As board-certified Ear, Nose, and Throat specialists, our physicians are highly trained in the diagnosis and treatment of sinusitis. An exciting new treatment called the Balloon Sinuplasty is now available to treat sinusitis. Dallas ENT Head & Neck Surgery Center is the first practice in Dallas to perform this procedure.
Balloon sinuplasty, also called catheter-based dilation of sinus ostia or functional endoscopic dilation of the sinuses, is a new device that is guided into the sinuses and used to dilate the sinus openings the same way angioplasty dilates the vessels on the heart. Balloon sinuplasty involves little to no tissue removal inside the nose and sinuses. At the present time, it is used to open the frontal, maxillary and sphenoid sinuses. Because the technique was recently introduced, surgeons are still learning which patients it will work best for and when it is the appropriate choice of device for surgery. Situations that balloon sinuplasty is usually not appropriate for are cases of large nasal polyps or significant scarring from previous sinus surgery.
Long-term success rates are not yet available. However, studies conducted so far appear promising with many selected patients reporting good results. Patients who undergo balloon sinuplasty appear to have a little less pain and bleeding during the post-operative period. There are many new studies in progress that may soon help physicians better determine how the balloon sinuplasty device fits into the sinusitis management spectrum. Balloon Sinuplasty technology is an endoscopic, catheter-based system for patients suffering from sinusitis. The FDA-cleared technology uses a small, flexible, sinus balloon catheter to open up blocked sinus passageways, restoring normal sinus drainage. When the sinus balloon is inflated, it gently restructures and widens the walls of the passageway while maintaining the integrity of the sinus lining. Technology Overview Balloon Sinuplasty devices provide an endoscopic, catheter-based system for patients suffering from sinusitis. Recently published data in the leading ENT journal shows that the technology is safe and effective: study participants experienced no adverse events and received significant relief from their symptoms. Balloon Sinuplasty technology is used by qualified Ear, Nose, and Throat (ENT) physicians and involves the use of tiny balloons to open blocked sinuses similar to how angioplasty uses balloons to open blocked coronary arteries. Balloon Sinuplasty Benefits The benefits of Balloon Sinuplasty technology for treating chronic sinusitis symptoms include: Safe and Effective - While use of any surgical instrument involves some risk, clinical research has indicated the Balloon Sinuplasty system to be safe and effective in relieving symptoms of sinusitis. Minimally Invasive - The technology uses small, soft, flexible devices that enter entirely through the nostrils. These devices gently open blocked sinus openings, and in many cases, without tissue or bone removal. Reduced Bleeding - Because in many instances no tissue or bone is removed when using this technology, there may be reduced bleeding associated with the procedure. Improved Recovery Time - While recovery time varies with each patient, many people can return to normal activities within 24 hours. Does Not Limit Treatment Options - This technology is an endoscopic tool and may be used with other medical therapies or sinus surgery techniques. It does not limit future treatment options if you have progressive disease. As with use of any surgical instrument, there are risks, and results may vary from patient to patient. Talk with your doctor about your specific condition to find out if the Balloon Sinuplasty system is right for you.
Frequently Asked Questions
What is sinusitis? Sinusitis is an inflammation of the sinus lining. If the sinus opening becomes swollen shut, normal mucus drainage may not occur, and this may lead to infection and inflammation of the sinuses. What are the common symptoms of sinusitis? Common symptoms include:
Facial pain, pressure, congestion or fullness
Difficulty breathing through the nose
Discharge of yellow or green mucus from the nose
Loss of the sense of smell or taste
What types of doctors treat sinusitis? Many types of doctors treat sinusitis, including general and family practice physicians, pediatricians, and allergists. However, if you have chronic sinusitis or do not respond to medical treatment, you may be referred to a specialist - an Ear, Nose, and Throat (ENT) physician, or Otolaryngologist. How is sinusitis treated? Three approaches have emerged for treating sinusitis patients:
Endoscopic sinus surgery with cutting instruments
Endoscopic sinus surgery with balloon catheters
Medical Therapy Sinusitis is typically treated first with medication. Treatment with antibiotics or topical nasal steroid sprays is successful for many sinusitis sufferers. Inhaling steam or use of saline nasal sprays or drops can also help. However, at least 20% of patients do not respond adequately to medications. Endoscopic Sinus Surgery (with cutting instruments) Sinus surgery aims to clear blocked sinuses and restore normal sinus drainage. The procedure removes bone and tissue to enlarge the sinus opening. The removal of bone and tissue may lead to pain, scarring, and bleeding. Endoscopic Sinus Surgery (with Balloon Sinuplasty technology) The technology utilizes a small, flexible, Sinus Balloon that is placed into the nose to reach the sinuses. The Sinus Balloon is gradually inflated to gently restructure the previously blocked sinus opening which helps to restore normal sinus drainage and function. There is minimal bleeding, and many patients have been able to return to normal activities within 24 hours. Clinical research has indicated that the Balloon Sinuplasty system is a safe and effective instrument in dilating blocked sinuses. What is the Balloon Sinuplasty system? The Balloon Sinuplasty system is the name used for a group of medical devices that are used to create openings in your sinuses. The devices use a small, flexible balloon that is placed into the nose to reach the sinuses. The balloon is gradually inflated to gently restructure the previously blocked nasal passage, restoring normal sinus drainage. What are the Balloon Sinuplasty devices? The Balloon Sinuplasty devices are FDA-cleared, endoscopic, catheter-based instruments specifically designed to be used in sinus surgery. The Sinus Balloon Catheter is gradually inflated to gently restructure the previously blocked sinus opening, which restores normal sinus drainage, without damaging the sinus. Does surgery with the Balloon Sinuplasty technology work? Clinical research has indicated that using Balloon Sinuplasty technology is safe and effective in dilating sinus openings. How long does symptom relief last after surgery with Balloon Sinuplasty technology? Results vary by individual. Published clinical data has shown the following regarding patients who have had sinus surgery with Balloon Sinuplasty technology: A study of 1,036 patients at multiple institutions reported that sinus symptoms improved in 96% of patients at an average follow-up period of 10 months. Another study followed 65 patients at multiple institutions and reported clinically and statistically significant improvement in patient symptoms out to 2 years. How do sinus openings stay open after surgery with Balloon Sinuplasty technology? Balloon Sinuplasty technology dilates sinus openings, or ostia by pushing aside bones which comprise the sinus ostia. Moving bone remodels the sinus ostia, creating wider openings. Are the Balloon Sinuplasty devices safe? The Balloon Sinuplasty technology is minimally invasive and has been clinically demonstrated to be safe by leading Ear, Nose and Throat doctors. Finally, unlike other surgical methods used to clear blocked sinus openings, Balloon Sinuplasty technology does not remove any bone or tissue and some patients return to normal activities quicker within 24 hours without other co-morbid conditions. What are the risks of surgery with Balloon Sinuplasty technology? Your healthcare provider can best explain the potential risks of surgery with Balloon Sinuplasty technology. In all published clinical data, no serious adverse events attributable to the Balloon Sinuplasty system have been reported. How long does surgery with Balloon Sinuplasty technology take? The duration of the procedure varies by individual situations. Ask your healthcare provider for the most accurate answer. In a study of 1,036 patients who underwent sinus surgery with Balloon Sinuplasty technology at multiple institutions, an average procedure time was 3 hours, including the surgery and post-anesthesia recovery time. None of the patient required an overnight stay at the hospital. Will I require general anesthesia for surgery with Balloon Sinuplasty technology? Most patients undergo general anesthesia for sinus surgery with Balloon Sinuplasty technology, but some patient have had the procedure under local anesthesia. Your healthcare provider can best advise you on your anesthesia options. How long does it take to recover from a typical surgery using the Balloon Sinuplasty system? Because the system is minimally invasive it is typically used in an outpatient setting. While recovery time will vary from patient to patient, many people can return to normal activities within 24 hours after surgery. Does surgery with Balloon Sinuplasty devices limit my treatment options? No. Balloon Sinuplasty devices are endoscopic tools used within conventional sinus surgery and may be used with other medical therapies. They do not limit future treatment options for patients. Are Balloon Sinuplasty devices right for me? If you suffer from sinusitis, and medication alone has not been effective in relieving your symptoms, you may be a candidate for surgery using the Balloon Sinuplasty devices. To find out if you are a candidate for the Balloon Sinuplasty devices, click here. We also encourage you to talk to your doctor about whether use of these FDA-cleared, endoscopic, catheter-based tools is right for you. Who uses Balloon Sinuplasty devices? Ear, Nose, and Throat physicians who have been trained on the Relieva Balloon Sinuplasty devices. Are Balloon Sinuplasty devices covered by Medicare? Yes. Medicare covers Balloon Sinuplasty devices. Are Balloon Sinuplasty devices covered by other insurance carriers? Most insurance companies cover sinus surgery with Balloon Sinuplasty devices. To be certain of your coverage, contact your insurance provider to find out your specific coverage policy.
NOTE: This information is not intended to substitute for a consultation with your physician. It is offered to educate the patient and his or her family on the basis of otolaryngology conditions in order to get the most out of their office visits and consultations. Please see our disclaimer for additional information