Sinus Disorders, Surgery, and Balloon Sinuplasty

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This is probably the most common complaint area that we see in this part of the country (and is a year round problem). A complete history and physical examination will be performed which may include reviewing a past history of what methods have been tried before. Medications may be tried, cultures may be taken, and more diagnostic tests may be performed (including mirror examination of the sinus and nasal region or even fiberoptic video endoscopic visualization of the nasal and sinus areas). There may be a need for further diagnostic x-rays including a CAT scan of the sinuses, which will also be reviewed in the office with you.
If it makes sense to have a complete Allergy evaluation and skin testing, we will be glad to refer you to our Colleague and in office Double Board Certified Allergist, Dr. Thomas Chacko with whom we have developed a very close working relationship since all testing and treatment is done on site in our office for the best continuity of care for our patients. If the results of your sinus evaluation give you an option for sinus surgery, Dr. Gadlage has extensive experience in all forms of traditional sinus surgery as well as the latest techniques in Balloon Sinus Surgery, including in operating room as well as in office procedures. Dr. Gadlage was one of the first sinus surgeons in the South who learned and practiced balloon sinus surgery, now over 4 years experience and over 2000 balloon sinus surgery procedures done. Dr. Gadlage has also been honored in being asked as faculty and instructor teaching his medical and surgical colleagues latest techniques as even newer equipment and developments have evolved, and he has taught at national meetings in Dallas, TX and Palo Alto, CA, as well as one of only a few invited faculty at the FIERO International Sinus Surgery Symposium in NYC, NY, attended by over 500 sinus surgeons from around the world. Dr. Gadlage has been recognized as a “Sinus Center of Excellence” at the Gadlage Sinus Institute.

Acclarent Click here for an overview of balloon sinuplasty by Acclarent.
WSB Click here for an article on how sinus surgery could ease chronic problems
If you are considering sinus surgery, please discuss this with Dr. Gadlage to see which technique, whether in the operating room as an outpatient, or in the office under local anesthesia via balloon sinuplasty technique.  He is most skilled in either technique, but the final decision is the patient’s. Also, in choosing which technique would best be suited for you,  please preview the link below on “post op care” to better prepare you for your surgery.

Chronic Sinusitis

Chronic sinusitis is an inflammation of the sinus lining lasting three months or more, and is one of the most commonly diagnosed chronic illnesses. It is most commonly caused by bacterial, viral, and/or microbial infections. Structural issues such as blockage of sinus opening can also lead to chronic sinusitis. If the opening is closed, normal mucus drainage may not occur. This condition may lead to infection and inflammation of the sinuses.

Common signs and symptoms:

  • Facial pain, pressure, congestion or fullness
  • Difficulty breathing through the nose
  • Discharge of yellow or green mucus from the nose
  • Teeth pain
  • Loss of the sense of smell or taste
  • Headache
  • Fatigue
  • Sore throat
  • Bad breath

If you are experiencing some of these symptoms, you may be suffering chronic sinusitis.

Sinuses are air-filled pockets that surround the nose. Each sinus has an opening through which mucus drains. Chronic sinusitis sufferers do not experience the normal drainage which keeps the sinus healthy. Cycles of medications can be costly and conventional sinus surgery can be painful.

What is the Balloon Sinuplasty™ system?

Doctors thread a guide wire equipped with a tiny balloon into the nostrils and up to the area of blockage. They then inflate the balloon just enough to open the passageway. Sinuses are opened in the same way that doctors open up blocked arteries during a balloon angioplasty. The technology is minimally invasive and safe. Tens of thousands of patients have experienced the benefits of the Balloon Sinuplasty™ system.

How does the technology work?

Step 1. Gain Access to the Sinus.

Step 2. Inflate Balloon Across Ostium.

Step 3. Remove Balloon and Irrigate Sinus.

Step 4. Remove System.

To gain initial sinus access, the sinus guide catheter is introduced into the nasal cavity to target the sinus ostia under endoscopic visualization. The sinus guidewire or the sinus illumination system is introduced through the sinus guide catheter and gently advanced into the target sinus.
The sinus balloon catheter is introduced over the sinus guidewire or sinus illumination system and positioned across the blocked ostium. The position of the sinus balloon catheter is confirmed and the balloon is gradually inflated to open and remodel the narrowed or blocked ostium.
The sinus balloon catheter is then deflated and removed. The irrigation catheter is advanced over the sinus guidewire or sinus illumination system into the target sinus. The sinus is then irrigated, flushing tenacious sinus contents – like pus and mucus.
The irrigation catheter is removed, leaving the ostium open and the sinus cleared of mucus allowing the return of sinus drainage. There is little to no disruption to mucosal lining.