2011
DOI: 10.1002/alr.20085
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Unexpected consequences of transnasal balloon dilation of the maxillary ostium

Abstract: Guidewire insertion in this study was noted to frequently create a false passage during maxillary sinus ostial dilation. After balloon dilation, irrigant penetration was increased into the sphenoid sinus for heavy and mist irrigators whereas the maxillary sinus had diminished irrigant penetration for heavy and NetiPot irrigators.

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Cited by 29 publications
(52 citation statements)
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“…This may be caused by scars, anatomical irregularity or local polyp growth. As a result, a complication of inadvertent dilation of the secondary maxillary ostium, a submucosal passage of the guide wire and balloon or an injury of the orbit may occur [288], [552]. After dilatation about 8% of the patients may develop sinusitis, which responds usually well to antibiotic treatment [553].…”
Section: Structural Qualitymentioning
confidence: 99%
“…This may be caused by scars, anatomical irregularity or local polyp growth. As a result, a complication of inadvertent dilation of the secondary maxillary ostium, a submucosal passage of the guide wire and balloon or an injury of the orbit may occur [288], [552]. After dilatation about 8% of the patients may develop sinusitis, which responds usually well to antibiotic treatment [553].…”
Section: Structural Qualitymentioning
confidence: 99%
“…5,6 Unfortunately balloon dilation does not appear to provide adequate ostial dimensions to maximize postoperative delivery of topical therapies throughout the sinuses. 6 Once a surgeon has decided on his or her overall surgical goals for a given patient based on the type and localization of CRS, postoperative care, and treatments, the next issue should be selection of proper instruments to accomplish those goals. A number of factors come into play: patient safety, evidence for outcomes, surgeon experience, and cost.…”
Section: Rodney J Schlosser MDmentioning
confidence: 99%
“…However, other studies, using similar cadaveric designs, have shown 0% success in cannulating the maxillary sinus. Rather than cannulating a true maxillary sinus ostium, a false posterior tract was created in all of the attempts . Another intraoperative trial was terminated early due to the high failure rate of 60% in a balloon‐only arm and 65% when using a hybrid technique …”
mentioning
confidence: 99%
“…All studies using direct visualization to confirm accuracy in the literature have been performed in cadaveric heads . Balloon sinuplasty in living patients has the potential for additional technical challenges absent in cadavers.…”
mentioning
confidence: 99%
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