Welcome to Ohio Sinus Institute

Ohio Sinus Institute was founded in 2003 by Dr. Karanfilov as Central Ohio’s exclusive sub-specialty practice dedicated to nasal and sinus disorders.  We strive for excellence in patient care, incorporation of the latest technological advances and active participation in clinical research.  We offer compassionate, individualized and informed treatment options that serve to involve the patient in their care.

Our Procedures

Balloon Sinus Surgery/Sinuplasty

Balloon Sinus Dilation, also commonly referred to as Balloon Sinuplasty, is a minimally invasive technique that serves to gently open blocked sinus passageways with a thin, flexible balloon catheter. The technology was borrowed from our colleagues in cardiovascular medicine. In a similar manner, the same types of balloons that were utilized to open blocked heart arteries during a heart attack have now been adapted for use in sinus surgery. First introduced in 2004, the technology has undergone great scrutiny in regards to safety and effectiveness by the Ear, Nose and Throat community.

Cone Beam Cat Scans

The diagnosis of chronic sinusitis is based on a patient’s history, sinus endoscopy and findings on x-rays. The best x-ray method to view sinuses is with computed tomography also known as cat scanning (CT). CT provides multiple thin cut images through the sinuses to give the most detailed view possible. The latest advance in CT has been the introduction of Cone Beam Cat Scanning (CBCT) for sinus imaging. This technology has been around in the dental and oral surgery community for several years but only recently was adopted by ENTs and Rhinologists for sinus imaging.

Functional Endoscopic Sinus Surgery & Revision Sinus Surgery

ActiveFX and DeepFX are fractional laser procedure(s) preformed in a single treatment with minimal patient downtime. Patients can choose to have ActiveFX alone, or for deeper penetration of the skin layers, can elect to add DeepFX.
With ‘ActiveFX’ treatment, a high- energy beam of CO2 laser light interacts with the skin’s surface causing the upper layer to peel off and regenerate a layer of new, healthy skin. Effects of the treatment become visible right away, whereas others, such as new collagen formation, build up gradually and result in continued smoothing over time.

Empty Nose Syndrome

Empty nose syndrome (ENS) was originally described by Dr. Eugene Kern in the 1990s to describe symptoms suffered by some patients who had received a partial and/or total middle and/or inferior turbinate reductions or resections. Turbinates serve as radiator fins in the nose that project off the side of the nose to help filter and humidify the air. Turbinate reduction or resection has been a common procedure that is practiced throughout the world. In the absolute great majority, the surgery provides improvedment in nasal airflow.


As part of Ohio Sinus Institute’s mission to incorporate the latest treatment options for our patients we frequently participate in or initiate institutional review board approved research protocols. This allows us to keep abreast of current clinical trends while also contributing new ideas for surgical and medical management of chronic rhinosinusitis.

Steriod Eluting Stents

A company with roots in cardiovascular medicine, Intersect, developed the Propel sinus implant which was introduced in 2011. Propel is a dissolvable steroid-releasing implant that is designed to offer localized, controlled delivery of steroid directly to the sinus tissue to maintain the surgically created openings. When placed in the sinus following surgery, propel decreases scarring and inflammation, reducing the need for additional surgical procedures as well as oral steroids and their potential side effects.

More questions? Drop us a line!