Treatment Options for Sinusitus
Typically sinusitis is first treated with medication. This may include antibiotics or nasal steroid sprays to reduce mucosal swelling and fight infection. For those with chronic sinusitis, surgery may be an option. The goals of sinus surgery are to clear blocked sinuses restoring normal sinus drainage and to preserve normal anatomy and mucosal tissue. Endoscopic Sinus Surgery (ESS) uses specialized instruments that are placed into the nose along with a small endoscope to help the surgeon see inside the nose and nasal cavities. In ESS with traditional instrumentation, an endoscope is inserted into the nose. Surgical instruments are inserted alongside the endoscope. This allows the surgeon to remove any bone or material blocking the sinus openings and remove any polyps. Sometimes a laser may be used to burn away tissue blocking the sinus opening. Recovery may include packing the nose with gauze, oral antibiotics, saltwater nasal washes, using a nasal spray containing a steroid for 6 months, and avoiding certain activities that would increase the pressure in your nose. Balloon Sinuplasty is newer endoscopic procedure that utilizes a little different instrumentation. This procedure utilizes a small, flexible, sinus balloon catheter that is placed into the nose to reach the sinuses. The sinus balloon catheter is gradually inflated to gently restructure the previously blocked nasal passage, maintaining the integrity of the sinus lining and restoring normal sinus drainage and function. There is minimal bleeding, and many patients have been able to return to normal activities within 24 hours. Clinical research has indicated that the Balloon Sinuplasty™ system is a safe and effective tool in dilating blocked sinuses.