Balloon Sinus Dilation (BSD) Procedure for Chronic Sinusitis
Patients suffering from chronic sinusitis experience swelling in the passages around the nasal cavities (sinuses). When other treatments are unsuccessful, your MMG otolaryngologist may recommend Balloon Sinus Dilation.
BSD is an advanced surgical procedure used to treat sinusitis and other related problems using minimally invasive techniques. During BSD, a thin endoscope is inserted into the nose. A small balloon is then inflated to widen blocked passageways. This allows for proper drainage of sinus fluid.
Patients benefit from less bleeding and shorter recovery time with this procedure than other methods.
Deviated Nasal Septum
When the thin wall (nasal septum) between your nasal passages is displaced to one side, this is known as a deviated septum. For many people with this condition, this displacement causes one nasal passage to be smaller than the other. A blockage from a deviated septum can reduce airflow and cause difficulty breathing when this condition is severe.
What are the causes of a deviated septum?
A deviated septum may be present at birth. It can occur during fetal development or caused by an injury during birth. Those involved in contact sports should take precautions to avoid a deviated septum caused by an injury.
What are the symptoms of a deviated septum?
Many individuals never realize they have a deviated septum. However, the following symptoms may mean a medical intervention is necessary:
- Preference for sleeping on one side or difficulty sleeping
- Noisy breathing during sleep
- Facial pain
- Obstruction of one or both nostrils
- Recurring sinus infections
- Dry mouth due to chronic mouth breathing
- Pressure in the nasal passages
How will my doctor diagnose a deviated septum?
A deviated septum is easy to diagnose. Your doctor will use a bright light and possibly an instrument known as a nasal speculum to spread open your nostrils. A long tube-shaped scope with a bright light at the tip may also help your doctor see farther into the nose. Your doctor may also look at your nasal tissues before and after administering a decongestant spray.
How will my MMG ENT treat my deviated septum?
First, your doctor may try managing your symptoms that affect the tissues lining the nose. He or she may prescribe:
- Nasal steroid sprays
If symptoms persist, you may consider a septoplasty surgery to correct your deviated septum. During this procedure, your nasal septum is repositioned and straightened. Your surgeon may need to cut and remove parts of your septum before repositioning.
Endoscopic Turbinate Reduction
There are three turbinates on each side of the nose. Their job is to clean and humidify the air as it moves through your nose to your lungs.
Why would my MMG ENT recommend endoscopic turbinate reduction?
For patients with turbinate hypertrophy, the turbinates are too large and can cause nasal obstruction. Endoscopic turbinate reduction surgery should correct the problem by reducing the turbinate size while preserving their natural function. This should improve nasal breathing. It may also reduce nasal drainage and post nasal drip.
What should I expect from turbinate reduction surgery?
Your doctor may perform your surgery in conjunction with a surgical septoplasty. Your doctor will use an endoscope, a thin tube with a light at the end, during your surgery. This will improve visualization and provide a magnified view during surgery.
Your doctor makes an incision in the mucous membrane of the turbinate. He or she will then carefully remove the underlying bone of the turbinate. A microdebrider is used to thin the tissue around the turbinate. Alternately, your doctor may cauterize the tissue with radiofrequency or electrical current (cautery or radiofrequency surgery). Your doctor may also prescribe a saline spray solution to help with dryness and healing.