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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 Fl
New York, NY 10017
Phone: 212-585-3242
Email: info@daganmd.com
Website: www.daganmd.com
Balloon sinuplasty in New York City

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Balloon sinuplasty in New York City

  • 2.
  • 3. 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.
  • 4.
  • 5. 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.
  • 6.
  • 7. 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.
  • 8.
  • 9. 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.
  • 10.
  • 11. 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.
  • 12.
  • 13. 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.
  • 14.
  • 15. Contact Details: Dr. Dagan MD 420 Madison Ave, 5th Fl New York, NY 10017 Phone: 212-585-3242 Email: info@daganmd.com Website: www.daganmd.com