Balloon Catheter Dilation of the Paranasal Sinus Ostia (Balloon Sinuplasty™)

Dr. Bolger and Dr. Naseri have made major contributions to the development and implementation of catheter-based therapy for the sinuses, also referred to as Balloon Sinuplasty™.

In 2004, a small group of biomedical engineers invited Dr. Bolger to explore the potential use of cardiovascular surgery catheter techniques in the paranasal sinuses. Dr. Bolger and this group of experts collaborated to innovate and help create the first balloon catheter devices suitable for use in the sinuses.

Thereafter, Dr. Bolger tested the feasibility and safety of the devices extensively in the laboratory setting1, and subsequently explored the first use of Balloon Sinuplasty in a small group of patients2. He collaborated with several colleagues in the first multicenter clinical trial of Balloon Sinuplasty, which demonstrated the safety and effectiveness of the balloon catheter approach3. Dr. Bolger published the results of these studies in peer-reviewed journals; this work is now the foundation for balloon catheter treatment of the sinuses. For the last decade, Balloon Sinuplasty™ procedures have had a remarkable safety record.

Dr. Bolger helped develop a training curriculum to demonstrate the proper application and surgical technique of the catheter devices. The training program introduced minimally invasive balloon catheter sinus treatments to ENT doctors worldwide.

Advances in balloon catheter devices and techniques now allow Balloon Sinuplasty™ to be performed in the office setting, without deep sedation or general anesthesia. Dr. Naseri is at the forefront of providing in-office therapies to patients, and co-directs an annual course to teach these techniques to other ENT physicians. He offers Balloon Sinuplasty™, as well as other in-office therapies to patients.

At the North Florida Sinus Center, we offer a range of treatments to address your sinus disease. We take pride in a conservative and methodical approach, offering surgical and non-surgical options for treatment. Balloon Sinuplasty™ is an innovative, minimally invasive procedure, but it is not appropriate for every patient. We have considerable expertise and experience, and are happy to provide a second opinion consultation to determine if Balloon Sinuplasty™ is right for you.

References

1. Bolger WE, Vaugh WC. Catheter-based dilation of the sinus ostia: initial safety and feasibility analysis. Am J Rhinology 2006; 20:290-294. https://www.ncbi.nlm.nih.gov/pubmed/16871931

2. Brown C, Bolger WE. Safety and feasibility of balloon catheter dilation of
Paranasal sinus ostia: a preliminary investigation. Annals of Otology, Rhinology and Laryngology 2006; 115: 293-9. https://www.ncbi.nlm.nih.gov/pubmed/16676826

3. Bolger WE, Brown CL, Church CA, Goldberg AN, Karanfilov B, Kuhn FA, Levine HL, Sillers MJ, Vaughan WC, Weiss RL. Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients. Otolaryngol Head Neck Surg 2007; 137:10-20. https://www.ncbi.nlm.nih.gov/pubmed/17599558



How Does Balloon Sinuplasty™ Work?

Step 1. A balloon catheter is inserted into the inflamed sinus.

Balloon Sinuplasty Step 1.

Step 2. The balloon is inflated to expand the sinus opening.

Balloon Sinuplasty Step 2.

Step 3. Saline is sprayed into the inflamed sinus to flush out the pus and mucus.

Balloon Sinuplasty Step 3.

Step 4. The system is removed, leaving the sinuses open.

Balloon Sinuplasty Step 4.


Balloon Sinuplasty™ In-Office

Balloon Sinuplasty is now available to eligible patients as a procedure performed in our office, under local anesthesia. Your physicians at the North Florida Sinus Center will recommend the best approach for you.

Benefits of Balloon Sinuplasty™ In-Office:

  • Local Anesthesia
    Balloon Sinuplasty in-office is an option for patients who decline or are ineligible for general anesthesia.
  • Comfortable Surroundings
    Experience the procedure in the comfort of your physician’s office rather than a hospital operating room.
  • High Patient Satisfaction
    The majority of patients who had Balloon Sinuplasty in-Office would recommend the procedure to family and friends.
  • Potential for Significant Cost Savings
    Some eligible patients may have lower out-of-pocket costs if the procedure is performed in a lower cost of care setting, such as a physician's office.
  • 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 using the Balloon Sinuplasty™ system is right for you.

  • Improved Recovery Time
    While recovery time varies with each patient, many people can return to normal activities within 24 hours.

  • 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. As a result, the need for uncomfortable nasal packing may also be eliminated.

  • 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.

  • Safe and Effective
    While use of any surgical instrument involves some risk, clinical studies have indicated the Balloon Sinuplasty™ system to be safe and effective in relieving symptoms of sinusitis.


Balloon Sinuplasty™ Video Animation


If you suffer nasal congestion, facial discomfort, nasal discharge, headache, and fatigue and your symptoms last 12 weeks or more, you may have chronic sinusitis. Please contact our office!

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