Sinus Problems

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Are You Tired Of Getting Sinus Infections?

We can help cure your sinus problems with a short office procedure called Balloon Sinuplasty.
“How Can I Get Rid of My Sinus Infections?”

You know the feeling: your head is clogged up, your face feels like it’s about to explode, you’re blowing thick goo out of your nose, and you can hardly breathe through your nose. Yes, it’s yet another sinus infection.
If you have recurrent sinus infections (More than 2 per year) or chronic sinusitis (sinus infection lasting more than 3 months), we can help.

At Texan ENT Specialists, Dr. Seth Evans treats all types of sinus problems and performs in-office Balloon Sinuplasty to treat many of these conditions. We see new patients in Kyle, San Marcos, and Lockhart. We accept most insurance plans, including Medicare and Medicaid plans.

Balloon sinuplasty is a cutting edge, minimally-invasive procedure that can permanently open clogged sinuses without incisions or removing tissue.

Balloon sinuplasty is very safe: there are much fewer complications when compared to traditional endoscopic sinus surgery. There is less pain after the procedure and less time off work. Many patients can go back to work the next day.

We have developed a special method of numbing the inside of your nose and giving mild sedation to keep you very comfortable during the procedure.

You don’t need to go anywhere near a hospital or operating room, and you won’t be exposed to the risks and side effects of general anesthesia.

Imagine fewer sinus infections; less congestion, pressure, and drainage; less missed work and more quality time with your family and friends. All these benefits are possible after a short office procedure!
Balloon Sinuplasty is covered by most health insurance plans, Medicare, and some Medicaid plans. The amount that you need to pay out of pocket varies and is dependent on your particular insurance plan. The balloon device is FDA-approved.

Dr. Seth Evans has performed over 150 Balloon Sinuplasty procedures over the past 4+ years (As of February 2017). He is board-certified in Otolaryngology – Head and Neck Surgery and is certified to perform Balloon Sinuplasty in the office.

Patients experience significant improvements in their sinus symptoms after having Balloon Sinuplasty. A review of 6 research studies on Balloon Sinuplasty showed that Sinonasal Outcome Test (SNOT-20) scores dropped from an average of 46 before the procedure to 18 over a span of 3 months to 2 years afterward.

This type of improvement is typical of our patients who have Balloon Sinuplasty. Dr. Evans has studied the results in his own patients and has found about 85% have at least a 20% improvement in their SNOT-20 score and about 65% have at least a 50% improvement.

You can take the Sinonasal Outcome Test HERE. Your score is the total of all your circled answers (Worst score = 100).

If you are interested in learning more about Balloon Sinuplasty or would like to schedule an appointment with Dr. Evans, please call our office between 8:00 am and 5:00 pm Monday-Thursday or between 8:00 am and 4:00 pm on Friday.
During your first appointment, you’ll be evaluated by Dr. Evans. This evaluation includes learning about your history of sinus and nasal problems and examining the inside of your nose with a thin endoscope. The doctor might recommend additional testing, such as a CT scan of the sinuses.

Once all the necessary information has been gathered, Dr. Evans will provide a treatment recommendation customized to your needs. This recommendation might include balloon sinuplasty, another procedure or procedures, allergy testing, and/or treatment with medicines.

If you decide to proceed with in-office balloon sinuplasty, we will contact your insurance for approval and to find out if there are any out of pocket costs for you. Once this step has been done, we can schedule your procedure. Usually, out of pocket costs are substantially less for procedures done in the office because there are no charges for an anesthesiologist or for the hospital/surgery center.

Frequently Asked Questions

What insurance plans cover the procedure?
-Most insurance plans in Texas cover the procedure. This includes Medicare and some Medicaid plans.

How much will I have to pay out of pocket?
-Your out-of-pocket costs depend on the extent of the procedure, your insurance plan and deductible. We offer customized payment plans for patients with high deductibles. Because the procedure is not “one size fits all,” it is impossible to give an accurate estimate of your costs before you have been evaluated by the doctor.

Describe the Balloon Sinuplasty procedure.
-Balloon sinuplasty is most simply described as a plumbing solution. The “pipes” out of your sinuses are too narrow and become easily clogged, leading to sinus infections. The balloon is placed into the narrow sinus openings and inflated, thus widening the “pipes” and allowing the sinus to drain more easily. The balloon is inflated with high pressure water and is able to open the bone around the sinus opening. Because of this bony remodeling, the procedure can provide long-lasting benefit.
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Which sinuses are opened with the balloon?
-There are a total of 6 sinuses that can be opened, 3 on each side of the nose. These are the frontal sinuses in the forehead, the maxillary sinuses in the cheeks, and the sphenoid sinuses which lie in the back of the nose. Anywhere from 1 to all 6 of the sinuses can be opened during any Balloon Sinuplasty procedure. The treatment is tailored to each patient’s symptoms, physical exam findings, and any radiologic imaging that is done.

What happens before the procedure?
-About 1 hour before coming in to the office for your procedure, you will take a dose of pain medicine. You must have a friend or relative drive you to and from the procedure. Once you arrive, we will give a you a shot of sedative which will make you drowsy during the procedure. A few patients fall asleep, but most are just relaxed and drowsy during the procedure. Your vital signs and oxygen levels are continually monitored while you are in the office. While the sedative is taking effect, Dr. Evans will spend about 20-30 minutes numbing the inside of your nose prior to starting the balloon procedure.

What happens after the procedure?
-Most patients will go home and take a nap until the sedative wears off completely. You should expect some mild bloody oozing from the nose for a few hours after the procedure. Usually, bleeding is minor and resolves quickly. We will provide a drip pad that is secured under your nose and extra gauze. The morning after the procedure, you should start rinsing your nose with a Neil Med or other sinus rinse twice daily (these are available at any drug store or grocery store). You should expect some sinus pressure, congestion, and discomfort for several days after the procedure. Usually this lasts 3-5 days before improving. You should be able to return to work the next day.

What are the risks of Balloon Sinuplasty?
-Overall, the procedure is very safe. Out of the 75+ procedures Dr. Evans has performed, there have been no significant complications. The most common problems reported in the medical literature are bleeding, discomfort, and failure to relieve sinus symptoms. Extremely rare complications include injury to the eye socket, leak of cerebrospinal fluid from the skull base, or loss of smell.

What are the potential benefits of Balloon Sinuplasty?
-The benefits are having fewer sinus infections and less severe sinus infections. There should be less sinus pressure, nasal drainage, congestion, and headache. A research study of over 1000 patients showed that more than 95% reported improved symptoms 9 months or more after their balloon sinuplasty procedures.

What are the alternatives to Balloon Sinuplasty?
-One alternative is continuing to treat the sinus infections with antibiotics, steroids, allergy medications, and sinus irrigations. An alternative surgical treatment would be traditional endoscopic sinus surgery. Traditional sinus surgery still remains the best treatment for some patients, especially those with large nasal polyps or those who have had previous sinus surgery.

Does the balloon work?
-We can never guarantee any benefit for any one person. However, medical research has shown the balloon is effective at treating chronic sinusitis and recurrent sinus infections. Research also shows that the balloon is equally as effective as traditional sinus surgery at improving quality of life.

Will I need to have Balloon Sinuplasty again in the future?
-Most likely, no, though it is possible that the sinus openings can shrink and close again. A research study showed that about 90% of dilated sinuses remained open 2 years after balloon sinuplasty. This percentage was equivalent to results seen after traditional sinus surgery.

How many people have had Balloon Sinuplasty?
-Dr. Evans has performed approximately 130 balloon procedures in the office from 2012-2016. Nationally, over 330,000 patients have had balloon sinuplasty since 2004.

Is Balloon Sinuplasty approved by the Food and Drug Administration?
-The device used to perform Balloon Sinuplasty has been approved by the FDA since 2005.

Does having Balloon Sinuplasty limit my future treatment options for sinusitis?
-No, Balloon Sinuplasty does not “burn any bridges.”