Efficacy & Outcomes of Balloon Sinuplasty in Chronic Rhinosinusitis: A Prospective Study

Abstract

Balloon Sinuplasty is a new technique which has revolutionized sinus surgery in recent times.

Efficacy of balloon sinuplasty in treatment of frontal rhinosinusitis: a prospective study in sixty patients

“…Raghunandhan et al . show similarly positive results for balloon sinuplasty for treatment of CRSsNP and RARS in 20 patients reporting improvement in pre‐ and post‐procedure SNOT‐22 scores (68.60% to 16.65%), Lanza Kennedy nasal endoscopy scores (61.25% to 22.5%) and Lund Mackay CT scores (47.71% to 23.30%) at 12 months post‐procedure . Plaza et al .…”

“…Endoscopic evaluation at follow‐up was limited by ability to adequately visualise the frontal recess in the outpatient setting. Other studies report pre‐ and post‐procedure comparisons of Lund Mackay CT grading . To prevent unnecessary radiation exposure, and due to limited resources in the district hospital setting, patients in our study did not undergo post‐procedure CT scanning.…”

“…Balloon sinuplasty applies the Seldinger technique to cannulate and dilate stenosed or occluded sinus ostia re‐establishing drainage pathways and ventilation. Inflation of the balloon catheter in situ causes microfractures in the underlying bony structure of the ostia allowing circumferential displacement and widening of the ostia while preserving the surrounding sinus mucosa . It is a safe procedure with fewer associated complications than with conventional FESS .…”

“…Less intra‐operative morbidity results in shorter hospital admission and postoperative recovery, with patients able to return to work the day after surgery compared with 10–14 days with FESS . Good long‐term outcomes of balloon catheter sinostomy have been reported; other studies have reported high procedure failure rates and greater evidence of inflammatory cells post‐procedure when compared to patients treated with conventional sinus techniques (uncinectomy) . In our department, where conventional sinus surgery techniques are practiced, balloon sinuplasty has been used since 2013 in carefully selected patients for the treatment of frontal chronic rhinosinusitis without nasal polyps (CRSsNP) and recurrent acute rhinosinusitis (ARS).…”

“…Inflation of the balloon catheter in situ causes microfractures in the underlying bony structure of the ostia allowing circumferential displacement and widening of the ostia while preserving the surrounding sinus mucosa. [2][3][4] It is a safe procedure with fewer associated complications than with conventional FESS. [3][4][5] Less intra-operative morbidity results in shorter hospital admission and postoperative recovery, with patients able to return to work the day after surgery compared with 10-14 days with FESS.…”