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Balloon Sinuplasty
BERNARD TAWFIK, MD ♦ IDEL MOISA, MD
Diplomates, American Board of Otolaryngology
Specializing in
Adult and Pediatric
Disorders of the
Ears, Nose, Throat and Neck
Sinus Infections and Nasal Allergies
Endoscopic Sinus Surgery
Computer Image Guided Surgery
Balloon Sinuplasty
Sleep Apnea
Snoring
Head & Neck Surgery
Thyroid Gland
Parathyroid Glands
Salivary Glands
Oral Cavity
Larynx
Esophagus
Acid Reflux Disease
,
Rhinosinusitis represents one of the most common health
problems in the United States, afflicting approximately 37
million Americans each year. In this newsletter, we would
like to review a new type of sinus procedure that we are
currently offering our patients, commonly referred to as
Balloon Sinuplasty.
Traditionally, patients with rhinosinusitis have been limited
to two treatment options: medical therapy or conventional
sinus surgery. Medical therapy can alleviate symptoms for
some patients. For approximately 20-25% of sufferers,
however, medical management alone is not adequate, and
sinus surgery is the next hope in finding relief. Conventional
sinus surgery, however, requires bone and tissue removal in
order to open up blocked sinus passageways.
Currently, many patients are benefiting from Balloon
Sinuplasty, a minimally invasive, endoscopic procedure for
treating rhinosinusitis. The Balloon Sinuplasty technology,
developed by Acclarent, utilizes a small, flexible sinus
balloon catheter to open up blocked sinus passageways,
restoring normal sinus drainage and function. When the
sinus balloon is inflated, it gently restructures and widens
the walls of the sinus passageway while maintaining the
integrity of the sinus lining.
Benefits of Balloon Sinuplasty
Pediatric ENT
Hearing and Balance
Voice and Swallowing
FEESST
Trans-Nasal Esophagoscopy
Laryngeal Video Stroboscopy
Affiliations
New York University School of Medicine
Glen Cove Hospital
Winthrop University Hospital
ProHealth Ambulatory Surgery Center
DayOp Center of Mineola
• Safe and Effective
While any surgical procedure involves some risk, clinical
studies have indicated Balloon Sinuplasty to be safe and
effective in relieving symptoms of rhinosinusitis.
• Minimally Invasive
The technology uses small, soft, flexible balloons that enter
entirely through the nostrils. These balloons, once properly
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positioned using fluoroscopic guidance, gently open blocked sinus openings. In many
cases, no tissue or bone removal is necessary.
• Reduced Bleeding
Because in many instances no tissue or bone is removed, there may be reduced bleeding
associated with the procedure. As a result, the need for uncomfortable nasal packing may also be
eliminated.
• Improved Recovery Time
While recovery time varies with each patient, many people can return to normal activities within
24 hours.
• Does Not Limit Additional 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 for individuals with progressive
disease.
Balloon Sinuplasty: Surgical Technique
Balloon Sinuplasty is performed by a qualified Otolaryngologist-Head and Neck Surgeon
specifically trained in this technique. The procedure requires fluoroscopy to properly guide the
balloon tipped catheters into position within the sinus osteum. The diagrams below outline the
steps in this surgical procedure.
To gain initial sinus access, the
Sinus Guide Catheter is introduced
into the target sinus under
endoscopic visualization. A
flexible Sinus Guidewire is
introduced through the Sinus Guide
Catheter and gently advanced into
the target sinus under fluoroscopic
guidance.
The Sinus Balloon Catheter tracks
smoothly over the Sinus
Guidewire and positioned across
the blocked ostium. Using
fluoroscopy, the position of the
Sinus Balloon Catheter is
confirmed. It is gradually inflated
to gently restructure the blocked
ostium.
The Balloon SinuplastyTM
system is removed, leaving the
ostium open and allowing the
return of normal sinus drainage
and function. There is little to no
disruption to mucosal lining.
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Who is a Candidate for Balloon Sinuplasty?
Balloon Sinuplasty is a safe and effective treatment for most patients with chronic and recurring
acute rhinosinusitis that have not responded to medical treatment. Unfortunately, patients with
nasal polyposis will still require traditional sinus surgery in order to remove the polyps. As with
any surgical approach, there are risks, and results may vary from patient to patient.
Summary
Balloon Sinuplasty is a new, minimally invasive surgical procedure for treating patients with
chronic rhinosinusitis. A new alternative to rhinosinusitis surgery, Balloon Sinuplasty is an
outpatient procedure that gently stretches and widens the sinus openings, thereby improving
sinus drainage.
Balloon Sinuplasty differs from traditional surgery for rhinosinusitis in several ways. Traditional
sinus surgery involves the removal of tissue from around and within the paranasal sinuses. This
requires longer time in the operating room. Traditional sinus surgery can also cause scarring of
tissue, resulting in the potential need for additional sinus surgery in up to 20% of patients.
Balloon Sinuplasty utilizes catheters and inflatable balloons that widen the sinus ostea,
improving drainage, and thereby providing relief from rhinosinusitis. As a result of this
minimally invasive approach, Balloon Sinuplasty minimizes patient discomfort, bleeding and
scarring. It also results in quicker recovery times, with most patients resuming normal activities
within 24 hours of the procedure.
If you suffer from chronic or recurrent acute rhinosinusitis, and if you have not obtained
adequate relief from medical therapy, you may be a candidate for this minimally invasive
surgical approach. We welcome the opportunity to share more information with you about this
proven technology.
This newsletter is provided in the interest of medical education and is not intended as medical advice.
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