Feasibility of balloon dilatation in endoscopic sinus surgery simulator

Abstract

This model could help surgeons in the training of sinus ostia balloon dilatation.

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

“…Endonasal endoscopic surgery (EES) is the current method of choice for the surgical treatment of patients with nasosinusal inflammatory diseases who have clinical complaints and changed exams even after maximum clinical treatment [1][2][3] . The goal of EES is to increase ventilation and drainage of the paranasal sinuses (PNS) involved, enabling the proper functioning of mucociliary movements in the nasal and PNS mucosa, thus facilitating the drainage of these cavities and enabling the penetration of medication and solutions for nasal flushing [1][2][3][4] .…”

“…The goal of EES is to increase ventilation and drainage of the paranasal sinuses (PNS) involved, enabling the proper functioning of mucociliary movements in the nasal and PNS mucosa, thus facilitating the drainage of these cavities and enabling the penetration of medication and solutions for nasal flushing [1][2][3][4] . This method, despite bearing numerous benefits when compared to the conventional open procedures, still has some inherent challenges and limitations, especially because it ends up removing bone tissue and nasal mucosa fragments, which can cause bleeding, temporary physiological changes to the nasosinusal mucosa, especially the paradox reduction of mucociliary movements in the post-operative period and local scar fibrosis, which can cause re-obstruction of the treated PNS 1,2 . The recent finding of high levels of nitric oxide (NO) in the nose and PNS in healthy persons in comparison with the tracheobronchial tree is also a current object of study; nonetheless, very little is known about the role of this gas in the nose and PNS, and which are the clinical and surgical implications of this substance in the upper airways.…”

Sinuplastia com balão em paciente portador de paralisia cerebral: resultado e seguimento

“…1,2 Sinuplasty applied the concept of remodeling of these structures without removal of bone or mucosa. [1][2][3] Preserving these tissues may be an advantage of this procedure, as complications such as decreased mucociliary movements, scarring, synechiae, and postoperative bleeding occur less frequently in patients that undergo dilatation.…”

“…1,2 Sinuplasty applied the concept of remodeling of these structures without removal of bone or mucosa. [1][2][3] Preserving these tissues may be an advantage of this procedure, as complications such as decreased mucociliary movements, scarring, synechiae, and postoperative bleeding occur less frequently in patients that undergo dilatation. 1,2,4 Postoperative care is also simpler; as tissue is not removed and the nasal mucosa is not traumatized, there is less formation of crusts and there is less need of nasal dressings.…”

“…[1][2][3] Preserving these tissues may be an advantage of this procedure, as complications such as decreased mucociliary movements, scarring, synechiae, and postoperative bleeding occur less frequently in patients that undergo dilatation. 1,2,4 Postoperative care is also simpler; as tissue is not removed and the nasal mucosa is not traumatized, there is less formation of crusts and there is less need of nasal dressings. This may be interesting especially in patients that find it difficult to perform postoperative cleaning, such as children and patients with handicaps such as cerebral palsy.…”