage. Sometimes, in particularly bad frontal sinus disease, a bicoronal incision from ear to ear across the top of the head was required. Otolaryngol Head Neck Surg.2009;140(4):596-598.

While FESS, functional endoscopic sinus surgery, can solve multiple sinus problems, balloon sinuplasty can only dilate the sinus. This entails a comprehensive history of your sinus problems as well as a physical examination. It was developed by the scientific team that originally developed balloon catheters for the heart. The balloon was then passed over the wire, inflated, deflated, then removed.

It is based in Irvine, Orange County, California. This procedure is performed in a hospital or doctor’s office, and the patient is placed under general anesthesia. The minimal invasiveness of the balloon sinuplasty is its key benefit. If you are interested in Balloon Sinuplasty, speak with Dr. Franklin or an ENT specialist. Balloon sinuplasty is indicated for patients with recurrent acute sinusitis (4 or more episodes of acute sinus infections per year) and mild chronic sinusitis without extensive nasal polyps. They may have one or more of the symptoms associated with acute sinusitis. Your doctor will now place a balloon catheter over the wire and slide it into the opening of the sinus. It causes cold-like symptoms that include congestion, runny nose, sore throat, facial pain and swelling, loss of smell or taste, bad breath, fatigue and headache. Conventional sinus surgical procedures involve cutting and excision of bone and tissue, a process that may cause pain and scarring and requires a recovery period. The laser was gradually replaced by the microdebrider which is still used today as a means of greatly accelerating the healing process. A Balloon sinuplasty is an endoscopic sinus surgery with balloon catheters. Typically, someone with acute sinusitis describes having ‘cold’ symptoms which may gradually improve over a few days but which linger and develop over the ensuing days or weeks to an illness which involves facial pressure, headache, pain, discolored drainage, and nasal blockage. History.

The walls inside the sinus passages are pressed open once the balloon is inflated, enlarging the sinus opening to help restore normal sinus function. In 1989 we added the KTP laser to our minimally invasive endoscopic instruments.

If it doesn’t, then this is addressed during the intervention.

In the early 1980s, the true revolution in surgical care of the sinuses happened. All of these areas can suggest underlying factors related to the sinuses. The distinguishing feature is the length of the illness.

A balloon sinuplasty is a limited procedure and will not prevent you from having a more comprehensive surgery in the future. Also, of the four potential sinus blockages, this procedure cannot adequately facilitate drainage in the ethmoid sinus. Nasal polyps that block the sinuses and cause breathing difficulties can make balloon sinuplasty an ineffective option. 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. Between the history, the nasal endoscopy, and the CAT scan, we develop a fairly complete picture of sinus disease. Surgical intervention is only required if these episodes occur four or more times a year or are particularly debilitating when they occur. Balloon sinuplasty is the ‘latest and greatest’ innovation to further minimize healing time and inconvenience of restoration of sinus function to the patient. He reasoned that if he could open that outflow tract he could help the sinus go back to normal. If you underwent balloon sinuplasty and received less than desirable results, you may need to choose another type of treatment. The wire was passed into the nose through the nostril and guided into the affected sinus(es).

Balloon sinuplasty has several disadvantages that you and your doctor should discuss before moving forward. Up to 95 percent of patients report a significant improvement in sinus symptoms following this procedure. This gives valuable information about the precise issues leading to the patient’s symptoms and also gives a road map for possible intervention. 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. This was the birth of minimally invasive sinus surgery. We felt that this was a landmark technologic breakthrough, as it allowed us to combine the best of the essentially noninvasive balloon technology with precise guidance afforded by the computer guidance system. Nathan E. Nachlas, MD is a double board certified physician in otolaryngology as well as facial plastic and reconstructive surgery. The cost of a balloon sinuplasty tends to be more expensive despite it being minimally invasive. Leukotriene inhibitors (such as Montelukast) may also be used if underlying allergies are suspected. However, the average length of time is approximately one hour.

Once this evaluation is complete, then the surgical plan is formulated. It is an affliction which is the most common chronic disease in the United States. This inflammation of the sinuses occurs when the sinus opening becomes blocked, preventing mucus from draining properly. A Balloon sinuplasty is a relatively non-invasive procedure as it does not cause trauma to the nasal area. If the involved sinus was the maxillary sinus (the sinus located in the cheek), then an incision below the lip was performed and the maxillary sinus contents were removed. The first KTP laser case was done in the United States by us in Boca Raton in 1990.
While minimally invasive techniques to treat chronic sinusitis aren’t for everyone, they have brought relief to hundreds of thousands of patients to date. The second area is the nasal septum. The once-blocked sinus is now able to drain continuously. The duration of a balloon sinuplasty will vary based on the severity of the blocked sinuses. The balloon will then be deflated and removed with the guide wire and catheter.

Unlike other treatments, the sinus tissue is only widened; not removed. In most cases, even if adjunct procedures such as a septoplasty or turbinate reduction are required, the surgery can still be performed in the office setting. The first balloon cases were done under fluoroscopic guidance.

It is generally accepted that at least four weeks of medical therapy be unsuccessfully attempted before intervention is considered. After 24 hours you’ll be able to return to work as well as any recreational activities you enjoyed before your surgery. Allergy testing with possible subsequent immunotherapy is performed to allow further insight into the etiology of the sinus disease. Even though for the patient healing was quicker, the technology was somewhat cumbersome.

Third, we evaluate the inferior turbinates. 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. The balloon is then inflated in order to enlarge the sinus opening and widen the walls of the nasal passages. Balloon Sinuplasty is typically performed in an outpatient setting. If you’re suffering from chronic sinusitis and have exhausted your treatment options, you may be a candidate for Balloon Sinuplasty. Relieva Balloon Sinuplasty Systems: Number of employees.

300: Parent: Ethicon Inc. Website: acclarent.com: Acclarent, Inc. began as a privately held, venture-backed company, and is now a subsidiary of Johnson & Johnson. This newer approach is an option for patients who continue to experience sinus infections and have not responded well to other medical treatments. 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. For more information or to schedule a consultation, please call Sandy Friedman, Director of Patient Relations, at 561-939-0909. hbspt.cta._relativeUrls=true;hbspt.cta.load(1583547, 'ddc835b9-e4f1-4f2f-b810-0060eba0e611', {}); Tagged

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. Issues and obstructions that can lead to sinusitis may occur at any place along this pathway. 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. Way back when, from the late 19th century until the mid 1980s, intervention for chronic sinusitis was reserved for the most seriously afflicted patients. 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). A saline solution is sprayed into the cavity to flush out mucus and other debris; the catheter is then removed.
A Balloon sinuplasty is an endoscopic sinus surgery with balloon catheters. It is FDA-approved and considered a safe alternative to endoscopic sinus surgery. Basically, there’s hope. This minimally invasive surgical solution is a safe and effective method of enlarging your sinus passages for easier breathing and a drastic reduction in sinusitis symptoms. Request an appointment using the form below or give us a call at 225.819.1181.

Medical solutions work for some, but others continue to suffer despite numerous attempts using a variety of treatments.

We check that for deformities that may be contributing to the patient’s symptoms.

The implications of this new paradigm were profound. The paradigm of minimally invasive sinus surgery was brought into the United States in 1985 at the first American course taught at the Johns Hopkins Hospital in Baltimore. Evaluation of the patient with chronic sinusitis begins with a thorough history, involving the length of time of the symptoms, the severity and location of the symptoms, factors that make the symptoms worse, factors that make the symptoms better, and prior evaluation and treatment attempts. Use the balloon instead of endoscopic instruments to open up diseased sinuses and it will be a simpler experience for the patient. This was an era when the paradigm for surgical treatment of chronic sinusitis involved surgically removing the affected sinus.

Once the guide catheter reaches the sinus opening, the guide wires will advance into the blocked sinus. Acute sinusitis is treated with steroids and antibiotics and is usually self limiting. Request an Appointment.


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