Balloon Sinus Dilation: Immediate, Lasting Relief Become a Sinusitis Success Story: Restore drainage and find instant sinus relief


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Balloon sinus dilation is a new, minimally invasive office procedure that reopens the sinus pathways and restores drainage to deliver immediate and long lasting relief to recurrent and chronic sinusitis sufferers. In balloon sinus dilation, the ear, nose and throat specialist seeks to reshape anatomy by inflating small balloons in key places in the nose and sinus to expand sinus pathways and restore drainage. Balloon Sinus Dilation: Break your sinusitis routine Poor sinus drainage, which leads to infection and discomfort, is the source of persistent or recurring sinus pain. Antibiotics, decongestants, and steroids can be used to minimize the discomfort of symptoms, but they do not fix the underlying drainage problem. By restoring sinus drainage, balloon sinus dilation can provide lasting sinus relief to qualified patients, and the sinusitis cycle. Balloon Sinus Dilation: Quick recovery, lasting results Performed under local anesthesia, balloon sinus dilation offers a new, in-office choice to sinusitis patients. Patients who have received the FinESS™ balloon sinus dilation procedure have experienced significant improvement in sinusitis symptoms, and 90% return to normal activity within 48 hours. Ear, nose and throat specialists in your area have been trained on these innovative procedures. Entellus Medical now provides ENTs with two balloon sinus dilation technologies, FinESS and XprESS, to meet a broader range of patient need. Find an ENT to understand your sinusitis treatment options - and become a sinusitis success story. To learn more about the clinical evidence supporting the benefits of balloon sinus dilation, and learn more about potential risks, visit the Clinical Results page. Find A Doctor Find A Doctor Find A Doctor FinESS VIDEO VIEW XprESS VIDEO of Balloon Sinus Dilation Procedure Compare Treatment Options Compare Options Compare Treatments

Balloon sinuplasty is an endoscopic surgical procedure for the treatment of blocked sinuses]]. Patients diagnosed with chronic sinusitis but not responding well to medications may be candidates for sinus surgery.[1][2][3][4] Two options are balloon sinuplasty and functional endoscopic sinus surgery (FESS).

Balloon sinuplasty is a U.S. Food and Drug Administration[5] approved, endoscopic, catheter-based system for patients suffering from chronic sinusitis. It uses a balloon on a wire catheter to attempt to dilate sinus passageways. When the balloon is inflated, it may widen the walls of the sinus passageway, with the goal of restoring normal drainage without permanently damaging the sinus lining.

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The Procedure

Sinus surgery with balloon sinuplasty may be performed safely in a hospital or outpatient surgery setting. The surgeon and patient will determine whether general anesthesia, local anesthesia or no anethesia will be used depending upon the patient's medical history and the type of sinus condition that needs to be managed.

When performing balloon sinuplasty, the physician inserts a catheter through the nostril into the sinus opening under endoscopic visualization. The endoscope allows a better view into the nasal passages to increase the probability that the catheter is inserted into the proper location. A sinus guide wire or sinus illumination system is then introduced into the targeted sinus. The sinus illumination system provides transcutaneous light transmission that helps the physician ensure correct placement of the guide catheter. When the balloon sinuplasty system was introduced in 2005, illuminated wires were not included and surgeons confirmed the wire location with x-rays/fluoroscopy. Fluoroscopic systems are still in use today and can involve significant X-ray exposure.

Once access to the intended location is confirmed by transillumination or fluoroscopy, a balloon catheter is introduced into the sinus cavity over the sinus guide wire or sinus illumination system and positioned in the blocked ostium for inflation. Once the position has been accepted visually, the balloon is inflated to open the narrow or blocked ostium. The balloon is then deflated and removed. Next, an irrigation catheter may be advanced over the sinus guide wire or sinus illumination system to flush out the sinus.

History

Balloon sinuplasty technology was developed by Acclarent, Inc., and was brought to market in 2005, following FDA approval. Patients with sinus disease in the maxillary sinus (under the cheek), frontal sinus (over the eyes), and sphenoid sinus (in the middle of the head)caused by obstruction may benefit from balloon procedures. Balloon sinus technology is not used in the ethmoid sinus (between the eyes) because of the risk of damage to the eye (double vision, damage to vision or blindness) with balloon inflation. Balloon sinus procedures are occasionally used alone to manage disease in the frontal, maxillary or sphenoid sinuses, or can be combined with more traditional sinus technologies. A weakness of balloon procedures is the difficulty in obtaining valuable, accurate culture and biopsy information from the sinuses. Culture and biopsy information is often a chief reason for undergoing a sinus surgery, and accurate results can impact postoperative therapy and long term prognosis. While manufacturers of balloon products assert that this information can be obtained, the exposure and collection gathering techniques are far inferior with balloon procedures versus standard endoscopic sinus surgery, and so-called "hybrid procedures" (combining standard techniques with balloons) prolong operative time and increase expense. When performed as an isolated procedure, balloons have a high safety record. There remains a small risk of damage to the brain and eyes.

As with any sinus surgery, additional treatment medically or surgically may be needed depending on the cause of the sinus disease.[6]

Additional reading

1. Brown, CL, et al.; Safety and Feasibility of Balloon Catheter Dilation of Paranasal Sinus Ostia: A Preliminary Investigation; Annals of Otology, Rhinology & Laryngology April 2006, Vol. 115(4): 293-299

2. Bolger, WE, et al.; Catheter Based Dilation of the Sinus Ostia: Initial Safety and Feasibility Analysis in a Cadaver Model; American Journal of Rhinology May–June 2006, Vol. 20, No. 3, P. 290-294

3. Benninger, M., Otolaryngology Head and Neck Surgery 2003; 129S: s1-S32

4. Gliklich, R., et al., Journal of Allergy Clin Immunol 1999; 113: 104-109

5. Ray, N., et al., Journal of Allergy Clin Immunol 1999; 103: 408-414

[edit] References

  1. ^ Hamilos, D.,J Allergy Clin Immunol 1999; 103: 408-414
  2. ^ Stankiewicz, J. et al, Am J Rhinol 2003; 17(3): 139-142
  3. ^ Subramnanian, H., et al, Am J Rhinol 2003; 16(6): 303:312
  4. ^ Hessler, J., et al, Am J Rhinol 2007; 21(1): 10-18
  5. ^ http://sec.edgar-online.com/acclarent-inc/s-1-securities-registration-statement/2008/06/06/Section5.aspx
  6. ^ Bolger, WE, et al; Safety and Outcomes of Balloon Catheter Sinusotomoy: A Multi-Center 24-Week Analysis in 115 Patients; Otolaryngology - Head and Neck Surgery, July 2007, Vol. 137, No. 1, P. 10-20

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