Sinusitis Treatment Path
What are Your Sinusitis Treatment Options?
The first line of treatment for sinusitis is medical therapy, including drugs such as antibiotics and steroids. While the specific regimen is at the discretion of the physician, extensive medical therapy typically includes:
- antibiotic therapy for at least four weeks
- trial of inhaled steroids
- nasal lavage
- allergy assessment
For some sufferers, medical therapy may fail to resolve symptoms or only provide temporary relief. This may be due to an underlying physical obstruction that drugs cannot address.i Some patients become stuck in a cycle of repeat rounds of drugs to address symptoms, which may lead to antibiotic resistance or problems with steroid use.
When medical therapy is not working, lasting, durable treatment options that can reduce dependence on drugs - such as in-office balloon sinus dilation or functional endoscopic sinus surgery (FESS) - may be considered.
How do Office Sinus Dilation from Entellus Medical and FESS compare?
Explore the chart below to better understand office sinus dilation and FESS, durable sinusitis treatment options. Click on each row to expand and learn more.
Watch the procedure videos above to see how an office sinus procedure and FESS work.
In office sinus dilation, a physician inflates a small balloon carefully placed in key sinus structures to expand and remodel sinus tissue. Tissue is not removed, but reshaped. Watch this short animation to see how it works.
Please note - the videos we link to are meant to provide additional information on the techniques of office sinus dilation and FESS. It is not intended to imply that the patients represented suffer from an identical disease state, or that the patients featured in the FESS video were appropriate for office sinus dilation.
Ask Your Physician About Entellus Office Sinus Dilation
Ask your ear, nose and throat physician if Office Sinus Dilation is appropriate for you, or use our find-a-doctor tool to find a physician trained in Office Sinus Dilation near you.
Balloon sinus dilation technology may be used to treat certain conditions affecting the sinus above your eyebrows, behind your cheeks and eyes. You physician will need to determine if your condition is one that may benefit from this treatment. Possible side effects include but are not limited to post-operative bleeding, pain, numbness and swelling; allergic reaction to anesthesia or other medications administered during the procedure; or infection. Your condition may not respond to this treatment. To learn more about this procedure and the potential risks, ask your physician.
Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.
i An Assessment of Sinonasal Anatomic Variants Potentially Associated with Recurrent Acute Rhinosinusistis. Alkire, Blake C. MD, Bhattacharyya, Neil MD. Laryngoscope March 2010 Vol 120 No 3 Page 631-634.
ii If an appropriate patient has a balloon sinus dilation procedure, that does not prevent them from having a FESS procedure in the future, should it prove necessary. Likewise, patients who have undergone FESS may undergo a revision procedure using office sinus dilation.
iii Impact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhinosinusitis Damm M, Quante G, Jungehuelsing M, Stennart E. Laryngoscope. 2002 Feb; 112(2):310-5.
iv To find a list of studies on balloon sinus dilation, visit www.entellusmedical.com/physicians_library.htm
v Two-year results: transantral balloon dilation of the ethmoid infundibulum.
Stankiewicz J, Truitt T, Atkins J, etal. Int Forum Allergy Rhinol. 2012 Feb 15. doi: 10.1002/alr.21024.
vi Prospective Evaluation of Balloon-Only and Combination Balloon-Sinonasal Surgical Procedure Outcomes through One-Year Follow-Up.Atkins, J. Abstract #2362. September 2011 ARS
vii Impact of chronic rhinosinusitis on work productivity through one-year follow-up after balloon dilation of the ethmoid infundibulum. Stankiewicz, J, Tami, T, Truitt, T, Atkins, etal. International Forum of Allergy & Rhinology, 2011 1: 38 – 45.
viii Two-year results: transantral balloon dilation of the ethmoid infundibulum. Stankiewicz J, Truitt T, Atkins J, etal. Int Forum Allergy Rhinol. 2012 Feb 15. doi: 10.1002/alr.21024.
ix Transantral, endoscopically guided balloon dilatation of the ostiomeatal complex for chronic rhinosinusitis under local anesthesia. Stankiewicz J, Tami T, Truitt T, Atkins J, Liepert D, Winegar B. Am J of Rhinology. 2009 May-June; 321-327.
x Pain treatment and recovery after endoscopic sinus surgery.
Kemppainen TP, Tuomilehto H, Kokki H, Seppä J, Nuutinen J. Laryngoscope. 2007 Aug;117(8):1434-8.
xi BREATHE I data on file at Entellus Medical, Inc.
xii Relationship between the frequency of postoperative debridement and patient discomfort, healing period, surgical outcomes, and compliance after endoscopic sinus surgery. Lee JY, Byun JY. Laryngoscope. 2008 Oct; 118(10):1868-7.2
xiii Specific costs vary based on the extent of procedure performed, follow-up required, and coverage provided. The example above uses these following cost assumptions:
2012 National Average Cost to Medicare for FESS using CPT 31254-50, 31256-50, 31237-50: Hospital Procedure Surgeon fee of $569 + Anesthesiologist fee of $407 + Hospital payment of $5,320 + bilateral post-op debridement fee of $500.