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Medical Forum / Diseases and Disorders / Sinusitis / April 2006

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Balloon Sinuplasty

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Bob West - 09 Apr 2006 19:55 GMT
On the ABC news the other night there was a segment on a new procedure
for sinus sufferers. It's called Balloon Sinuplasty. I Googled for
additional information. I came up with the following site.  

http://acclarent.com/index.html

It seems to have some merit. Anyone know about the procedeue, know
someone who had it done or perhaps had it done to themselves. Any
information would be greatly appreciated.
Je Wiz - 10 Apr 2006 00:31 GMT
Do they have to put you out? Or can this be done with a local pain
kiler? Its seems interesting. It might be very good for people with say
maxillary problems. But what if someone also has polyps?  
Bob West - 10 Apr 2006 01:09 GMT
I did not check the whole site yet. But I think they have some place to
e-mail questions. I see on the site for doctors preforming this
procedure that there is one at the University of Pennsylvania Hospital
in Philadelphia. I may check with him to see if I am a candidate .
judy - 10 Apr 2006 11:54 GMT
Is it Dr. Kennedy in Phila?  I had surgery with him years ago and am
planning to visit again...in my desperation!  He is known for bringing
endoscopy to the US...
Don Brady - 12 Apr 2006 05:07 GMT
>Is it Dr. Kennedy in Phila?  I had surgery with him years ago and am
>planning to visit again...in my desperation!  He is known for bringing
>endoscopy to the US...

You are correct.

I do not know whetehr he uses Ballon Sinuplasty though.   Sone of his
colleagues at U.Pa. are listed as doing so at http://acclarent.com/r_east.html 
That may merely mean that Acclarent gave them the instruments in the hopes of
favorabel reports, since U. Pa, is nationally known for Sinus Surgery .
august - 10 Apr 2006 07:30 GMT
> Do they have to put you out? Or can this be done with a local pain
> kiler? Its seems interesting. It might be very good for people with say
> maxillary problems. But what if someone also has polyps?

Faux news had a big blurb on the procedure where they showed the procedure
being done. Definitely awake during the procedure. The logic behind the
treatment was that the widened ostia would allow proper drainage which would
then allow other standard treatments to begin working which hadn't been
working before due to blocked ostia. Might work ok for simple sinusitis
problems.    AW
Don Brady - 10 Apr 2006 01:39 GMT
>On the ABC news the other night there was a segment on a new procedure
>for sinus sufferers. It's called Balloon Sinuplasty. I Googled for
[quoted text clipped - 5 lines]
>someone who had it done or perhaps had it done to themselves. Any
>information would be greatly appreciated.

We've already discussed in detail,  You might try groups.google.com.

It only applies in a limited range of situations, so you might  be ill-advised
to try to get it specifically because that would take the focus off your
problem into finding the tiny number of surgeons who have expereicene with it.

Some of the surgeons who do use it are probably thinking of it mainly as a
marketing gimmick.

Yes it saves conventional cutting in widening the ostia.    But widening the
ostia is easy and well-done by conventional means, so is saving a little
cutting worth the unknowns of a new procedure?   New procedures often have
problems that take years to show up.

Anyway widenening the ostia is just one part of what is often needed in sinus
surgery, and not the most difficult part anyway....

I suspect  that the ABC news coverage was a result of promotional efforts by
Acclarant.
Steven L. - 10 Apr 2006 02:58 GMT
> Anyway widenening the ostia is just one part of what is often needed in sinus
> surgery, and not the most difficult part anyway....

In fact, Don, thinking back over the years I've been reading this NG, I
don't even recall any posters saying all they needed was to have their
ostia widened.  Most of the sinus patients who went for surgery (myself
included) ended up needing other procedures.  Most common were turbinate
reduction and septoplasty, followed by scraping sinus linings and
removing cysts/mucoceles.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

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Steven L. - 10 Apr 2006 02:50 GMT
> On the ABC news the other night there was a segment on a new procedure
> for sinus sufferers. It's called Balloon Sinuplasty. I Googled for
[quoted text clipped - 5 lines]
> someone who had it done or perhaps had it done to themselves. Any
> information would be greatly appreciated.

We've discussed it here before--search the Google archive.  Its purpose
is to widen the ostia (sinus ducts) without a scalpel.  That's nice, but
there are a lot of sinus problems that can't be fixed that way.

In my first sinus surgery, my septum was actually severely deviated into
a jog and I had a lot of diseased sinus linings that had to be scraped.
 In my second sinus surgery, I had a mucocele in one of my left
ethmoids that just had to be removed.  Just widening the ostia wouldn't
have helped me.

And I'm not alone.  Over the years, we've had a lot of sinus surgery
patients come thru this NG, and many of them have reported they needed
more extensive surgery than just widening the ostia.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

 
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