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Dr. Pasha is most known as a pioneer of in-office Balloon Sinuplasty™ for the management of recurrent sinus problems.

As a leading ENT doctor in Houston, Dr. Pasha participated and published several papers on the initial and long-term clinical outcomes and refinement of technique of Balloon Sinuplasty™, leading him to become one of the most experienced in this technique. He has lectured his peers across the country in academic as well as private settings and often has visiting colleagues observe him. . Dr. Pasha has performed thousands of in-office balloon sinuplasty procedures here in Houston and his complication rate is extremely low.

In-Office Balloon Sinuplastyat our Houston office may be considered for those with recurrent/chronic sinus infections or barosinusitis (facial pain caused by pressure such as in a flight). Dr. Pasha may also consider balloon sinuplasty for those who have rhinogenic headaches. Rhinogenic comes from “rhino” which means nose (like rhinoceros) and “genic” which means the cause of (like genesis or genetic). Some headaches or migraine sufferers are triggered by congestion in the nose or sinuses. These types of headaches may be addressed at our office in Houston with balloon sinuplasty.


Balloon Sinuplasty™ is an FDA approved technique designed to treat chronic sinusitis that uses microscopic endoscopes placed through the nose to locate the openings (ostia) of the sinuses. A wire and catheter-based system accesses the openings. Once identified, a small balloon is gradually inflated then removed to open the blocked sinus similar to how angioplasty is used to open vessels in the heart. This opening allows for normal function and drainage of the sinuses.

Dr. Pasha begins by numbing your nose with a nasal spray in the office. The procedure causes minimal pain and recovery. You may return to work or school the same day. As you recover you will need to keep your nose moist with nasal salt-water spray as well as use corticosteroid nasal sprays to keep the inflammation down.

Balloon Sinuplasty procedure

FAQs about Balloon Sinuplasty™

Does Balloon Sinuplasty™ hurt?

The majority of the time in performing Balloon Sinuplasty is preparing and numbing your nose and sinuses. We begin by spraying your nose with an anesthetic agent to begin the numbing process. Shortly afterwards we will place cotton soaked in a topical agent to further numb your nose and sinuses.

After approximately 20-30 minutes, Dr. Pasha will take you to the procedure room for further prep. Your nose should be pretty numb before he begins to inject your nose much like a dentist.

Discomfort varies from patient to patient.

What about migraines?

Dr. Pasha has had success in treating migraines with Balloon Sinuplasty if the headaches are triggered by the nose and sinus. This treatment is experimental and is performed under the guidance of a research protocol only.

If you are interested in participating in the study please make it known when you schedule your appointment.

What are the risks of In-Office Balloon Sinuplasty™?

Since this procedure is performed in the office without general anesthesia the risks are minimal. In-Office Balloon Sinuplasty is one of the safest methods to address chronic sinus disease.

Dr. Pasha has seen very few complications aside for some occasional bleeding that may persist through the night. Another potential risks include inability to perform the procedure because of tolerance or inability to access the sinuses.

Some patients may need to be converted to the operating room for traditional sinus surgery for a number of reasons including recurrence.

How long does it take to recover from Balloon Sinuplasty™?

For the most part, after your procedure there is very little recovery time. You should be able to return to normal activity and duties the following day.

Can Balloon Sinuplasty™ cure my headaches?


Dr. Pasha has a particular interest in headaches that are caused or triggered by the nose or sinuses. There are several criteria that are required before Dr. Pasha would consider Balloon Sinuplasty for headaches. Some of these requirements include the following:

  1. The headache or facial pain is associated with congestion or stuffiness.
  2. The headache or facial pain is associated with a runny nose.
  3. The headache or facial pain is worsened with pressure (flying or diving)
  4. The headache or facial pain is relieved in the office with a topical decongestant
Do the sinus openings stay open with Balloon Sinuplasty™ for the long-term?

Yes. Dr. Pasha participated in a study examining the patency after Balloon Sinuplasty as far as one-year out. The majority of his patients sinus opening after the procedure remained open.

How long does Balloon Sinuplasty™ take to complete?

Dr. Pasha is one of the most experienced surgeons in the world to perform Balloon Sinuplasty. Treatment times varies from a 45 minutes to 90 minutes depending on the complexity of the case.

When Should I Consider Balloon Sinuplasty?

Balloon sinuplasty is a well-regarded procedure for patients with chronic sinusitis. The minimally invasive procedure involves dilating the openings of the major nasal sinuses.

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