Balloon Catheter Dilation of the Frontal Sinus Ostium

Sillers, Michael J.; Lay, Kristopher F.

doi:10.1016/j.otc.2016.03.020

Cited by 5 publications

(7 citation statements)

References 15 publications

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“…It is considered a minimally invasive surgical approach to the sinuses that avoids distortion of the original sinonasal anatomy with minimal mucosal damage . The use of this technology for the management of patients with CRS has been reported in the literature in multiple nonrandomized retrospective comparative trials, including its use in the outpatient setting, pediatrics, and in patients with limited disease . In a systematic review by Ahmed et al .…”

Section: Discussionmentioning

confidence: 99%

“…However, there are only a few comparative studies in the literature and hence the role of BCT in the management of CRS has yet to be established. BCT has been used for medically refractory CRS in adult and pediatric patients, in patients with limited disease, in the frontal sinus, and for delivery of surgical therapy in the clinic setting . Since its introduction in 2005, this technology has not been shown to contribute substantially to the overall frequency of ESS .…”

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confidence: 99%

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Use of balloon sinuplasty in patients with chronic rhinosinusitis in the United States

Chaaban

Baillargeon

et al. 2017

Int Forum Allergy Rhinol

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Use of balloon sinuplasty in patients with chronic rhinosinusitis in the United States

Chaaban

Baillargeon

et al. 2017

Int Forum Allergy Rhinol

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“…8 Proper comparison of BCD and ESS has been challenging, as patients undergoing BCD usually have lower disease burden. 9 Bizaki et al. and Bikhazi et al.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Sinus Balloon Catheter Dilation Providers Based on Medicare Provider Utilization and Payment Data

Munteanu

Ference

Danielian

et al. 2020

Am J Rhinol�Allergy

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Background The use of balloon catheter dilation (BCD) to treat chronic rhinosinusitis has increased dramatically since its conception, necessitating further characterization of BCD providers and trends in its usage. Medicare data on BCD providers have made it possible to study recent demographic patterns. There has also been an increase in mid-level providers’ scope of otolaryngologic practice that is not well defined. Objective To better understand BCD adoption by studying volume of BCD procedures as well as training, geography, and practice socioeconomic characteristics of BCD providers for Medicare beneficiaries. Methods We reviewed Medicare Provider Utilization and Payment Data Public Use Files for 2014 and 2015 for providers with claims for BCD of the sinuses. We extracted provider zip code, state, gender, and number of services per BCD code. We obtained median household income by zip code and geographic region based on US Census Bureau data. Providers were classified using an Internet search to determine practice setting and type of specialty training/certification. Results In 2014 and 2015, 428 providers performed 42 494 BCDs billed to Medicare beneficiaries. Among BCD providers, 5.1% were female, 98.1% had Doctor of Medicine/Doctor of Osteopathic Medicine credentials, and 1.9% had nurse practitioner/physician assistant credentials. Over the 2-year period, the median number of BCDs was 63 for physicians and 37 for mid-level providers. Fellowship-trained rhinologists performed a median of 38 BCDs over 2 years. The most common subspecialty certification/training was in facial plastics and reconstructive surgery. The majority of providers (63.8%) performed 1 to 99 BCDs over the 2 years. In the South, there were 21.9 BCD procedures performed per 100 000 people compared to 7.3 in the Northeast, 9.3 in the Midwest, and 8.5 in the West. Conclusion There is a large range in total BCD procedures performed by individual providers, and this varies by certain provider characteristics. Mid-level providers have emerged as a significant population performing BCD.

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“…Using balloon sinuplasty is especially attractive in the frontal sinus because of the demanding conventional surgery. 2 , 10 , 12 , 13 , 14 , 15 Possible complications of sinuplasty relate to the proximity of the skull base, orbit, and anterior ethmoidal artery. 13 Although major complications are rare, cases of cerebrospinal fluid leaks, orbital injuries, and major bleeding have been reported.…”

mentioning

confidence: 99%

“…Using balloon sinuplasty is especially attractive in the frontal sinus because of the demanding conventional surgery 2,10,12‐15 . Possible complications of sinuplasty relate to the proximity of the skull base, orbit, and anterior ethmoidal artery 13 .…”

mentioning

confidence: 99%

Frontal Sinus Balloon Sinuplasty—Patient Satisfaction and Factors Predicting Reoperation

et al. 2023

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Objective To explore predictive factors of postoperative outcome of frontal sinus balloon dilation. Study Design Retrospective questionnaire study. Setting Department of Otorhinolaryngology–Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Finland. Methods We reviewed electronic records of all patients who underwent frontal sinus balloon dilatation (successful or attempted) in our clinic from 2008 to 2019. We documented patient characteristics, preoperative imaging results, intraoperative factors, possible complications, and reoperations. Those who underwent frontal sinus balloon sinuplasty were sent a questionnaire regarding their current symptoms and long‐term satisfaction with surgery. Results In total, 258 operations (404 frontal sinuses) were reviewed, with a technical success rate of 93.6% (n = 378). The revision rate was 15.7% (n = 38). Previous sinonasal surgery predicted a higher revision rate ( p = .004, odds ratio [OR] = 3.03, 95% confidence interval [CI] 1.40‐6.56). Patients with hybrid surgery had significantly fewer reoperations compared to the balloon only group ( p = .002, OR = 0.33, 95% CI 0.16‐0.67). The response rate of the questionnaire was 64.5% (n = 156), of which 88.5% (n = 138) reported a long‐term benefit from the balloon sinuplasty. Patient satisfaction was higher ( p = .02, OR = 8.26, 95% CI 1.06‐64.24) among patients using nasal corticosteroids. Conclusion Technical success rate and patient satisfaction after frontal sinus balloon sinuplasty are high. Balloon sinuplasty seems insufficient in reoperations. A hybrid approach appears to result in fewer reoperations than a balloon only approach.

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Balloon Catheter Dilation of the Frontal Sinus Ostium

Cited by 5 publications

References 15 publications

Use of balloon sinuplasty in patients with chronic rhinosinusitis in the United States

Use of balloon sinuplasty in patients with chronic rhinosinusitis in the United States

Analysis of Sinus Balloon Catheter Dilation Providers Based on Medicare Provider Utilization and Payment Data

Frontal Sinus Balloon Sinuplasty—Patient Satisfaction and Factors Predicting Reoperation

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