Propel & Sinuva®
Chronic sinusitis is a common affliction that affects an estimated 37 million Americans each year. The condition is marked by inflammation of the sinuses that blocks the nasal passages, causing chronic infections. Symptoms include nasal congestion, sinus pain and pressure, loss of smell and taste, nasal discharge, headache, fatigue and depression.
Medications may provide temporary relief, but their effectiveness over the long term is not very impressive, particularly when nasal and sinus polyps have formed. This prompts many patients to turn to surgery that involves removing any polyps and enlarging the sinus cavities responsible for drainage. While sinus surgery is effective at relieving symptoms, a large number of patients contend with recurrent polyps and sinus infections within a year. At that point they may opt for follow-up surgery, and the process often repeats itself.
How Does Propel Work?
The propel device is used along with sinus surgery, which is performed to widen sinus passages and allow normal drainage. Occasionally, after sinus surgery, scarring and/or new polyp growth can lead to recurrence of some of the symptoms.
That’s where propel comes in. It is a spring-like device that is inserted at the end of sinus surgery along the walls of the newly created openings. This ensures the sinuses remain open, and minimizes scarring and return of polyps. It accomplishes this by releasing a low and steady localized dose of steroid: mometasone furoate (the active ingredient in Nasonex). The implant steadily dissolves over the course of a month.
Approved by the FDA in 2013, Propel is safe and effective and carries fewer risks of post-surgical scarring or inflammation. Patients typically have a smaller chance of requiring follow-up surgery after they receive Propel.
If you are bothered by chronic sinusitis and are looking for a long-term solution, schedule an appointment with one of our sinus experts to learn if Propel is a viable option for you.
DeFatta ENT & Allergy sinus surgeons offer a revolutionary treatment for patients who suffer from repeat nasal polyps with the SINUVA™ Sinus Implant.
What Is SINUVA
SINUVA gradually delivers an anti-inflammatory medication, called mometasone furoate, over a 90 day period directly to the polyps. It can treat recurrent nasal polyps without repeat sinus surgery. During an office visit, a physician will use topical and/or local anesthesia to numb your nose and sinuses. SINUVA is then placed in the sinus cavity through the nasal opening. If the sinus cavity is blocked by polyp regrowth at the time of the visit, this may be removed at the same time, just before placing the implant.
How SINUVA Works
After 90 days, patients reported:
- Significantly reduces nasal obstruction and congestion
- Significantly improves impaired sense of smell
The most common adverse reactions observed in a clinical trial were bronchitis, upper respiratory or middle ear infection, headache, light-headedness, asthma and nose bleed. Many of these conditions also inherently co-exist in patients with chronic sinusitis and sinus polyps.
Call DeFatta ENT & Allergy at (715) 828-2368 for more information or to schedule a consultation with one of our expert sinus surgeons.