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Balloon Sinuplasty

Balloon Sinuplasty

Balloon Sinuplasty (BSP) is a minimally invasive surgical technique used to treat chronic sinusitis. It was first introduced in the United States in 2005 and has since become a popular alternative to traditional endoscopic sinus surgery. BSP uses a small balloon catheter to dilate blocked sinus openings, allowing for improved drainage and ventilation. In this article, we will explore the history of BSP, the procedure itself, its benefits and risks, and who may be a good candidate for this procedure.

History of Balloon Sinuplasty

The concept of dilating the sinuses using balloons was first proposed in the early 1990s. However, it wasn't until the early 2000s that this idea was put into practice. In 2005, the US Food and Drug Administration (FDA) approved the use of a balloon catheter for sinus dilation. Since then, the procedure has gained popularity due to its minimally invasive nature and low risk of complications.

How does Minimally Invasive Balloon Sinuplasty work?

How Balloon Sinuplasty Works

Balloon Sinuplasty is a relatively simple procedure that can be performed under local or general anesthesia. The procedure involves the following steps:

  1. Preparing the patient: The patient is prepared for the procedure by administering either local or general anesthesia. The patient is also given antibiotics to reduce the risk of infection.

  2. Accessing the sinuses: The surgeon inserts a small endoscope into the patient's nose to visualize the sinuses. Once the sinuses are visible, the surgeon inserts a guide wire into the sinus opening.

  3. Inserting the balloon catheter: A small balloon catheter is then inserted over the guide wire and positioned in the blocked sinus opening.

  4. Inflating the balloon: The balloon is then inflated, which gently expands the sinus opening.

  5. Removing the balloon catheter: After a few seconds, the balloon is deflated and removed from the sinus opening.

  6. Checking the results: The surgeon checks the sinus opening to ensure that it is adequately dilated. If necessary, the procedure can be repeated on other sinuses.

Benefits of Balloon Sinuplasty

  1. Minimally invasive: BSP is a minimally invasive procedure that can be performed in the doctor's office or an outpatient surgical center. Unlike traditional endoscopic sinus surgery, BSP does not require the removal of bone or tissue from the sinuses.

  2. Reduced bleeding: Because BSP is a minimally invasive procedure, there is less bleeding during the surgery, which can help reduce the recovery time.

  3. Reduced recovery time: Patients who undergo BSP typically experience less pain and have a shorter recovery time than those who undergo traditional endoscopic sinus surgery.

  4. Improved quality of life: BSP has been shown to improve the quality of life for patients suffering from chronic sinusitis by reducing symptoms such as facial pain, pressure, and congestion.

Risks of Balloon Sinuplasty

  1. Infection: As with any surgical procedure, there is a risk of infection. To minimize this risk, patients are given antibiotics before and after the procedure.

  2. Bleeding: Although BSP is a minimally invasive procedure, there is still a risk of bleeding during the surgery.

  3. Failure to improve symptoms: While BSP has been shown to improve symptoms in most patients, there is a risk that it may not be effective in all cases.

  4. Damage to surrounding tissues: In rare cases, the balloon catheter used in BSP can damage surrounding tissues.

  5. In some cases, Balloon Sinuplasty may not be effective in completely treating chronic sinusitis. This may require additional procedures or treatments to achieve the desired outcome.

Who is a Good Candidate for Balloon Sinuplasty?


Balloon Sinuplasty is typically recommended for patients who have chronic sinusitis that has not responded to other treatments, such as medication or nasal irrigation. It may also be recommended for patients who have recurring sinus infections or other sinus-related conditions, such as nasal polyps.

Candidates for Balloon Sinuplasty should be in good overall health and not have any underlying medical conditions that could increase the risk of complications.


Recovery from Balloon Sinuplasty is generally faster and less painful compared to traditional sinus surgery. Most patients are able to return to normal activities within a few days of the procedure, although some may require a longer recovery period depending on the severity of their condition.

During the recovery period, patients may be advised to avoid certain activities, such as strenuous exercise or blowing their nose, to allow the sinus passages to heal properly. They may also be prescribed medication to manage pain or reduce the risk of infection.


The outcomes of Balloon Sinuplasty can vary depending on the severity of the patient's condition and the success of the procedure. However, studies have shown that the majority of patients experience significant improvement in their symptoms and quality of life following the procedure.

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