Clinical curative effect and safety of balloon sinuplasty in children with chronic rhinosinusitis

Int J Pediatr Otorhinolaryngol. 2017 Sep;100:204-210. doi: 10.1016/j.ijporl.2017.06.026. Epub 2017 Jul 13.

Abstract

Objective: Balloon Sinuplasty for the management of paranasal sinus inflammatory diseases was introduced in otolaryngology in 2005. Over the past decade, evidence strongly supports its safety and efficacy for the treatment of chronic rhinosinusitis (CRS) in adults. Because it requires no bone or tissue removal, this procedure could be suitable in children. We present our initial experience of its use for the treatment of CRS in children.

Materials and methods: A prospective study was performed of 30 children with failed medical therapy, who were scheduled for surgery. They underwent treatment by balloon sinuplasty of selected sinuses. Data were collected, including age, VAS score, CT score, and nasal endoscopy findings.

Results: The procedure was successful in 61/65 sinuses (93.84%). Balloon sinuplasty improved sinus-related quality of life scores as well as computed tomography (CT) and endoscopic findings for up to 1 year after operation (p < 0.05).

Conclusion: In this initial study, balloon sinuplasty showed a clinical curative effect in the treatment of children with refractory CRS, and was relatively safe. Structural abnormalities in sinus ostia and hypoplastic sinuses may not be amenable to balloon catheter sinuplasty.

Keywords: Balloon sinuplasty; Children; Chronic rhinosinusitis.

MeSH terms

  • Adult
  • Catheterization / methods
  • Child
  • Chronic Disease
  • Endoscopy / methods
  • Female
  • Humans
  • Male
  • Paranasal Sinuses / surgery*
  • Prospective Studies
  • Quality of Life
  • Rhinitis / surgery*
  • Sinusitis / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome