Using Stents for Sinus Relief Video

Otolaryngologist Dr. Brian Weeks performs a sinus stent procedure, a sinoplasty technique, on Anja, a 44-year-old flight attendant, who has suffered from sinus pain for years.
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Using Stents for Sinus Relief Dr. Travis Stork: A lot of questions asking about the latest technology in sinus relief and today we have a solution that maybe right for you, and here to tell us all about the latest development in sinus relief is Dr. Brian Weeks from Alvarado Hospital Senta Clinic in San Diego, California as well as his patient Anja. Welcome the both of you. Dr. Brian Weeks: Thank you, thanks for having us. Dr. Drew Ordon: You know, Travis was talking about sinusitis and polyps all the time and as we know the sinuses are those air spaces that we have. It runs our nasal passages in our mid face. Unfortunately though that they get inflamed very easily whether its viruses, bacteria, allergies, a lot of people suffer from chronic sinusitis and in bad case polyps. So Anja I guess you were working as a flight attendant, right? And your sinus problems were particularly bad. Do you want to tell us about your symptoms? Anja: I had chronic inflammations. I was clinically on medication via over-the-counter medications and antibiotics, headaches, allergies, you name it, it was just miserable. Dr. Drew Ordon: So doctor Weeks why was your new science balloon surgery ideal for Anja. Dr. Brian Weeks: Yeah I think its perfect for Anja for many reasons but her case is a pretty typical case that I would see with a lot of patients. Traditional sinus surgery many times she’s had at least one previous surgery and she really was suffering. And so I felt she was an ideal candidate for some of the newer things that we’re utilizing kind of a futuristic or an innovative approach to treating sinus problems. Dr. Drew Ordon: Well, can you show us what exactly you did? Dr. Brian Weeks: I Sure will. What we did with Anja initially was we started by using this balloon as we’ve talked about before, a sinuplasty technique where we placed the balloon up into her sinuses. In this situation, Anja was really suffering from frontal sinus disease particularly. We dilated or expanded the drainage opening of the frontal sinus and then what we did which was really interesting was we took this device and this is a sinus stent. What this is designed for is to be placed in that drainage opening and to sit in place and allow that to heal in an open position. Interestingly it has a reservoir or a valve at the end of it which is originally utilize to just fill with saline and as innovators, what we realize was we could put drugs inside of that and allow those drugs to be delivered through that stent. I think it is basically it’s cardiology in the nose. Cardiologists have been doing this for years. Dr. Drew Ordon: Right, because with your stents -- for blood vessels to keep them open so it’s a similar kind of technology. Dr. Brian Weeks: That’s exactly right and it’s you know it’s basically delivering drug to the affected area in the sinuses in the way that we’ve never really been able to that before. So in this animation here we have a guide catheter that’s placed inside the nose where advancing this stent into the sinus and basically once the stent is in good position we’re releasing the guide and the stent stays in place. We’re trimming it inside the nose and that’s an example as you can see those little openings of where the drug or the saline will drain through to treat the sinuses and that device is interesting, will be removed in the nose or up from the nose at 28 days after surgery and they -- this with local anesthesia. So it’s not painful and it can be taken out without any difficulty. Dr. Drew Ordon: And Anja how are you doing? Anja: Hundred percent better. None of the problems I have before are there anymore, everything is gone. Dr. Travis Stork: Thank you both for being here. We appreciate it.

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