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Treatments for Sinus and Nasal Conditions

Balloon Sinuplasty 


Dr. Douglas Hoisington was the first ENT physician to be In-Office Balloon Sinuplasty certified in the Des Moines area. Balloon Sinuplasty is a safe, minimally invasive procedure to provide lasting relief for individuals suffering from chronic sinusitis. Before we resort to this procedure, medications are first used to treat a patient’s symptoms. Before deciding if balloon sinuplasty is for you, the ENT Clinic of Iowa will do a thorough consultation, evaluating your sinus and allergy symptoms.

The Procedure

The balloon sinuplasty procedure involves no cutting and no removal of the bone or tissue. A small, flexible balloon catheter is inserted in the blocked sinus passageway, allowing the built up mucus to drain from the sinus. Contact your local ENT Clinic of Iowa to take charge of your sinusitis and get relief from your sinus symptoms.


Chemical Cautery 


Chemical Cautery is a form of cauterization of the tissue with chemicals to destroy mast cells in the sinus cavities that release histamine and other sources of inflammation that cause sinus pain. Although safe and effective, this procedure is typically used only on patients with recurring symptoms that persist despite drug treatments.

The Procedure

In this procedure, a low-concentration phenol solution is sprayed into the patient’s nose, creating shrinkage of the nasal tissues and allowing the air passages to open. Once the passages have opened, proper sinus drainage is able to take place. Proper drainage is important in the treatment and elimination of chronic sinusitis and other sino-nasal problems. Chemical cautery can also reduce nasal secretions, as well as relieve nasal and sinus headaches.

Chemical cautery is a painless treatment that is performed in our office and take approximately 15 minutes. Patients find it more convenient and less painful than traditional surgical treatments. Initially, patients require one treatment per month for three months. Because the success rate of the treatment is 80 percent, maintenance treatments are typically needed twice a year to ensure continued relief.



If you have trouble breathing through your nose, a simple, in office procedure called Endoscopic Turbinoplasty may be able to provide significant relief. Turbinates are bony plates within the sinus cavity which normally enlarge and shrink. In some people, however, the turbinates are so enlarged that it’s hard for them to breathe through their nose. Endoscopic turbinoplasty is a quick, painless procedure that permanently shrinks the turbinates. The short and long term improvements in the ability to breathe through your nose can be dramatic.

Often the main symptom of allergy and sinus problems is nasal obstruction. Patients sometimes take two or even three prescription medications for relief of nasal obstruction. A major benefit of Endoscopic Turbinate Reduction is the strong likelihood of getting off prescription medications, which can be expensive, inconvenient, and only marginally effective for nasal obstruction.


The Procedure

While most otolaryngologists perform turbinate reduction in the operating room under anesthesia, our physicians have developed a minimally invasive endoscopic turbinate reduction technique called “Endoscopic Turbinate Reduction” that is performed under local anesthesia and is painless, involves no packing, and incurs no downtime.

In the absence of a severe septal deviation, most nasal airflow obstruction is caused by turbinate swelling. In this case, regardless of the cause, allergy or not, nasal airflow can be restored permanently and painlessly through office based treatments.

Sinus Surgery


While invasive techniques can be avoided for the majority of sinus patients, some cases do require surgery. For optimal accuracy, all ENT Clinic of Iowa physicians are skilled at image-guided sinus surgery.

The Procedure

Image-guided sinus surgery uses a sophisticated mapping system that combines CT scans and real time data about the exact position of surgical instruments. This allows ENT Clinic of Iowa physicians to precisely navigate complex sinus passages and provide surgical relief more accurately. Because the sinuses are physically close to the brain, the eyes and major arteries, accuracy is of the utmost importance during sinus surgery. Image-guided technology gives ENT Clinic of Iowa physicians a level of precision that’s not possible through traditional sinus surgery.


Are you experiencing any of the following symptoms?

  • Nasal congestion or stuffiness
  • Nasal blockage or obstruction
  • Trouble breathing through your nose
  • Trouble sleeping
  • Unable to get enough air through your nose during exercise or exertion

If so, you may be one of more than 20 million Americans suffering from nasal obstruction, (i) which restricts airflow through the nose and negatively impacts one’s quality of life. (ii)

One of the most common causes of nasal obstruction is nasal valve collapse (NVC)(iii,iv), which occurs as a result of weak lateral cartilage collapsing inward when a person inhales. NVC is as prevalent as septal deviation and turbinate hypertrophy among nasal and sinus patients. (v)

A New Option

Clinical research shows LATERA patients experience:(vi)

  • Reduced nasal congestion or stuffiness
  • Less trouble breathing through the nose
  • Improved ability to get enough air the nose during exercise or exertion
  • Reduced nasal blockage or obstruction
  • Less trouble sleeping

Risks included temporary symptoms such as mild bruising and inflammation, awareness of the implant and
mild pain or irritation.(vi) Contact us at 1-800-726-8088 to discuss your NVC treatment options. To learn more about LATERA, visit www.latera.com.


  • i Value calculated based on 2014 US population estimate from US Census and World Bank data in conjunction with incidence numbers cited in Stewart et al. Epidemiology and burden of nasal congestion. Intl J Gen Med 2010; 2010:3 37-45.
  • ii Rhee et al. Nasal Valve Surgery Improves Disease-Specific Quality of Life. Laryngoscope 115: March 2005.
  • iii Constantian MB, Clardy RB. The Relative Importance of Septal and Nasal Valvular Surgery in Correcting Airway Obstruction in Primary and Secondary Rhinoplasty. Plastic and Reconstructive Surgery. 1996 Jul; 98(1): 47.
  • iv Ricci, et al. Role of Nasal Valve in the Surgically Corrected Nasal Respiratory Obstruction: Evaluation Through Rhinomanometry. American Journal of Rhinology. September-October 2001, Vol. 15, Nov. 5.
  • v Market research is ongoing. Data on file (TR-21076 Spirox NVC Experience). Individual patient results may vary and may include other procedures. Use of the LATERA device in conjunction with other procedures (such as septoplasty and/or turbinate reduction) has not been clinically evaluated. Patient satisfaction results may be attributed to LATERA with other procedures.
  • vi San Nicolo, et. al. 2017. Absorbable Implant to Treat Nasal Valve Collapse. Facial Plast Surg, 32:233-240.