Balloon Sinuplasty

Balloon sinuplasty is a minimally invasive procedure used to treat chronic and recurrent acute rhinosinusitis that is causing persistent symptoms despite prolonged medical treatment. This FDA-approved technology has been available for use in the operating room since 2005, and this procedure has been performed in over 165,000 patients (over 300,000 sinuses) nationwide and counting. This procedure can be performed in the operating room under general anesthesia, and we are proud to be the first ENT practice in Raleigh to offer and perform this treatment under local anesthesia in the office.

When performed in the operating room under general anesthesia, the sinuses are visualized with an endoscope and camera, while a lighted guide-wire is positioned atraumatically into the sinus to be dilated. A small balloon catheter is then threaded over the wired, inflated for 5 to 10 seconds, and the sinus dilation is complete.

The next sinus is then treated in the same fashion. If necessary, the sinus can simultaneously be irrigated with saline. There is no removal of tissue, so bleeding is minimal. The procedure is also very safe, with very low risk for complications. Return to normal activities is almost immediate. Patients return for a follow-up visit so the dilated sinus openings can be visualized, and post-operative sinus cleanings or debridements are generally unnecessary.

Advantages of this procedure include minimal invasiveness with no tissue removal, reduced bleeding, quick recovery and less pain, no nasal packing, and preservation of future treatment options if needed. While there continues to be controversy regarding proper use and efficacy regarding balloon sinuplasty, the majority of studies to date done with this procedure have been favorable. The best studies show symptom improvement for 85% of patients at 2 years post-op with no serious adverse events. The American Rhinologic Society and the American Academy of Otolaryngology-Head and Neck Surgery both currently have favorable position statements concerning this procedure. Please visit the American Rhinologic Society webpage for further information.

At Capitol ENT, we offer comprehensive care for the nose and sinuses. If you are suffering from chronic or recurrent sinus problems and have not found adequate relief from medical therapy, you may be a candidate for balloon sinuplasty. However, this procedure is not for everyone, and if you are not a candidate, we offer comprehensive medical and surgical treatments that will be individually tailored to fit you.
Please contact us at 919-787-1374 for an appointment.