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Once access to a blocked sinus is confirmed, a balloon catheter is advanced over the guide wire and positioned in the blocked sinus opening for inflation. The balloon is inflated. The entire procedure takes around 31 minutes and if the procedure is successful, the sinus will remain open after the balloon is deflated and removed for up to 24 months.
Serious complications such as blindness occur in only 0.44% of cases, as determined by a study performed in the United Kingdom. [8] A Cochrane review in 2006 based on three randomized control trials concluded that FESS has not been shown to provide significantly better results than medical treatment for chronic rhinosinusitis. [23]
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
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Complications from endoscopic sinus surgery are rare, but can include bleeding and damage to other structures in the area including the eye or brain. [ 21 ] Many physicians recommend a course of oral steroids prior to surgery to reduce mucosal inflammation, decrease bleeding during surgery, and help with visualization of the polyps. [ 12 ]
Balloon Eustachian tuboplasty (BET) [1] is a minimally invasive procedure for the causal treatment of Eustachian tube dysfunction (ETD), an often-chronic disorder in which the regulation of middle ear pressure and the removal of secretions are impaired. The dysfunction often causes significant discomfort in affected patients and can trigger ...
In the initial evaluation of sinusitis an otolaryngologist, also known as an ear, nose and throat (ENT) doctor, may confirm sinusitis using nasal endoscopy. [11] Diagnostic imaging is not usually needed in acute stage unless complications are suspected. [13] In chronic cases, confirmatory testing is recommended by use of computed tomography. [13]
Antral lavage is a largely obsolete [citation needed] surgical procedure in which a cannula is inserted into the maxillary sinus via the inferior meatus to allow irrigation and drainage of the sinus. [1]