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Dagan MD
Balloon sinuplasty is a procedure that ear, nose and throat surgeons may use for the treatment of blocked sinuses.
Patients diagnosed with sinusitis but not responding to medications may be candidates for sinus surgery.
Over the last several decades, there have been many changes in technology that have improved our lives.
Rhinology, or the sub-specialty of ENT that deals with nasal and sinus disease, has dramatically benefited from these advances.
In the mid 1980s, small telescopes called endoscopes allowed surgeons to visualize the inside of the nasal and sinus passages and revolutionized nasal and sinus surgery.
These advances continue as technology allows rhinologists to do more, to be more accurate, to be less traumatic, and to be more precise.
Once such advancement was the development of the balloon dilating catheter and its adaptation to sinus surgery.
It is based upon the principle that surgeons can restore the natural drainage pathway of the sinuses by relieving obstruction or blockages that contribute to the disease process.
This is commonly done in a conservative fashion in order to preserve the function of the sinuses without damaging natural structures that surround them.
In general, standard instrumentation is used to remove tissue including bone and its surrounding mucous membrane (the lining of the nose and sinuses) from the area of the natural openings of the sinuses.
Doing this helps to treat disease and to restore the sinuses’ normal drainage pathways.
Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia.
The surgeon and patient will determine the ideal site and anesthesia type for the procedure based on the patient's medical history, surgical need and preferences.
The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization.
A flexible guide wire is then introduced into the targeted sinus to confirm access.
Most guide wires have a light on the tip which may produce light transmission seen through the skin to help the physician with correct placement of the guide wire.
Once access to a blocked sinus is confirmed, a balloon catheter is advanced over the guide wire and positioned in the blocked sinus opening for inflation.
The balloon is inflated.
If the procedure is successful, the sinus will remain open after the balloon is deflated and removed.
The balloon dilating catheter can be used in 2 ways.
One way is to use it just like any other instrument or tool used during functional endoscopic sinus surgery- it is used as a minimally invasive tool during a procedure where tissue is actually removed.
Another way that it can be used is as a stand-alone procedure -- that is when only the balloon and no other instrumentation is used to open a sinus. With this technique, no tissue is actually removed from the level of the sinus opening.
It has been shown that use of minimally-invasive instruments may result in less postoperative pain, less postoperative pain medication use, and a quicker recovery.
It cannot be used in all situations, and it cannot be used in all sinuses.
It is one of a vast armamentarium of instruments that a surgeon may choose from in different surgical situations.
Regardless of the name of the procedure, the instrument being a balloon or not, or the technique, this is sinus surgery.
The indications are no different than the indications for standard endoscopic sinus surgery or FESS.
The most common application of this is for chronic sinusitis that has not been able to be controlled after a long duration of medical management that includes long courses of antibiotics.
The balloon dilating catheter is a tool to be used in endoscopic sinus surgery.
It is the adaptation or application of minimally-invasive balloon technology to the field of sinus surgery.
All procedures have potential risks and complications and for a full discussion of all of these issues and how to get your balloon sinuplasty NYC procedure, please contact Dr. Dagan.
Contact Details:Dr. Dagan MD
420 Madison Ave, 5th FlNew York, NY 10017Phone: 212-585-3242
Email: [email protected]: www.daganmd.com
