Austin American-Statesman

Fixing recurring sinus issues

- Dr. Zachary Wassmuth Dr. Zachary Wassmuth is board-certified in Otolaryngo­logy.

Q: I have had traditiona­l sinus surgery in the past, but I am once again having sinus symptoms. Is balloon sinuplasty forme?

A: Traditiona­l sinus surgery uses special instrument­s to remove tissue in an effort to open sinus drainage pathways and resolve chronic sinusitis. The surgery is very effective at opening the maxillary and ethmoid sinuses. Many physicians do not treat the sphenoid sinus during initial sinus surgeries, and frontal sinuses are difficult to effectivel­y treat with traditiona­l sinus surgery methods.

The most common persistent symptom after traditiona­l sinus surgery is headaches. Frontal headaches and retro-orbital headaches are typically related to untreated or poorly treated frontal and sphenoid sinuses during traditiona­l sinus surgery. Advances in sinus treatment have led to significan­t improvemen­ts in treating these sinuses. Balloon sinuplasty is very effective at treating persistent narrowing in the sphenoid sinus and frontal sinuses. This will significan­tly decrease infections and pressure headaches in these sinuses. Even better, the revision balloon procedure is a simple clinic procedure with no packing. Recovery is easy, with most patients returning to work the next day. Success rates are over 90%.

Chronic sinusitis has a known 10% recurrence rate after traditiona­l sinus surgery. Many of these patients will be good candidates for simple balloon sinuplasty revision. Evaluation by an otolaryngo­logist familiar with balloon technology is the first step to resolving your recurrent symptoms..

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