- PathAssist Sphenoid Freer/Seeker
- XprESS LoProfile
- Supplied XprESS Bending Tool
- 30⁰ endoscope (2.7 or 3.0mm if available)
- Video system, camera, light source, and light guide
PREPARE PATH WITH PATHASSIST SPHENOID SEEKER/FREER
1. Use a 30⁰ scope to visualize treatment area
- Leverage anatomical landmarks to help with direct visualization
- If needed, use the PathAssist Sphenoid Seeker/Freer to lateralize middle turbinate and locate sphenoid ostium
ACCESS AND DILATE WITH XPRESS
2. Use the bending tool to adjust the tip of XprESS to the sphenoid (‘S’) configuration
3. Palpate the XprESS LoProfile device into desired sinus space
4. Advance balloon and inflate
REMOVE AND VISUALIZE
5. Deflate balloon and remove device
6. When possible, use scope to visualize dilation
Sphenoid Procedure Pearls
- Do not advance the XprESS device further than 1cm into the sphenoid sinus
- Enter the sphenoid ostium from the inferior and medial aspect to stay away from the internal carotid artery and optic nerve.
- The sphenoid ostium is level with the posterior aspect of the maxillary ostium
- Leave a slight angulation to the distal end of the XprESS tip to rotate the device into the sphenoid ostium in the event that access is not straight
About the Presenting Physicians
Dr. Loughlin practices in Litchfield, CT at Westood ENT.
Dr. Loughlin is an Entellus trainer, and regularly shares his approach to in-office treatment with visitors at his practice in Connecticut.
Dr. Peters practices in Baton Rouge, LA.
He serves as trainer in the Entellus Center of Excellence peer-to-peer education program, and hosts regular visits to his practice to discuss technique best practices.
Dr. Gould is the founder and director of the St. Louis Sinus Center. He is a Center of Excellence trainer for Entellus, and hosts peers to share his best practices on integrating and performing balloon sinus dilation procedures in the office.
Dr. Gould is the lead author of "In-office, multisinus balloon dilation: 1-Year outcomes from a prospective, multicenter, open label trial," published in March/April 2014 issue of the American Journal of Rhinology & Allergy.
XprESS Indications for Use: To access and treat the frontal recesses, sphenoid sinus ostia, and maxillary sinus ostia/ethmoid infundibula in adults using a trans-nasal approach. The bony sinus outflow tracts are remodeled by balloon displacement of adjacent bone and paranasal sinus structures. Please see the Instructions for Use below for a complete listing of contraindications, warnings, precautions and adverse events.
LED Light Fiber Indications for Use: To locate, illuminate within, and transilluminate across nasal and sinus structures in patients aged 18 and over. Please see Instructions For Use for a complete listing of contraindications, warnings, precautions, and adverse events.