A New Method in the Treatment of Sinusitis: Balloon Synoplasty
In recent years, especially in the field of medical technology, in the surgical treatment of chronic sinusitis, while increasing the chances of success with less trauma, technology and devices have been introduced, which significantly reduce the risk of complications. One of the most important of these technological innovations is ‘balloon synoplasty’. Avcılar Hospital Ear, Nose and Throat Surgery Professor. Dr. Hakan Göçmen gave information about ‘balloon synoplasty’ technique. Sinuses are air-filled chambers in the face and head bones. On both sides of the face, there are four types of sinus cavities called maxillary, ethmoid, frontal and sphenoid sinuses. Normally, the nose and sinuses secrete about half a liter of mucus per day. The produced mucus sweeps and washes dust particles, bacteria and other airborne particles by acting on the nasal cover (mucosa). This mucus is then drained back into the throat and swallowed. Many people are unaware of the situation because it is a normal body function. The sinuses strengthen our sense of taste and smell, and also have tasks such as moistening the breathing air. Therefore, their inflammation prevents the full fulfillment of these functions. Each sinus cavity is connected to the nose by a hole. These connections must be open to perform their duties
What is Sinusitis?
Sinusitis is an inflammation of the sinus cavities. In case of a cold or cold, these openings are closed due to secretions and swelling. Sinusitis accumulates in the sinus, with the addition of microbes, we call acute sinusitis occurs. The complaints are mainly fullness, headache and nasal nasal discharge. Chronic sinusitis develops when the sinus openings are closed for a long time. In this case, headache is rare but discharge and nasal congestion persists. As a result of excessive inflammation called polyp formation may develop.
How is sinusitis diagnosed?
The diagnosis of sinusitis may require endoscopic nasal examination as well as paranasal sinus computed tomography and sinus film.
How is sinusitis treated?
In which situations surgical operation is required? Sinusitis is caused by obstruction of the sinus holes. Sinusitis also heals when these obstructed holes are opened. Clogged holes can be drilled in three kinds.
1. With drug treatment
2. With functional endoscopic sinus surgery (FESC) and navigation FESC
3. With the help of balloon catheter, balloon synoplasty
Drug therapy is very effective in the early period. Surgery may be required in chronic sinusitis that do not respond to persistent drug treatment. Purpose of surgery; is to open the sinus paths. Thus, the aeration of the sinuses is provided. Infection regresses and disappears in the vented sinus. For the last 30 years, Functional Endoscopic Sinus Surgery has been a simple technique for the treatment of these diseases. FESC is a surgery called endoscope with thin instruments passing light and aiming to cause as little damage to the anatomical structure of the nose and sinuses as possible. Surgery can be performed under local or general anesthesia, depending on your doctor's preference and you. The operation takes approximately half an hour to one and a half hours. The patient is discharged on the same day or the following day. Postoperatively, there is usually no need to put a tampon in the nose. The patient returns to normal daily life in 3-5 days.
Balloon Synoplasty
The principle of the technique called balloon synoplasty; It is to restore the sinus aeration and mucus evacuation function by expanding the obstructed or narrowed discharge channels of the sinuses using only balloons without cutting out the tissues in this region. In fact, the procedure is to apply the logic of balloon dilation of the occluded coronary vessels to the perforations of the sinuses.
How is balloon synoplasty performed?
Under general anesthesia, first the endoscope and catheter with the location of the narrow sinus mouth, then the catheter-guided balloon is sent to these channels, with the help of inflated balloon in this region is expanded and the inside of the sinus is washed. Balloons containing drug in resistant sinusitis cases have been developed in recent years.
FESC, navigated FESC and Balloon synoplasty, which is valid for the treatment of invasive sunusitis in our hospital, is successfully performed with more than 25 years of experience.
Can Balloon Synoplasty Be Applied to Every Sinusitis Patient?
Balloon Synoplasty is not suitable for every sinusitis patient. It is decided by a ENT specialist according to the characteristics of the patient. Your doctor will make a decision by examining your condition and tomography. Functional Endoscopic Sinus Surgery (FESC) or other methods should be preferred in cases with excessive polyps, fungal sinusitis and suspected tumor.
Can Balloon Synoplasty be Applied Simultaneously with Other Treatments?
Balloon Synoplasty can be performed with operations such as nasal nasal flesh and turbinate surgery. Sometimes, some sinus mouths of the same patient may be expanded with FESC and others with balloon. It can also be used in patients who have previously failed to intervene in their sinuses.
Is Balloon Synoplasty a Reliable Method?
Balloon Synoplasty is reliable in experienced hands, although other surgical procedures carry more or less risk.
How long does balloon synoplasty last?
It is a minimally invasive method. Although it is done in hospital, it does not require overnight stay. Although it varies from patient to patient, normal activities can be started on the same day.
Is there any age limitation in balloon synoplasty?
In order to apply this technique, it is sufficient to have a patient profile suitable for this treatment. As in all surgical cases, selective treatment should be performed at a young age. Sinus canals can be used safely at any age if intervention is required.
The highly narrowed mouth of the sinus and the green inflammatory fluid inside; catheter inserted into the sinus,
Balon The balloon in the catheter is inflated,
❍ Catheter removed; the inflamed fluid in the sinus is discharged and a proper opening remains in the mouth of the sinus.
What are the Advantages of Balloon Synoplasty?
Z Does not damage technical tissues. (Small, soft, elastic equipment is used, gently opening the closed sinus drainage channels is achieved with minimal tissue damage.) Therefore, bleeding, pain and pain is not much
Ihtimali The possibility of complications is low.
❍ Return of the surgery is positive, re-closure of the channels is not very common
❍ Fast recovery time; most patients may return to their daily life one day after the operation. ❍ The technique can be used in combination with other treatments.
45AXX
Afrin 12 Hour Pump Mist, Original, 0.5 Ounce
