Balloon catheter sinusotomy: One-year follow-up - Outcomes and role in functional endoscopic sinus surgery

被引:69
作者
Kuhn, Frederick A. [1 ]
Church, Christopher A. [2 ]
Goldberg, Andrew N. [3 ]
Levine, Howard L. [4 ]
Sillers, Michael J. [5 ]
Vaughan, Winston C. [6 ]
Weiss, Raymond L. [7 ]
机构
[1] Georgia Nasal & Sinus Inst, Savannah, GA USA
[2] Loma Linda Univ, Loma Linda, CA 92350 USA
[3] Univ Calif San Francisco, San Francisco, CA 94143 USA
[4] Cleveland Nasal Sinus & Sleep Ctr, Cleveland, OH USA
[5] Alabama Nasal & Sinus Ctr, Birmingham, AL USA
[6] Calif Sinus Inst, Palo Alto, CA USA
[7] Sinus Ctr S, Biloxi, MS USA
关键词
D O I
10.1016/j.otohns.2008.05.010
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
OBJECTIVE: The primary objective was to assess the long-term effectiveness of balloon catheter sinusotomy. METHODS: Patients who had sinus ostia dilated with balloon catheters were prospectively evaluated 1 year after surgery with nasal endoscopy, a CT scan, and the Sino-Nasal Outcome Test (SNOT-20). RESULTS: Sixty-six patients (202 sinuses) were examined. One hundred seventy-two of 202 sinus ostia (85%) were endoscopically patent, 1 percent (2/202) were nonpatent, and ostial patency could not be determined by endoscopy in 28 of 202 (14%). In these "indeterminate" sinuses, the CT scans were normal in 13, implying functional patency in 91.6 percent of sinuses (185/202). Sinus CT scan scores were 1.95 at 1 year versus 8.89 at baseline (P < 0.001), and 1-year SNOT-20 scores (0.91) were significantly improved from baseline (2.14, P < 0.0001). CONCLUSION: Balloon catheter sinusotomy results were durable over the study period, showing long-term effectiveness. (C) 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.
引用
收藏
页码:S27 / S37
页数:11
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