Whilst at a conference I met some nice folk from a company called  Acclarent. They showed me their device: Balloon Sinuplasty. The concept is simple: in the same way as a blocked coronary artery can be unblocked by passing a balloon catheter and stretching it open, (coronary angioplasty), so can a blocked sinus be unblocked - very atraumatically.  I was a bit sceptical, but I’ve used this technique on many patients now, and I have to say, in the right patient, it is fantastic.

Who then is “the right patient”? Well, those who have a blocked and painful frontal sinus are ideal. This is a dangerous area it operate in. In fact, many ENT surgeon will not carry out frontal sinus surgery, for fear of complications, like Cerebrospinal fluid leakage (the fluid that surrounds your brain). The balloon sinuplasty technique opens the area up much more safely and atraumatically than traditional methods. I used it on just such a lady a while ago. She was wide awake when I went to go and see her shortly afterwards. She had undergone two previous sinus surgeries in the past, and knew exactly what to expect. When I saw her, she told me that her constant, chronic forehead pain was completely gone, but she felt almost as if she had not actually had her operation, because there was no pain, bleeding, blockage, (all the post-op things she was expecting). I explained to her that I had inserted the Balloon Sinuplasty catheter and drained out a lot of yellow pus. She went back to work the next day and was delighted. She has never had any further trouble. I asked if she’d like to write a short testimonial for my website, but bless her, she declined because she was too shy!

I felt that same elation I’d had as a junior surgeon-in-training, but this time the little voice warning me that I wasn’t magic was not my Professor’s, but my own. It really is the technology that makes the difference.

We are making urgent arrangements to biopsy this under general anaesthetic. Problem is, this may well turn out to be a malignant tumour. when it finally dawned on my trainee that this was no simple ear infection his face suddenly dropped. Then he understood what I meant by “no shortcuts”. I think it may have ruined his day.