In-office Balloon Sinuplasty

Dr. Trimble performs in-office Balloon Sinuplasty® or balloon sinus ostial dilation as a treatment for chronic rhinosinusitis, or sinusitis. Sinusitis is a condition involving inflammation in one or more of the air-filled spaces (sinuses) located above the eyes (frontal sinuses), between the eyes (ethmoidal sinuses), behind the ethmoids (sphenoidal sinuses) and surrounding the nasal cavity (maxillary sinuses).

balloon sinuplasty to treat sinusitis

Balloon Sinuplasty® (Balloon Sinus Opening Dilation)

Balloon Sinuplasty is a minimally invasive procedure used to treat sinusitis and is an advanced alternative to sinus surgery. Like sinus surgery, the goal of Balloon Sinuplasty is to open up blocked sinus passages improving drainage and restoring normal function. While sinus surgery aims to correct blocked sinuses by removing diseased tissue and sometimes bone, Balloon Sinuplasty gently widens the sinus passages while maintaining the integrity of the sinus lining. The result is a safe, effective procedure with less pain and shorter recovery time.  

balloon sinuplasty procedure technique

The technology of Balloon Sinuplasty has been used in the operating room since 2005. Today, this procedure is commonly performed in an office setting.

First, patients undergoing Balloon Sinuplasty are given a nasal spray with an anesthetic agent to begin numbing the nose and passages. Then, a topical anesthetic is used to further numb the sinuses. This is well tolerated, and most patients find the procedure completely painless. Patients may given a sedative to take prior to procedure if desired.

Using a small endoscope for visualization of the sinus passages, a catheter-based system with a balloon attached is positioned into the sinus to be dilated. The balloon is then gradually inflated to expand the sinus opening, and in less than 10 to 15 seconds, the sinus dilation is complete. The wider opening allows for normal function and drainage of the sinuses. Depending on the number of sinuses to be dilated, the entire procedure takes only 30 to 45 minutes. The majority of patients experience immediate relief.

Candidates for Balloon Sinuplasty

Patients who suffer from any of the following conditions may be candidates for this procedure.

  • Chronic sinusitis
  • Recurrent acute sinusitis
  • Chronic nasal congestion
  • Facial pain or pressure
  • Headaches
  • Decreased sense of smell
  • Recurrent Ear infections
  • Recurrent upper respirator infections that last longer than 7 to 10 days

Recovery from Balloon Sinuplasty

One of the main benefits of Balloon Sinuplasty is the quick and easy recovery. Because there is no removal of tissue, there is very little (if any) discomfort and bleeding is minimal. Most patients are able to return to work or school the same day or the next day, and normal daily activities can be resumed almost immediately.  Following the procedure, the nose should be kept moist with nasal saline sprays. Corticosteroid sprays are typically used to minimize swelling as well.  A follow-up visit will be scheduled the week after the procedure to examine the dilated sinus openings. Some patients experience immediate relief while almost all patients will see improvement within 3 to 4 weeks.

If you suffer from chronic sinusitis, contact Dr. Monty Trimble at or call 817-529-6200. He has offices in Fort Worth, Keller and soon to be Southlake, Texas.