Functional Endoscopic Dilatation of the Paranasal Sinuses

  • Demet Yazıcı
  • Osman Kürşat Arıkan
  • Jivianne T. Lee


As we acquire a better understanding of the pathophysiology of chronic rhinosinusitis (CRS), the requisite for less invasive, mucosal sparing, “functional” surgical approaches has emerged. Recent technologic advances including balloon sinus ostial dilation have provided minimally invasive treatment options for this common disease entity which have optimized tissue preservation. The concept of balloon catheterization has long been applied in urology, cardiology, and gastroenterology. Balloon sinuplasty was adopted from angioplasty to dilate the ostia of the paranasal sinuses by Californian engineers in 2002. This catheter-based technology was first demonstrated at the annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery in Los Angeles, California, USA, in 2005; and the first publications on the safety and feasibility of this technique appeared in the global literature the following year. Balloon sinuplasty aims to preserve both the function and mucosa of the sinuses through gentle restructuring of the narrowed sinus ostium. Balloon dilatation results in microfractures and bony displacement, causing widening of the natural ostium and subsequent ventilation of the sinus drainage pathways. Tissue resection is averted, thus minimizing postoperative scar formation and adhesions. This procedure is primarily used to treat CRS involving the frontal, sphenoid, or maxillary sinuses without nasal polyposis, with sustained positive clinical outcomes for at least 2 years.


Chronic rhinosinusitis Balloon sinuplasty Balloon catheterization Narrowed sinus ostium Minimizing postoperative scar formation Adhesions 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Demet Yazıcı
    • 1
  • Osman Kürşat Arıkan
    • 1
  • Jivianne T. Lee
    • 2
  1. 1.Department of OtorhinolaryngologyUniversity of Health Sciences, Adana Numune Training and Research HospitalAdanaTurkey
  2. 2.Rhinology and Endoscopic Skull Base Surgery, Department of Head and Neck SurgeryUniversity of California Los Angeles School of MedicineLos AngelesUSA

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