History of Sinus Surgery
Sinus surgery has evolved, within the last decade, from a painful and extensive external and internal surgical procedure to a relatively painless outpatient sinus procedure. In the past, nasal and sinus surgery was performed in the hospital, often involved external incisions near the eyes or under the upper lip, bilateral intranasal splints and packing, and removal of stitches and packing 1 week later. Patients who had that operative experience remember it vividly even years later.
Now almost all sinus surgery is done without the need for any external incisions, nasal packing, intranasal splints, postoperative packing, or suture removal.
The endoscopic operating telescopes, now commonly used for this surgery, was first used in this country in the mid 1980's and in Birmingham by Dr. Sciacca in 1986. This endoscope allowed the surgeon for the first time to see at the point of surgery rather than at a distance with limited visibility. It has rapidly developed to include high definition cameras, magnification, and surgical navigation equipment that is now commonplace.
ENT surgeons now have access to virtually any sinus located within the facial bones or skull thru the natural sinus openings that are located within the nasal cavity. GPS like surgical navigation equipment now provides real time precise location for our surgical instruments. This technology  allows complete removal of obstructive mild or extensive disease from any affected sinus. The only current limitation for this new operating room technology is the general surgical apprehension, age, or physical condition of afflicted patients. The experience and training of the sinus surgeon using this technology is critical for success and patient safety. Dr. Sciacca has performed over 4,000 sinus surgeries in his career without a single major complication (death, blindness, brain injury, or brain infection) that can occur with this surgery. 

New Technology
For patients who are unable or do not desire to receive general anesthesia for 1-1 1/2 hrs in an outpatient operating room setting, there is now available an in-office procedure that uses only topical anesthesia. There are several sinus surgical systems available for office procedures. The system made by Acclarent Labs is preferred by Dr. Sciacca. This system has evolved over the last few years for more precise and less cumbersome instrumentation. The current Acclarent Spin system allows access to the sinuses under the eyes (maxillary sinus), the forehead (frontal sinus), and the sinus located deep between the eyes (sphenoid sinus).  The high definition camera system and instrumentation that is used with this
system is currently available in our office and used daily for routine post-op visits after surgery.

Office Sinus Procedure
This system is used with our high definition monitors and camera to visualize the affected sinus using topical anesthesia. Then a special cannula with a small inflatable balloon is inserted (after additional topical anesthesia is sprayed into the obstructed sinus) into the sinus opening and inflated for a few seconds. This dilates the sinus opening to allow airflow once again and relieves the pressure and pain often associated with obstructive sinus disease. If indicated, cultures can be obtained from within the sinus and the sinus irrigated with antibiotics or topical anesthetic with a special spray nozzle attached to the cannula. The patient usually can drive themselves home or return to work after the procedure since they are fully awake during the procedure.  

If you have had prior sinus surgery(s) and are still having recurrent sinus infections; reluctant to receive another general anesthetic; undergo another formal operative sinus surgery; or interested in this in-office procedure for chronic sinusitis please contact our office for an appointment with Dr. Sciacca.

For more information about balloon sinuplasty

4501 Southlake Pkwy
Suite #200
Hoover, AL 35244