Details for EAR NOSE & THROAT ASSOCIATES - Ad from 2019-11-03

Chronic Sinusitis
Sufferers and
Improved Sinus
Surgery Outcomes

Dealing with chronic nasal congestion is never fun. Most people, when their nose feels
plugged up, blocked and stuffy, are dealing with a cold. They also have coughing, sneezing,
as well as body aches. Usually people will get better within 7-10 days. However, when
symptoms persist beyond that time-frame, you may be dealing with more than just a
Chronic sinusitis (also known as chronic rhinosinusitis) occurs when the sinuses
become swollen and inflamed for 12 weeks or more, despite all attempts at treatment.
Precipitating factors include nasal allergies, the common cold, nasal polyps, or a deviated
nasal septum. Symptoms can include nasal blockage, painful headaches, discolored nasal
drainage, swelling and tenderness above, between, and below the eyes, and a decreased
sense of smell and taste. In addition to day time and night time nasal obstruction or
congestion, chronic sinusitis can also lead to poor sleep.
Chronic sinusitis is one of the most common problems in the US. Patients with chronic
sinusitis typically have tried a variety of antibiotics with some having longer courses of
treatment. Nasal irrigations and nasal sprays are frequently used. In addition, some will
be treated with oral steroids, a potent anti-inflammatory medication. Chronic sinusitis
can be diagnosed with CT Scan imaging. “Our office has an In-office CT Scanner
which limits the radiation dose to the patient and provides prompt, efficient care with
immediate results”, says Brian T. Pelczar, MD of Ear, Nose, and Throat Associates.
A large percentage of patients with chronic sinusitis also require endoscopic sinus surgery
as well as other nasal procedures including septoplasty, turbinate reductions, and balloon
sinuplasty. The goal of these procedures is to open sinuses and the newly-opened sinuses
can be kept open by advanced sinus technology.
Intersect ENT, Inc. has developed advanced stents called PROPEL® (mometasone
furoate implant), PROPEL Mini, and PROPEL Contour. PROPEL are spring-like,
dissolvable, drug-eluting stents that are placed in the sinuses after sinus surgery to deliver
medication directly to the healing sinus tissue and provide mechanical support to help
improve post-operative outcomes. The stents are similar to cardiac stents used to keep

open clogged coronary arteries.
The PROPEL implants are made of biodegradable material covered with a steroid
called mometasone furoate. The implants slowly release the medication directly to
the sinus tissue and have been proven to decrease swelling and scar tissue formation
following sinus surgery as well as decrease polyp growth post-surgery. The medication
is released directly to inflamed sinus tissue, rather than systemically. This eliminates the
potential for systemic side-effects. PROPEL is FDA-approved and clinically proven to
significantly reduce the need for post-operative intervention (surgical or oral steroids) as
well as significantly reduce inflammation.
Dr. Pelczar emphasizes that the type of treatment or implant used on any given patient
depends on the sinuses being operated on and that individual’s underlying disease
process. ‘With the different PROPEL implants, we now have stents that can be used in
multiple sinuses, which increases the number of patients who can benefit.’
Dr. Pelczar is one of five Board-Eligible, Board-Certified Otolaryngologists at Ear, Nose
and Throat Associates. For appointments (referrals are not necessary unless mandated
by your health insurer), they can be reached at (406)238-6161.
Important Risk Information
The PROPEL Family of sinus implants are indicated to deliver a steroid drug locally and maintain the sinus
opening after sinus surgery in patients 18 years of age or older: PROPEL in the ethmoid sinus, PROPEL
Mini in the ethmoid sinus and frontal sinus opening and PROPEL Contour in the frontal and maxillary
sinus openings. Patients allergic to the drug (mometasone furoate) or ingredients of the implant should not
receive PROPEL. It is not known if the implant is safe and effective in women that are pregnant or nursing.
Common side effects include infection, headache, and nose bleeds. Risks related to the implant include pain/
pressure, movement of the implant (within or out of the sinus) and potential side effects of steroids. For more
information on the risks and benefits of PROPEL sinus implants, talk to your doctor or review the FDA
approved labeling at Rx only.

2900 12th Ave N Billings • 406-238-6161
Monday – Friday • 8am – 5pm


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