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Gadlage Sinus Center

Minimally invasive balloon sinuplasty procedures are performed in-office under local anesthesia without the need for hospital procedure or general anesthesia.

Balloon Sinuplasty

An innovative leader in balloon sinuplasty in GA, Dr. Gadlage was one of the first sinus surgeons in the South who learned and practiced balloon sinus surgery, with over 10 years experience and  many thousand balloon sinus surgery procedures performed.

He now routinely performs in-office balloon sinuplasties.

A Review of the Balloon Sinuplasty™ System 

How it Works

A guide wire equipped with a tiny balloon is threaded into the nostrils and up to the area of sinus blockage. The balloon is inflated just enough to open the passageway. Sinuses are opened in the same way that  blocked arteries are opened up during a balloon angioplasty.

Step 1. Gain Access to the Sinus.

Step 2. Inflate Balloon Across Ostium.

Step 3. Balloon Gradually Fully Inflated until Sinus is Cleared. 

Step 4. Balloon Deflated & Removed. 

Step 1 


To gain initial sinus access, the sinus guide catheter is introduced into the nasal cavity to target the sinus ostia under endoscopic visualization. The sinus guidewire or the sinus illumination system is introduced through the sinus guide catheter and gently advanced into the target sinus.

Step 2

The sinus balloon catheter is introduced over the sinus guidewire or sinus illumination system and positioned across the blocked ostium.


Step 3

The position of the sinus balloon catheter is confirmed and the balloon is gradually inflated to open and remodel the narrowed or blocked ostium.

Step 4

The sinus balloon catheter is then deflated and removed. When performed under general anesthesia, the irrigation catheter is advanced over the sinus guidewire or sinus illumination system into the target sinus. The sinus is then irrigated, flushing tenacious sinus contents – like pus and mucus.

​The irrigation catheter is removed, leaving the ostium open and the sinus cleared of mucus allowing the return of sinus drainage. There is little to no disruption to mucosal lining.

Dr. Gadlage has lectured at national symposiums in Dallas, TX, Menlo Park, CA, as well as, one of only a few invited faculty at the FIERO International Sinus Surgery Symposium in NYC, NY, attended by over 800 sinus surgeons from around the world.

Recognized as a “Sinus Center of Excellence," by Acclarent, the original innovator of the balloon sinuplasty technology.

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