Outpatient Surgery Magazine - Subscribers

Difficult Airways - April 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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navigation, your docs have more options than ever to treat a wider spectrum of sinusitis sufferers. "We have new tools to reduce the amount of bleeding, and we have new methods to reduce the amount of pain," says Natan Scher, MD, an otolaryngologist at Ingalls Health System in Harvey, Ill. "We also have new implants and some other technical methods that all help to improve outcomes." B a l l o o n s i n u p l a s ty m a d e s i m p l e While balloon sinuplasty has been around for almost a decade, it is now less reliant on general anesthesia and is shifting from mainly hos- pital settings to ambulatory surgery centers or offices. It's also one of the largest growing treatments for sinusitis, thanks to its quick recov- ery period and convenience for patients. "It has revolutionized sinusi- tis treatment," says Dr. Hopp. Increasingly being done only under local anesthesia, balloon sinu- plasty is evolving to work well in high-turnover settings, says Dr. Hopp. In the updated procedure, a local anesthetic is injected into the sinus and patients remain awake for the procedure, allowing for a quicker recovery. The balloon catheter is inserted into the inflamed sinus and inflated to expand and restructure the sinus opening. Saline is then sprayed into the inflamed sinus to flush out pus and mucus, and the system is removed, allowing the sinus to drain. Its minimally invasive qualities attract both patients and doctors. It's much less traumatic than endoscopic surgery, the doctors say, with patients able to return to normal activities within 2 days. With about 33 million reported cases of sinusitis every year, many patients are drawn to the quick fix. "A lot of patients don't want to be on antibiotics if there's a minimally invasive surgical option," says Andrew Lane, MD, director of the Johns Hopkins Sinus Center in Baltimore, Md. The procedure also comes with a decent reimburse- 9 2 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | A P R I L 2 0 1 5

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