Balloon Sinuplasty

Balloon sinuplasty is commonly referred to as the “smart sinus” procedure and involves clearing blocked sinuses. The procedure is recommended for patients with chronic sinusitis, severe rhinosinusitis, or sinus inflammation who have not responded to other treatments. The procedure was approved by the United States Food and Drug Administration (FDA) in 2005 and is considered extremely effective in reducing symptoms. A 2016 study found that all 15 adult participants experienced improved symptoms three and six months after surgery, without any unexpected side effects. In addition, the procedure helped preserve healthy mucous membranes, structure and nasal tissues. Today, more and more insurance companies are covering the procedure, so patients should speak to their doctor to find out if a balloon sinuplasty is an option for them.

Who is a Candidate?

Because the procedure is minimally invasive and doesn’t involve any cutting or loss of nasal tissues or bone, the recovery time is pretty short. The procedure is a good option for individuals with chronic or severe sinusitis who have not experienced relief from other medical therapies, such as antibiotics, nasal and oral corticosteroids, and nasal decongestant medications and rinses. A recent study found that 94 percent of child participants who underwent surgery were successfully treated and experienced positive effects for up to one year following surgery. In sum, the procedure is a good option for patients experiencing blocked and inflamed nasal passages, difficulty breathing, headache, jaw ache and insomnia.

What to Expect During the Procedure

A balloon sinuplasty is performed in a hospital or in an ENT clinic. The patient may be placed under local or general anesthesia.

During the procedure, the physician will insert a wire with a tiny light at the end into the patient’s sinus cavity. Next, they will insert a balloon catheter into the passage and slowly inflate it to expand the sinus opening.

A saline solution will be used to fluish out built-up mucus and clear the sinus cavity. This will decrease pressure and gently restructure the bones around the sinuses. Once the balloon is removed, the sinus passageway is left wider and the patient should be able to breathe better.

Illustration-of-nasal-sinus-with-sinusitis-that-needs-balloon-sinuplasty
Otolaryngologist-examining-male-patient's-nose-before-balloon-sinuplasty

After the Procedure

Patients are able to go home the day of the procedure and resume regular activities within a day or two. Patients may experience nosebleeds, swelling, fatigue and congestion. These side effects are normal and should resolve within five to seven days.

Patients should avoid blowing their nose for at least 24 hours. They should also avoid strenuous activity for one week after the procedure. Patients are encouraged to sleep with their head elevated to help relieve discomfort from drainage.

An antibiotic will be prescribed to help prevent an infection. Patients will also be prescribed a saline solution that they will need to use for three to seven days after the procedure to help lubricate the sinuses and support healing. However, patients should obtain clearance from their doctor before taking any drugs or pain relievers such as ibuprofen or aspirin.

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The potential risks of balloon sinuplasty include:

      • Intracranial complications
      • Slight change of appearance of the nose
      • Persistent swelling
      • Infection
      • Decreased sense of smell

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