Balloon sinuplasty: a current hot topic in rhinology

Siow, Jin Keat; Kadah, Basel Al; Werner, Jochen A.

doi:10.1007/s00405-008-0605-0

Cited by 28 publications

(21 citation statements)

References 8 publications

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“…Sinuplasty may be very interesting in patients who have problems concerning postoperative dressings, such as children and those with some type of mental impairment 13,15,16 . Not removing tissue from the nose and paranasal sinuses can represent a major advantage, having seen that problems such as transitional postoperative changes in the nose and PNS mucociliary movements, scar fibrosis and subsequente local re-stenosis, synechia and postoperative bleeding are much less frequent in patients submitted to these dilatations, according to papers recently published 1,4,11,[15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…Not removing tissue from the nose and paranasal sinuses can represent a major advantage, having seen that problems such as transitional postoperative changes in the nose and PNS mucociliary movements, scar fibrosis and subsequente local re-stenosis, synechia and postoperative bleeding are much less frequent in patients submitted to these dilatations, according to papers recently published 1,4,11,[15][16][17] . We noticed this in those patients who underwent sinuplasty without other associated procedures.…”

Section: Discussionmentioning

confidence: 99%

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Sinuplastia com balão, avaliação inicial: 10 casos, resultados e seguimento

Júnior¹,

Stamm²,

S³

2010

Braz. j. otorhinolaryngol. (Impr.)

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Int roduction and aims: Balloon sinuplasty has been the object of recent discussions and papers. It is believed that the use of these tools can bring benefits, when compared with traditional endoscopic sinus surgery. Although there already are papers on the efficacy of this new instrument in the literature, there is no study in our country with a series of cases and follow-up of patients undergoing sinuplasty. Our study aims to review the information of 10 patients who underwent balloon sinuplasty, alone or in combination, discussing the indications, complementary therapy and follow up evaluation.Method: retrospective study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sinuplastia com balão, avaliação inicial: 10 casos, resultados e seguimento

Júnior¹,

Stamm²,

S³

2010

Braz. j. otorhinolaryngol. (Impr.)

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“…It became well recognised in the worldwide media as a new procedure that oVered more treatment options for patients with chronic rhinosinusitis [4,5]. Balloon sinuplasty is described as a less invasive technique to open the paranasal sinus ostias without injuring the surrounding mucosa, which results in reduced intraoperative bleeding and minimal mucosal damage [4].…”

Section: Introductionmentioning

confidence: 99%

Limitations of balloon sinuplasty in frontal sinus surgery

Heimgartner

Eckardt

Simmen

et al. 2011

Eur Arch Otorhinolaryngol

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Balloon sinuplasty is a tool that is used to treat selected patients with paranasal sinus pathologies. No studies have investigated the aetiology of failed access to the frontal sinus. The aim of our study was to specify the intraoperative technical failure rate and to analyse the aetiology of the failed access to predict potential technical difficulties before surgery. We retrospectively analysed the charts of patients who underwent balloon sinuplasty from November 2007 to July 2010 at three different ENT-Centres. CT-analysis of the patients with failed access was performed. Of the 104 frontal sinuses, dilation of 12 (12%) sinuses failed. The anatomy of all failed cases revealed variations in the frontal recess (frontoethmoidal-cell, frontal-bulla-cell or agger-nasi-cell) or osteoneogenesis. In one patient, a lymphoma was overlooked during a balloon only procedure. The lymphoma was diagnosed 6 months later with a biopsy during functional endoscopic sinus surgery. In complex anatomical situations of the frontal recess, balloon sinuplasty may be challenging or impossible. In these situations, it is essential to have knowledge of classical functional endoscopic sinus surgery of the frontal recess area. The drawbacks of not including a histopathologic exam should be considered in balloon only procedures.

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“…In comparison the radiation dose of a CT scan of the head accounts to only 200 mrem, CT scan of the chest sums up to approximately 800 mrem. Angioplasty on the other hand exposes the patient to radiation between 750 and 5,700 mrem (Siow et al 2008). …”

Section: Discussionmentioning

confidence: 99%