“今年80岁，阿姆斯特朗博士在他的办公室里进行了气球鼻窦扩张手术，然后去了那天晚上参加里士满大学篮球比赛！亚搏app登陆该过程并不比清洁牙齿更糟糕。我会向任何有鼻窦问题的人推荐阿姆斯特朗博士。”
“今年80岁，阿姆斯特朗博士在他的办公室里进行了气球鼻窦扩张手术，然后去了那天晚上参加里士满大学篮球比赛！亚搏app登陆该过程并不比清洁牙齿更糟糕。我会向任何有鼻窦问题的人推荐阿姆斯特朗博士。”- 多萝西（Dorothy），80岁的窦病人
Relieve sinus pain now, with Balloon Sinuplasty
气球辛努成整形术是一种革命性的办公室治疗，用于慢性和复发性鼻窦炎。外科医生通常在局部麻醉下进行，在鼻窦开口处穿上一个小导管，然后用水充气，从而扩张鼻窦开口，以促进排水和减轻疼痛。大多数患者第二天重返工作岗位，并说该手术比修理牙齿更困难。
听到我们的患者说的话：
注意：该视频包含医学插图。如果您的浏览器阻止播放，visit our YouTube Channel directly，或尝试其他设备，例如手机。
气球对我来说是辛努利整形术吗？
If you have exhausted medical management for sinusitis, you may be a candidate for balloon dilation. Balloon sinus dilation is recommended for patients who have慢性鼻窦炎that persists despite antibiotics and steroids, or who have recurrentacute sinusitis每年至少三次。理想的患者在CT扫描中患有轻度疾病，主要是骨阻塞而不是肿胀。具有明显的鼻息肉的患者不太可能仅通过球囊扩张来治愈。找出答案的最好方法是窦CT扫描，可以在咨询时在办公室执行。
鼻窦CT扫描一名71岁男性，患有慢性右上颌鼻窦炎。*一个月的抗生素（第一和中间图像）后，粘膜肿胀是相同或更糟的。窦性张开后几个月，鼻窦病完全解决（右侧图像，白色箭头指向鼻窦开口）
What can I expect?
在手术当天，我们将用充气药和麻木药物喷洒您的鼻子。我们将在鼻窦附近的棉球上放更多药物，并等待大约20分钟以进行最大的麻醉。在许多情况下，还要注入额外的局部麻醉，直到鼻子舒适地麻木为止。使用内窥镜，我们将检查您的鼻子并将导管放在窦中，并在设备的末端使用一小灯，以确认其位置正确。有时，我们在嘴唇下刺穿鼻窦。当我们充气气球时，您会感到牢固的压力，并可能听到裂纹的声音。这个是正常的。气球膨胀了5-10秒，然后除去。
How long is recovery?
Most patients are ready to drive home 10-15 minutes after Balloon Sinuplasty, and resume normal activity immediately. The REMODEL study performed at Richmond ENT and several other community practices randomized 105 patients to balloon sinus dilation or endoscopic sinus surgery and demonstrated 70% faster recovery and significantly better results one week after balloon dilation. Following balloon dilation, our patients took prescription pain pills for less than one day, and returned to normal activity in an average of 1.6 days, compared to 4.8 days following functional endoscopic sinus surgery.[1]
我必须清醒吗？
About half of patients needing Balloon Sinuplasty are treated in the operating room, for reasons that might include anxiety, difficult anatomy or insurance restrictions. The Medarva Stony Point Surgery Center is across the hall from our office and provides excellent care for outpatient surgery. If you do not feel you need the services of an anesthesiologist, we can premedicate you in the office with oral Valium. You will need a designated driver following any oral sedation or general anesthesia.
我需要鼻包装吗？
Light bleeding after any nasal surgery can be expected, but nasal packing after Balloon Sinuplasty is rare.
See postoperative sinus surgery instructions
它会持续多久？
许多研究表明，在90-95％的患者中，球囊扩张的益处至少持续一到两年，这比功能性内窥镜鼻窦手术一样好或更好。我们有充分的理由期望改进是永久的。阿姆斯特朗博士一直是这些临床试验中的3项主要研究者，证明了气球窦扩张的长期益处。[1],[2],[3]
有什么风险？
The common risks of any office nasal procedure include pain, nosebleeds, fainting, and fast heartbeat following local anesthesia. Sinus puncture under the lip can cause lip or cheek numbness. Sinus surgery involves the modification of delicate bones that separate the nose and sinuses from the brain and the eye. Injuries to the brain or eye, including meningitis, spinal fluid leak, and blindness have been described in sinus surgery. Balloon dilation is felt to be safer than sinus surgery, but major complications are so rare that it is difficult to perform statistical comparisons. Look for a surgeon with experience.
What if my insurance company won’t pay for Balloon Sinuplasty?
A very few insurance companies, such as Anthem in my market, still consider balloon dilation to be experimental, despite compelling evidence showing that balloon dilation is better than functional endoscopic sinus surgery for selected patients. Anthem does not pay for sinus surgery unless tissue is cut away to make an opening into the sinus. For these patients, I will commonly dilate the sinus first with balloons and then remove the smallest amount of tissue that demonstrates the open sinus while trying to minimize unnecessary tissue damage. Costs are higher when the procedure is performed in the operating room[4]恢复工作平均延迟3.2天。[1]
什么是技巧程序？
Balloon dilation in the office can be difficult for patients with a nasal septal deviation. With FinESS, the surgeon enters the maxillary sinus through a needle placed under the lip. With a tiny endoscope in the maxillary sinus, we can pass the balloon through the sinus opening under direct vision, without working around or between convoluted or narrow nasal passageways.
注意：这些视频包含医学插图。如果您的浏览器阻止播放，visit our YouTube Channel directly，或尝试其他设备，例如手机。
[1] Cutler J，Bikhazi N，Light J等。独立的气球扩张与鼻窦手术的慢性鼻孔炎：一项前瞻性，多中心，随机，对照试验。Am J Rhinol Allergy 27：416-422，2013。
[2] Brodner D，Nachlas N，Mock P，Truitt T，Armstrong M，Pasha R，Jung C和Atkins J：使用多功能，多功能，多官方的Multisinus Balloon扩张工具，在混合气球和仅气球的过程之后的安全性和结果。Alrergy＆Rhinology的INT论坛3：652-658，2013。
[3] Levine SB, Truitt T, Schwartz M, Atkins J: In-Office Stand-Alone Balloon Dilation of Maxillary Sinus Ostia and Ethmoid infundibula in Adults with Chronic or Recurrent Acute Rhinosinusitis: A Prospective, Multi-institutional Study with 1-Year Follow-Up. (Armstrong acknowledged as site principle investigator) Ann Otol Rhinol Laryngol 122(11):665-671, 2013.
[4] Armstrong，M。基于办公室的鼻孔炎手术。耳鼻喉科临床38：1327-1338，2005。