Office-Based Balloon Sinus Dilation

Sikand, Ashley; Silvers, Stacey L.; Pasha, Raza; Shikani, Alan H.; Karanfilov, Boris; Harfe, Dan; Sillers, Michael J.

doi:10.1177/0003489415573830

Cited by 22 publications

(4 citation statements)

References 20 publications

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“…The reoperation rate after 6 months was 7.9% in the balloon sinuplasty group, while the rate in the hybrid group was 15.2% and 16.9% in the ESS group 24 . In other studies with varying follow‐up times, the revision rate for balloon only procedures has been reported as 3.0% to 7.4% and 0% to 6.3% for hybrid procedures 3,25‐27 . Our higher revision rate may be explained by the longer follow‐up time than previous studies.…”

Section: Discussionmentioning

confidence: 48%

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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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Section: Discussionmentioning

confidence: 48%

“… 24 In other studies with varying follow‐up times, the revision rate for balloon only procedures has been reported as 3.0% to 7.4% and 0% to 6.3% for hybrid procedures. 3 , 25 , 26 , 27 Our higher revision rate may be explained by the longer follow‐up time than previous studies.…”

Section: Discussionmentioning

confidence: 59%

Frontal Sinus Balloon Sinuplasty—Patient Satisfaction and Factors Predicting Reoperation

et al. 2023

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“…In-office rhinologic procedures have been demonstrated to be safe and effective in otherwise healthy individuals with CRS [12, 13]. As a result, there has been a general increase in office-based rhinologic procedures over the last 5 years [14].…”

Section: Discussionmentioning

confidence: 99%

Office-Based Sinus Surgery for Cystic Fibrosis Chronic Rhinosinusitis

Spielman

Gudis

2020

ORL

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Objective: Chronic rhinosinusitis (CRS) is nearly ubiquitous in the cystic fibrosis (CF) population, and many patients require multiple endoscopic sinus surgeries throughout their lifetime. Recent studies have demonstrated the profound pulmonary and systemic health benefits of comprehensive CRS treatment. Both endotracheal intubation with mechanical ventilation and inpatient hospital care represent significant risks for CF patients. The goal of this study is to evaluate the safety and feasibility of performing revision endoscopic sinus surgery for CF patients in the outpatient office setting using only local anesthesia to decrease the need for mechanical ventilation and inpatient hospitalization. Methods: This is a prospective cohort study conducted at a tertiary care academic medical center with a CF Foundation-accredited care center. Patients with CF and refractory CRS despite prior surgery and medical therapy were eligible for inclusion. Comprehensive revision ESS was performed in the office using only local anesthesia. Results: Five patients were enrolled and underwent revision endoscopic sinus surgery without complication. The average preoperative Sinonasal-Outcome Test-22 score was 52.0 ± 12.1 and the average preoperative Lund-Mackay score was 15.2 ± 3.8. No patients requested aborting the procedure early due to pain, discomfort, or any other reason. No subjects required prolonged observation or postoperative hospital admission. Conclusion: This prospective pilot study is the first to demonstrate the safety and feasibility of performing comprehensive revision endoscopic sinus surgery for CF patients in the outpatient office setting using only local anesthesia.

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“…Balloon sinus dilation (BSD) or balloon sinuplasty (BSP) was introduced in September 2005 as a minimally invasive mucosal sparing alternative to traditional endoscopic sinus surgery in which sinus ostia or sinus outflow tracts are dilated with a small balloon catheter. 1 Interest in and use of BSD is becoming more prevalent, and there is strong interest in utilizing balloon catheter devices in the physician's office as an office procedure 2 3 4 5 6 7 8 9 (office rhinology).…”

Section: Introductionmentioning

confidence: 99%

Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access

Nishioka

2017

Int Arch Otorhinolaryngol

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Introduction As experience grows with in-office balloon sinus dilation (BSD) procedures, technique modifications will evolve to meet specific needs. The major disadvantage with the maxillary BSD procedure is that the intact uncinate process prevents visualization of and instrument access into the maxillary sinus both intraoperatively and postoperatively. Combining a partial or complete uncinectomy procedure with maxillary BSD could be beneficial in selected patients with certain maxillary sinus problems. Objective The primary objective of this study was to see if, in selected patients, combining an uncinectomy and maxillary sinus BSD together allowed visualization of and access to the maxillary sinus cavity at the time of the procedure and at follow-up visits. Method A chart review was completed for BSD cases performed from 2013 through mid-2015 identifying patients who underwent partial or complete uncinectomy with in-office maxillary sinus BSD. A total of 14 patients were identified, with 26 sinuses treated. The data collected included: difficulty or problems in performing an uncinectomy with the maxillary sinus BSD; visualization and access to the maxillary sinus cavity both intraoperatively and at follow-up visits; and occurrence of complications or late adverse sequelae. All patients completed a minimum 6-month follow-up. Results Combined uncinectomy and maxillary sinus BSD procedures were easily completed for all patients without complications, and no late adverse sequelae were encountered. The maxillary sinuses could be visualized and accessed, if needed, intraoperatively and at all follow-up visits. Conclusions In selected subsets of maxillary sinus conditions this procedure modification can provide significant benefits. A case is presented for illustration.

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Office-Based Balloon Sinus Dilation

Abstract: Following office-based BSD, significant improvements in quality of life observed at 24 weeks were maintained 1 year postsurgery. These extended results provide further evidence of office-based BSD as an effective, minimally invasive procedure for appropriately selected patients with CRS.

Cited by 22 publications

References 20 publications

Frontal Sinus Balloon Sinuplasty—Patient Satisfaction and Factors Predicting Reoperation

Frontal Sinus Balloon Sinuplasty—Patient Satisfaction and Factors Predicting Reoperation

Office-Based Sinus Surgery for Cystic Fibrosis Chronic Rhinosinusitis

Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access

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