Balloon Sinuplasty in NYC & NJ
Balloon Sinuplasty In Depth
by Monica Tadros, M.D., F.A.C.S.
Balloon Sinuplasty is offered in our NJ practice to correct sinus blockage. The sinuses are the airways for oxygen to travel to the brain during the developmental stages into our adult lives. They are covered with a mucous lining that contains tiny hairs called cilia that sweep the sinuses clean. Each sinus has an opening that is usually only a few millimeters in size, allowing mucous to drain and debris to be cleared. Chronic inflammation, scar tissue or polyps may block the natural flow, prevent normal sinus circulation, and cause sinus pressure, pain or infections.
What are the common symptoms of sinusitis?
Common symptoms include:
- Facial pain, pressure, congestion or fullness
- Nasal obstruction or blockage
- Discharge of discolored mucus from the nose
- Discolored post-nasal drainage
- Loss of smell
Where are our sinuses located and what symptoms may occur with sinus blockage or unhealthy sinuses?
We have four paired paranasal sinuses:
- Maxillary sinuses are behind the cheekbone and facial pain in this area may also radiate to the teeth or ears.
- Frontal sinuses are in the forehead region.
- Ethmoid sinuses are between the eyes. Facial pain or pressure in these sinuses may radiate to the forehead or eyes.
- Sphenoid sinuses are in the center of the skull and may cause pain radiating to the top and back of the head. Because the sinuses drain into the back of the nasal cavity, symptoms may include nasal stuffiness and congestion. When the condition is severe, the eyes may fail to drain into the nose resulting in watery eyes. If the middle ears fail to drain into the nose, ear pressure, pain or dizziness may occur.
How does Balloon Sinuplasty help clear blocked sinuses without the need for conventional sinus surgery?
The goal of any sinus procedure is to restore normal sinus drainage and circulation so mucous, debris and bacteria do not accumulate in the sinuses. In conventional endoscopic sinus surgery, specialized instruments are placed into the nose along with a small endoscope to surgically resect diseased tissue and open or core out the sinuses.
Balloon Sinuplasty (also known as Balloon Sinus Dilation) is a minimally invasive procedure performed through the nostrils that utilizes a small balloon catheter to dilate obstructed sinus passages without making any incisions.
Patient Preparation & Procedure for Balloon Sinuplasty Procedure:
- Step 1: The nose is numbed with a combination of topical and local anesthetic.
- Step 2: A lighted fiber optic guidewire (1 mm in width) is painlessly snaked into the sinuses.
- Step 3: Once positioned correctly, the guidewire will trans-illuminate the face indicating perfect cannulation of the blocked sinus.
- Step 4: The balloon is advanced and gradually inflated to restructure the previously blocked sinus passage.
Why doesn’t the sinus close up again after dilation by Balloon Sinuplasty?
The key to understanding the elegance of this procedure lies in the anatomy of sinus bone. The sinus bone is fragile like an eggshell. Once the balloon is inflated, the sinus bone cracks (as simply as an egg might crack with a tap). In this case, the balloon dilation restructures the bone itself and permanently changes the aperture of the blocked sinus tract from as little as one mm to as large as 7mm.
Post Balloon Sinuplasty procedure and recovery:
There is minimal bleeding and very little discomfort since there are no incisions made. The majority of patients are able to return to work and normal activities within 24 hours.
Can Balloon Sinuplasty be performed as an In-Office Procedure?
Dr. Tadros has performed hundreds of balloon sinus dilation procedures. She is one of a small number of physicians who is skilled in performing balloon dilation safely and effectively in-office. Typically, the office experience is quite comfortable for most patients and can be likened to that of a dental procedure. However, some patients may have severe septal deviations which make sinus access difficult. In other cases, there are patients that simply prefer the comfort of having the procedure performed under anesthesia in an ambulatory surgery center. Dr. Tadros will meet with you and discuss whether you are a candidate for Balloon Sinuplasty and determine the treatment plan that is right for you.