Nose & Sinuses

sinus surgery nose ent

Balloon Sinus Dilation

Image Guided


If you have recurring sinus pain and pressure, you’re not alone. Approximately 31 million Americans suffer from sinusitis.1 If you’re one of them and continue to battle sinus pain, headaches, and emotional drain for 12 weeks or more no matter what treatments you try, you may be dealing with chronic rhinosinusitis (CRS).1,2



  • Headaches

  • Facial pain or pressure

  • Difficulty breathing through the nose

  • Nasal discharge that isn’t clear

  • Fever

  • Fatigue

  • Upper tooth pain

  • Bad breath



  • Limiting physical activities

  • Taking sick days from work

  • Being too ill to socialize

  • Nasal discharge that isn’t clear

  • Having problems sleeping

Sinusitis may also affect your relationships. You may be embarrassed by symptoms and may avoid social situations. You may also feel hopeless about finding a treatment option that brings you relief.2


To better understand sinusitis, let’s first discuss your sinuses. Within your skull you have four pairs of paranasal sinuses, these are air-filled spaces behind your nose, cheeks and forehead. Inside each sinus is a mucus layer and cells covered with cilia (little hairs) that trap and push out bacteria / pollutants that enter the nasal cavity.

CRS is the inflammation or swelling of the tissue lining of the nasal passages and
3 This can stop your sinuses from draining properly. Mucus and fluid build-up in the sinuses can lead to sinus infections, which means more inflammation and pain.3

The length of suffering5 will help you to categorize your sinusitis type. Some people struggle for years before finding relief – in a survey of 400 CRS sufferers; over half had suffered for 15 years or more.2

  • Acute Sinusitis - Sinusitis symptom duration of up to 4 weeks

  • Subacute Sinusitis - Longer than 4 weeks but less than 12 weeks

  • Chronic Sinusitis - 12 weeks or longer

  • Recurrent Acute Sinusitis - Occurs 4 or more times per year


Your provider may ask you questions about your symptoms and health history, and take a sample of your nasal discharge to see what kind of infection you might have.

Depending on the exam results, they may recommend other tests. One test lets them
examine the inside of your nose with an endoscope (a scope with a light attached).


Your provider may want to do a computed tomography (CT) scan that creates images of the inside of your sinuses. It may help them more accurately diagnose your condition and select the best treatment option for you.5 A CT scan is also used with our offices image guidance system (IGS) to help us navigate your sinuses during in-office procedures.


Balloon sinus surgery has associated risks, including tissue trauma, bleeding, infection, and possible ophthalmic injury. Patients should always discuss their individual needs and the potential risks and benefits of any treatment or procedure with their doctor. This therapy is not for everyone. Please consult a healthcare professional. A prescription is required. For additional information, please visit Medtronic’s website at

For supplementary information on the NuVent™ EM Sinus Dilation System please visit


The NuVent™ EM Sinus Dilation System may be used in a minimally invasive surgical
procedure to open blocked sinus pathways. NuVent™ is unique because it has a built-in tracking element that “talks to” our Medtronic image guidance system (IGS) technology.  Your sinus anatomy is unique, especially if you have sinus disease. The IGS displays a visual map of your sinus anatomy for your doctor. It works like GPS in a car or phone to help guide and place the balloon device.

The goal of this procedure is to unblock sinus pathways and6,7:

  • Improve symptoms

  • Reduce infections

  • Minimize sinus headaches

  • Help you get back to life’s routine


CT Scan

You’ll need to have a CT scan of your sinuses prior to your procedure. The
IGS technology implemented in our office will use this scan to create a visual map of
your sinus anatomy.


NuVent™ may be used in the office or the OR. Your provider will discuss
your anesthesia options, which will depend on the extent of disease and other factors.


Image Guidance System (IGS)

A small tracking device and a special instrument will be used to register and map your anatomy to your CT scans in the IGS.




After the procedure, your doctor may prescribe additional medications and irrigations to use to ease pain and swelling. Be sure to discuss any concerns with your doctor. For supplementary information on the NuVent™ EM Sinus Dilation Systems please visit

For full prescribing information, consult Medtronic’s website,


1. Rosenfeld RM, Andes D, Bhattacharyva N, et al. Clinical practice guidelines: Adult
sinusitis. Otolaryngology Head Neck Surg. 2007;137:S1-S31.
2. Data on File. Medtronic, Inc.
3. American Rhinologic Society. Adult Sinusitis.
Accessed September 16, 2015.
4. American Rhinologic Society. Sinus Anatomy.
Accessed September 16, 2015.
5. American Rhinologic Society. Sinusitis Q&A.
Accessed October 16, 2015.

6. Chandra RK, Kern RC, Cutler JL, et al. REMODEL larger cohort with longterm outcomes and meta-analysis of standalone balloon dilation studies. Laryngoscope. 2016;126(1):44-50.
7. Marzetti A, Tedaldi M, Passali FM. The role of balloon sinuplasty in the treatment of sinus headache. Otolaryngol Polska. 2014;68:15-19.

Main Office

Tel: (828) 627-1234

Fax: (877) 898-3176

Center for Hearing

Tel: (828) 593-HEAR

63 Haywood Park Drive

Clyde, NC 28721

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