Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients

Otolaryngol Head Neck Surg. 2007 Jul;137(1):10-20. doi: 10.1016/j.otohns.2007.02.006.

Abstract

Objective: The aim of this study was to further evaluate the safety and effectiveness of balloon catheter devices to dilate obstructed sinus ostia/perform sinusotomy.

Methods: Through a prospective, multicenter evaluation, safety was assessed by rate of adverse events, patency was determined by endoscopic examination, and sinus symptoms were determined by the Sino-Nasal Outcome Test (SNOT 20).

Results: At the conclusion of the 24-week analysis, endoscopy determined that the sinusotomy was patent in 80.5% (247 of 307) sinuses and nonpatent in 1.6% (5 of 307), and could not determine ostial patency status in 17.9% (55 of 307). Of the ostia visualized on endoscopy, 98% were patent (247 of 252), while 2% (5 of 252) were considered nonpatent. SNOT 20 scores showed consistent symptomatic improvement over baseline. Revision treatment was required in 3 sinuses (3 of 307 sinuses, 0.98%) in 3 patients (3 of 109 patients, 2.75%).

Conclusion: Balloon catheter technology appears safe and effective in relieving ostial obstruction. Patients were pleased and indicated that they experienced symptomatic improvement.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Catheterization* / adverse effects
  • Catheterization* / instrumentation
  • Cohort Studies
  • Endoscopy
  • Equipment Failure
  • Female
  • Fluoroscopy
  • Follow-Up Studies
  • Frontal Sinusitis / surgery
  • Frontal Sinusitis / therapy
  • Humans
  • Male
  • Maxillary Sinusitis / surgery
  • Maxillary Sinusitis / therapy
  • Middle Aged
  • Prospective Studies
  • Recurrence
  • Retreatment
  • Safety
  • Sinusitis / surgery
  • Sinusitis / therapy*
  • Sphenoid Sinusitis / surgery
  • Sphenoid Sinusitis / therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome