Does Balloon Sinuplasty Work for a Deviated Septum?

The nose plays a crucial role in breathing. Conditions like a deviated septum can impede airflow, and chronic sinusitis causes discomfort. Many wonder if balloon sinuplasty can address a deviated septum. This article clarifies the distinct purposes of both conditions and procedures.

What is a Deviated Septum?

A deviated septum occurs when the thin wall of bone and cartilage that divides the nasal cavity into two separate passages is off-center or crooked. This anatomical displacement can make one nasal passage considerably smaller than the other, obstructing airflow. While a perfectly straight septum is uncommon, a significant deviation can lead to various symptoms.

The misalignment can cause difficulty breathing through the nose, often more pronounced on one side. Other symptoms may include chronic stuffiness, frequent nosebleeds, facial pain, and headaches. A severely deviated septum can also affect normal sinus drainage, potentially contributing to recurrent sinus infections.

What is Balloon Sinuplasty?

Balloon sinuplasty is a minimally invasive medical procedure designed to alleviate symptoms of chronic sinusitis. It primarily focuses on opening blocked sinus passages to improve drainage and ventilation. The procedure involves inserting a flexible catheter with a small balloon into the sinus opening.

Once positioned, the balloon is gently inflated to widen the blocked sinus pathway, allowing trapped mucus to drain. The balloon is then deflated and removed. This procedure is for patients whose chronic sinus issues have not responded to conventional medical treatments.

Addressing a Deviated Septum with Balloon Sinuplasty

Balloon sinuplasty addresses issues within the sinus passages and does not directly correct a deviated septum. It works by dilating sinus openings to restore natural drainage and ventilation. The fundamental difference lies in their targets: balloon sinuplasty operates on the sinus openings, while a deviated septum is a structural misalignment of the cartilage and bone forming the nose’s central wall. Inflating a balloon within the sinus openings cannot reshape or straighten the nasal septum itself. While a deviated septum can contribute to chronic sinusitis by impeding proper sinus drainage, balloon sinuplasty only addresses the resulting sinus issues, not the underlying septal deviation.

Surgical Correction for a Deviated Septum

The surgical correction for a deviated septum is a procedure called septoplasty. This surgery aims to straighten the nasal septum, the wall of cartilage and bone dividing the nasal cavity.

During septoplasty, a surgeon works through incisions to access the septum. The procedure involves reshaping or removing portions of the bone and cartilage that are misaligned or bent. The remaining septal structure is then repositioned to the center of the nose, ensuring sufficient support is maintained. The goal of septoplasty is to improve nasal airflow, alleviating breathing difficulties caused by the deviation.

Considering Both Procedures

While balloon sinuplasty does not correct a deviated septum, patients may experience both a deviated septum and chronic sinusitis. These conditions can be interrelated, as a severely deviated septum can obstruct sinus drainage and predispose an individual to recurrent sinus infections.

A surgeon might recommend septoplasty to address the structural issue of the deviated septum, which can improve overall nasal breathing. If chronic sinus issues persist or are severe, balloon sinuplasty could be considered to target the sinus drainage problems. Both procedures can be performed during the same surgical session, offering a comprehensive approach to improving nasal and sinus health. The decision depends on an ENT specialist’s evaluation, considering symptoms, condition severity, and potential benefits of combined intervention.