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New Surgery Could Lead to More Permanent Results against Sinusitis

Andrew Cornetta, MD
with patient Monique Arravel

Sinusitis is one of the most common health problems in the United States affecting 37 million people each year. Symptoms—ranging from facial pain and pressure to loss of the senses of taste and smell—have the power to significantly impact quality of life. A new surgery known as balloon sinuplasty could lead to more permanent results for patients suffering with chronic sinusitis. “It’s like an angioplasty for the coronary arteries of the sinuses” said attending otolaryngologist Anthony Cornetta, MD. Balloon sinuplasty works with a balloon catheter which is placed through the nostrils to access the target sinus. The balloon is then inflated, deflated and finally removed, leaving an open sinus passageway and restoring sinus function. Many specialists believe that balloon sinuplasty has technological benefits over traditional endoscopic surgery. “The procedure is much less invasive than traditional surgery which means a lot less anxiety for patients, much less pain, and faster recovery,” said attending otolaryngologist William R. Spencer, MD.

William R. Spencer, MD; Robert Feld, MD; & Peter Berman, MD
Because the procedure is done under fluoroscopic image guidance, it is appropriate for sinuses that may be difficult to reach or visualize using normal surgical techniques. “With balloon sinuplasty, we have the ability to thread the catheter into the sinuses, then take an x-ray in order to ensure that it is precisely placed,” explained Robert Feld, MD, Chief of Otolaryngology. “From there it is a simple matter to thread the balloon over the catheter.” “It made sense to me from the beginning,” said Monique Arraval, DDS, who underwent balloon sinuplasty with Dr. Cornetta. Dr. Arraval’s symptoms began in the early spring of 2007. As a dentist, Dr. Arraval’s stuffy nose and loss of sense of taste and smell made working very difficult. When her symptoms lasted beyond the spring she knew she was suffering from more than seasonal allergies. After diagnosing severe chronic sinusitis her internist referred her to Dr. Cornetta. When antibiotics didn’t cure her symptoms, Dr. Arraval and Dr. Cornetta decided to move forward with the balloon sinuplasty procedure.

After the procedure, a bandage was placed under Dr. Arraval’s nose and she experienced little bleeding and very little swelling the next day. Dr. Cornetta notes that although symptoms should
not return and results are expected to last indefinitely, the procedure can be repeated.

Two weeks post surgery, Dr. Arraval noted, “For the first time I felt like I could breathe again. [I have a] better sense of living, I can go out to eat again, I can smell and taste everything.”
“This is just one more tool that we have to treat chronic sinus infections,” attending otolaryngologist Peter Berman, MD, concluded.

 

Healthline July 2008

 

 
 

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Huntington Hospital
270 Park Avenue, Huntington NY 11743
(631) 351-2000
staff@hunthosp.org

 


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