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1

Kim, Joon Ho, and Sang Duck Lee. "Balloon Sinuplasty." Korean Journal of Otorhinolaryngology-Head and Neck Surgery 58, no. 7 (2015): 456. http://dx.doi.org/10.3342/kjorl-hns.2015.58.7.456.

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Ahmad, Zahoor. "Balloon sinuplasty." Indian Journal of Otolaryngology and Head & Neck Surgery 62, no. 3 (2010): 225–28. http://dx.doi.org/10.1007/s12070-010-0084-7.

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Kilty, S. J. "Maxillary sinus atelectasis (silent sinus syndrome): treatment with balloon sinuplasty." Journal of Laryngology & Otology 128, no. 2 (2014): 189–91. http://dx.doi.org/10.1017/s0022215113003538.

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AbstractIntroduction:Maxillary sinus atelectasis is a form of chronic rhinosinusitis of uncertain aetiology. Previously, the conventional treatment for this condition has been standard endoscopic surgery. There are no reports in the literature of successful treatment using balloon sinuplasty.Methods:A case of a patient with right maxillary sinus atelectasis is presented, who was treated using the balloon sinuplasty technique.Results:The patient's right maxillary sinus atelectasis was successfully treated using balloon sinuplasty. Three-month follow-up evaluation documented retention of the remodelled form of the uncinate process, and of maxillary sinus os patency.Conclusion:This is the first report of successful use of the balloon sinuplasty technique for the treatment of maxillary sinus atelectasis. Follow up demonstrated resolution of the underlying pathophysiology. Further study of the balloon sinuplasty technique for the treatment of maxillary sinus atelectasis is required to determine whether it has widespread applicability, given the current standard treatment.
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Kao, Yi H., and John F. Pallanch. "Navigational Balloon Sinuplasty." Otolaryngology–Head and Neck Surgery 147, no. 2_suppl (2012): P113. http://dx.doi.org/10.1177/0194599812451438a245.

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Catalano, MD, FACS, FARS, Peter. "BALLOON SINUPLASTY: AN HISTORICAL PERSPECTIVE." ORISSA JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY 10, no. II (2016): 7–11. http://dx.doi.org/10.21176/ojolhns.2016.2.1.

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Hur, Kevin, Marshall Ge, Jeehong Kim, and Elisabeth H. Ference. "Adverse Events Associated with Balloon Sinuplasty: A MAUDE Database Analysis." Otolaryngology–Head and Neck Surgery 162, no. 1 (2019): 137–41. http://dx.doi.org/10.1177/0194599819884902.

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Objective Balloon sinuplasty utilization has increased significantly since its introduction over a decade ago. However, the most common associated complications are still unknown. The objective of this study was to analyze adverse events related to balloon sinuplasty. Study Design Retrospective cross-sectional analysis. Setting Food and Drug Administration’s MAUDE database (Manufacturer and User Facility Device Experience; 2008-2018). Subjects and Methods The MAUDE database was searched for all reports on adverse events involving balloon sinuplasty devices from the 3 leading manufacturers: Acclarent, Entellus, and Medtronic. Reported events were reviewed and categorized. Results During the study period, there were 211 adverse events from 208 reports divided into the following categories: patient related (n = 102, 48.3%), device related (n = 101, 47.9%), and packaging related (n = 8, 3.8%). Four periprocedural deaths were reported but were not clearly associated with technical complications. The most common device-related complications were guide catheter malfunction (39.6%), balloon malfunction (38.6%), and imprecise navigation (17.8%). The most common patient-related complications were cerebrospinal fluid leak (36.3%), eye swelling (29.4%), and epistaxis (11.8%). A lateral canthotomy was performed in 30.0% of eye-swelling complications. Sixty percent of eye complications occurred during balloon dilation of the maxillary sinus. The years 2014 (n = 48) and 2012 (n = 32) had the highest number of adverse events reported as compared with all other years. Conclusion The most common adverse events associated with balloon sinuplasty include balloon malfunction, guide catheter malfunction, cerebrospinal fluid leak, and significant eye swelling. Health care providers should discuss these possible complications when consenting patients for balloon sinuplasty.
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Singh, Tanya, Arjun Singh, and Sarbjeet Singh. "Study of the effect of balloon sinuplasty in patients with rhinosinusitis." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 11 (2020): 2007. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20204622.

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<p class="abstract"><strong>Background:</strong> A new technique which has revolutionized sinus surgery recently is balloon sinuplasty. The vast majority of patients with chronic rhinosinusitis improve with medical management, including antibiotics, saline irrigation, nasal steroids, antihistamines, allergy therapy, and asthma control. This study was conducted to study the effect of balloon sinuplasty in patients affected with rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in all the patients visiting our hospital. Medical treatment included oral and sometimes intravenous antibiotics, nasal steroids, decongestants, systemic steroids, and allergy management. Those who had a positive biopsy were excluded from this study. The selected cohort of 20 patients, were prepared for balloon sinuplasty surgery in the same way as for conventional functional endoscopic sinus surgery (FESS) and were operated by our surgical team. </p><p class="abstract"><strong>Results:</strong> 20 patients were included in the study, 70% men and aged 30±12 years. Sinuplasty was performed in 32 sinuses of 20 patients (22 maxillary, 4 sphenoid and 8 frontal sinuses).</p><p class="abstract"><strong>Conclusions:</strong> Sinuplasty with balloon catheterization is effective in reducing symptoms and improving quality of life in selected patients with chronic rhinosinusitis. The results are beyond reported symptoms and confirm the benefit of balloon sinuplasty.</p><p class="abstract"> </p>
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Bizaki, A. J., R. Taulu, J. Numminen, and M. Rautiainen. "Quality of life after endoscopic sinus surgery or balloon sinuplasty: a randomized clinical study." Rhinology journal 52, no. 4 (2014): 300–305. http://dx.doi.org/10.4193/rhino12.198.

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Objectives: To conduct the first prospective randomized controlled trial that evaluates and compares the clinical outcome and impact of ballonsinuplasty and endoscopic sinus surgery (ESS) on the quality of life of patients suffering from chronic or recurrent rhinosinusitis (CRS) of the maxillary sinus. Methods: Adult patients with symptomatic chronic or recurrent rhinosinusitis without severe findings in the sinuses, as documented in the sinus’ Computer Tomography scan and clinical exam, were randomized in 2 groups: ESS and Balloon Sinuplasty.The main variable in our study is the Sinonasal Outcome Test-22 (SNOT 22) and its parameters. These parameters were analysed preoperatively and at 3 months, postoperatively. Results: There was a subjective improvement in symptoms after surgery. We also noticed an objective improvement in the quality of life of our patients seen as a decrease in the total SNOT 22 score. Both balloon sinuplasty and ESS significantly improved almost all the parameters of SNOT22, with no significant difference being found between these two groups. Conclusion: Both balloon sinuplasty and endoscopic sinus surgery improved the quality of life of patients with mild chronic or recurrent rhinosinusitis. However, the remarkably higher material cost of balloon sinuplasty compared to ESS sets limits on its broad use. There is an obvious need for further study to find out if, as an office procedure, balloon sinuplasty could deliver cost-savings high enough to cover the higher material cost of balloon sinuplasty. Our study was, however, too small to enable firm conclusions to be drawn.
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Zalzal, Habib G., Chadi A. Makary, and Hassan H. Ramadan. "Long-Term Effectiveness of Balloon Catheter Sinuplasty in Pediatric Chronic Maxillary Sinusitis." Ear, Nose & Throat Journal 98, no. 4 (2019): 207–11. http://dx.doi.org/10.1177/0145561319840126.

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The objective of our study was to assess the long-term effectiveness of balloon catheter sinuplasty in the treatment of pediatric chronic maxillary sinusitis following failed first-line medical and surgical management with adenoidectomy. Pediatric patients younger than 12 years were reviewed for having failed previous adenoidectomy and undergone a balloon catheter sinuplasty between August 2006 and March 2011 for chronic rhinosinusitis. Demographic data and clinical characteristics were recorded in patients who met inclusion criteria. Outcomes were assessed by need for functional endoscopic sinus surgery and persistence of chronic infection within at least 5 years of follow-up. Failure was defined by any child who was rediagnosed with chronic sinus disease after balloon catheter sinuplasty or who required endoscopic sinus surgery within 5 years. Sixty-two children were reviewed, with 38 patients meeting inclusion criteria (prior adenoidectomy, a preoperative Lund-Mackay score of ≥5, and balloon catheter sinuplasty). The mean age (standard deviation) was 6.76 (2.27) years with an age range of 2 to 11 years. Eight children (21.1%, P < .01) continued to have chronic sinus complaints following balloon procedure, with 5 (13.1%) individuals requiring eventual endoscopic surgery within 5 years. Age, asthma, allergy, and gender did not have any statistically significant impact on outcome. Balloon catheter sinuplasty is an effective long-term alternative for the treatment of chronic rhinosinusitis in pediatric patients, hoping to avoid further infections and eventual endoscopic surgery.
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Koskinen, Anni, Matti Penttilä, Jyri Myller, et al. "Endoscopic Sinus Surgery Might Reduce Exacerbations and Symptoms More than Balloon Sinuplasty." American Journal of Rhinology & Allergy 26, no. 6 (2012): e150-e156. http://dx.doi.org/10.2500/ajra.2012.26.3828.

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Background Endoscopic sinus surgery (ESS) is considered after medical therapy failure of chronic rhinosinusitis (CRS). The balloon sinuplasty dilates the natural ostium without moving mucosa or bone. It still lacks evidence from randomized controlled trials. The aim of this retrospective controlled study was to compare the symptom outcomes after maxillary sinus surgery with either the ESS or the balloon sinuplasty technique. No previous or additional sinonasal operations were accepted. Methods Two hundred eight patients with CRS without nasal polyps underwent either balloon sinuplasty or ESS. The patients who met with the inclusion criteria (n = 45 in ESS group and n = 40 in balloon group) replied to a questionnaire of history factors, exacerbations, and a visual analog scale (VAS) scoring of the change in symptoms, on average 28 ± 6 (mean ± SD) months postoperatively. Results The groups were identical in the response rate (64%), patient characteristics, and the improvement in all of the asked symptoms. Patients with CRS-related comorbidity and/or present occupational exposure had a statistically significantly better symptom reduction after ESS than after balloon sinusotomy. Moreover, the balloon sinusotomy group reported a statistically significant higher number of maxillary sinus punctures and antibiotic courses during the last 12 months. Conclusion ESS might be superior to balloon sinuplasty, especially in patients with risk factors. There is a need to perform more controlled studies on the treatment choices of CRS.
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Vaughan, Winston C. "Review of balloon sinuplasty." Current Opinion in Otolaryngology & Head and Neck Surgery 16, no. 1 (2008): 2–9. http://dx.doi.org/10.1097/moo.0b013e3282f5e955.

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Friedman, Michael, and Meghan Wilson. "Illumination guided balloon sinuplasty." Laryngoscope 119, no. 7 (2009): 1399–402. http://dx.doi.org/10.1002/lary.20479.

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Silver, Natalie Lea, Andrew B. Tassler, Sonya Malekzadeh, and Earl Harley. "S288 – Balloon Dilation for Treatment of Recurrent Choanal Atresia." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P171. http://dx.doi.org/10.1016/j.otohns.2008.05.464.

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Objectives 1) To investigate alternative methods of maintaining choanal patency in patients with choanal atresia. 2) To assess the feasibility and efficacy of balloon dilation in maintaining patency of repaired choanal atresia. Methods Choanal atresia is the developmental failure of the nasal cavity to communicate with the nasopharynx. Several approaches have been described for primary repair of choanal atresia. A transnasal endoscopic approach has been fully developed and is now the preferred method of primary repair. Restenosis is known to occur after surgical correction and primary patency rates after all surgical procedures have been reported to be 55% to 75%. We reviewed the charts of 3 patients at a single institution with a diagnosis of choanal atresia (2 bilateral, 1 unilateral). All were primarily repaired with traditional methods but subsequently developed restenosis; 1 patient developed complete restenosis of her choanae. All 3 underwent serial endoscopic dilation with sinuplasty balloons. Results After endoscopic serial dilation with the use of sinuplasty balloons, all 3 patients have maintained patent choanae on follow-up examination up to 1 year postoperatively. Conclusions Dilation of a restenosed choanal atresia with sinuplasty balloons may be an effective new application of this technology. The procedure is simple to perform and can be easily repeated to increase long-term patency for these patients.
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Hopkins, C., E. Noon, D. Bray, and D. Roberts. "Balloon sinuplasty: our first year." Journal of Laryngology & Otology 125, no. 1 (2010): 43–52. http://dx.doi.org/10.1017/s0022215110001520.

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AbstractIntroduction:Balloon sinuplasty is a new technology which has only recently been introduced in the UK. We review the current literature, and we present our first year's results for the technique together with a description of indications, outcomes and problems.Methods:Retrospective case note review of 27 consecutive patients undergoing sinuplasty alone in the first year in which this procedure was performed. The main outcome measures used were subjective improvement and Sino-Nasal Outcome Test (SNOT-22) score.Results:Dilatation was successful in 98 per cent of sinuses in which it was attempted; however, subjective improvement was noted in only 62 per cent of patients thus treated.Conclusion:We believe that balloon sinuplasty has a place in routine rhinology practice but that its applications are limited, and that its additional costs must be considered. We present advantages and possible limitations of the technique.
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Lomeo, Paul E., and Judith Finneman. "S268 – Cost-Effective Balloon Sinuplasty." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P164—P165. http://dx.doi.org/10.1016/j.otohns.2008.05.444.

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Objectives Balloon sinuplasty is a new procedure that is gaining popularity in the United States. However, with all new technology, there is an increase in cost. Balloon sinuplasty increases the overhead for the facility where it is being performed and does not affect reimbursement. To decrease the cost of new technology, the physician, facility, and the company must all think of creative methods to acheive this goal. Methods In our institution, we had 60 patients that had balloon sinuplasties performed, with all of them involving both maxilary and frontal sinus. Re-useable olive-tip cannula was used instead of the company's recommended disposable guide catheter for the frontal and maxillary sinuses. In using the olive-tip as a guide catheter, the guide wire and balloon catheter are easily directed to the opening of both the maxillary and frontal sinus. Results The outcome from all 60 patients was successful, with none returning for revision. In using the olive-tip cannula instead of the disposable catheter guide for the maxillary and frontal sinuses, there was a savings of $37,500 for the institution. Conclusions The use of an olive-tip cannula from the basic FESS set decreases the cost of performing balloon sinuplasty. This suction-tip can replace the catheter guide without compromising the surgical procedure and is easy to use by the experienced sinus surgeon. There was a cost savings of $625 per procedure when using an olive-tip cannula instead of the company's recommended catheter guide.
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Özkiriş, Mahmut, İbrahim Akin, Asuman Özkiriş, Reha Aydin, and Levent Saydam. "Orbital Complication of Balloon Sinuplasty." Journal of Craniofacial Surgery 25, no. 2 (2014): 499–501. http://dx.doi.org/10.1097/scs.0000000000000658.

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Wexler, David B. "Frontal balloon sinuplasty via minitrephination." Otolaryngology–Head and Neck Surgery 139, no. 1 (2008): 156–58. http://dx.doi.org/10.1016/j.otohns.2008.03.010.

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Ference, Elisabeth H., Jee-Hong Kim, and Hassan H. Ramadan. "Balloon Sinuplasty in Pediatric Rhinosinusitis." Current Treatment Options in Allergy 6, no. 3 (2019): 238–52. http://dx.doi.org/10.1007/s40521-019-00220-3.

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Cingi, Cemal, Nuray Bayar Muluk, and Jivianne T. Lee. "Current indications for balloon sinuplasty." Current Opinion in Otolaryngology & Head and Neck Surgery 27, no. 1 (2019): 7–13. http://dx.doi.org/10.1097/moo.0000000000000506.

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Lopez, Erin M., Zainab Farzal, Meghan Norris, et al. "Radiologic Analysis of Balloon Sinuplasty in a Human Cadaver Model: Observed Effects on Sinonasal Anatomy." American Journal of Rhinology & Allergy 35, no. 1 (2020): 107–13. http://dx.doi.org/10.1177/1945892420939430.

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Background Balloon sinuplasty is increasingly used in the outpatient clinic for treatment of chronic rhinosinusitis, but radiologic analysis of its effects on sinonasal anatomy is largely uncharacterized in the known literature. Objective The purpose of this study is to examine the anatomic effects of balloon sinuplasty in a cadaveric model. Methods Five fresh cadaver heads underwent sequential endoscopic balloon dilation of maxillary ostia, frontal recess outflow tracts, and sphenoid ostia bilaterally by fellowship-trained rhinologists. Pre- and post-procedural CT imaging was obtained. CT scans were imported into Mimics™ software and sinonasal anatomy was analyzed systematically. Results Visual confirmation of balloon dilation was achieved in all 3 sites bilaterally in each cadaver. Radiologic analysis demonstrated that the frontal sinus outflow tract was appropriately dilated 60% (6/10 sites) of the time while the agger was inadvertently dilated 30% of the time (3/10). The sphenoid os was successfully dilated 70% (7/10 sites) of the time. In two cases, a posterior sphenoethmoid (Onodi) cell was dilated instead of the sphenoid. Successful dilation of maxillary os was noted 60% of the time (6/10 sites). No significant change in maxillary os was noted after balloon dilation. Normal middle turbinates were significantly medialized following balloon dilation 75% (6/8 sites) of the time. Conclusions While the goal of balloon sinuplasty is to improve natural sinonasal drainage by dilating existing outflow tracts, as evidenced by radiologic evaluation the procedure appears not to achieve this in all cases, while occasionally creating unintended changes in sinonasal anatomy as well. These unrecognized changes in anatomy may be responsible for the post-procedure change in symptomatology that some patients experience.
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Ramadan, Hassan H., Kevin McLaughlin, Gary Josephson, Frank Rimell, John Bent, and Sanjay R. Parikh. "Balloon Catheter Sinuplasty in Young Children." Allergy & Rhinology 1, no. 2 (2010): ajra.2010.24.34. http://dx.doi.org/10.2500/ajra.2010.24.3431.

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Ramadan, Hassan H., Kevin McLaughlin, Gary Josephson, Frank Rimell, John Bent, and Sanjay R. Parikh. "Balloon Catheter Sinuplasty in Young Children." American Journal of Rhinology & Allergy 24, no. 1 (2010): e54-e56. http://dx.doi.org/10.2500/ajra.2010.24.3431a.

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Friedman, Michael, Rohit Soans, Roshan Soans, and Ninos J. Joseph. "Balloon Sinuplasty: Fluoroscopic vs. Illumination Guided." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P73. http://dx.doi.org/10.1016/j.otohns.2008.05.237.

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Objective To compare two balloon sinuplasty techniques, fluoroscopic guided and illumination guided, with regards to: 1) Sensitivity and specificity of identifying the sinus; 2) Accuracy of cannulating the natural sinus ostium; 3) Ease of technique and cost. Methods Operative reports of 120 consecutive patients, equally representative of each technique, were analyzed to determine: 1) The success of sinus identification with the technique; 2) Evidence of endoscopic visual conformation of natural ostium dilation. The sensitivity and specificity of each technique in sinus identification was determined. The success of natural ostium cannulation was also determined. A cost analysis of each technique was performed with regards to equipment and time. Results A total of 330 sinuses were reviewed (fluoroscopy, n=171; illuminated guide wire, n=159). Fluoroscopy was 100% sensitive and 100% specific with regards to sinus identification; whereas the illuminated guide wire was 97.9 % sensitive and 85.7% specific. With respect to the cannulzation of the natural sinus ostium, the success rate of fluoroscopy and the illuminated guide wire was 85.9% and 87.5% respectively. These results demonstrated no significant difference between the two techniques. The elimination of fluoroscopy with the illuminated guide wire technique reduced overall cost and operative time significantly. Conclusions 1) Balloon sinuplasty with illuminated guide wire is comparable to fluoroscopic guided with regards to sensitivity and specificity of sinus identification and successful cannulation of the natural sinus ostium. 2) Cost and operative time are reduced with the new technique.
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El-Guindy, Ahmed S. "Quality of Life after Balloon Sinuplasty." Otolaryngology–Head and Neck Surgery 147, no. 2_suppl (2012): P115. http://dx.doi.org/10.1177/0194599812451438a250.

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Raghunandhan, S., Srividya Prashanth, Kiran Natarajan, R. S. Anand Kumar, and Mohan Kameswaran. "Balloon sinuplasty — the first Indian experience." Indian Journal of Otolaryngology and Head & Neck Surgery 61, no. 2 (2009): 99–104. http://dx.doi.org/10.1007/s12070-009-0045-1.

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Chidambaram, Smrithi, Benjamin M. Wahle, and David S. Leonard. "Frontal Balloon Sinuplasty in Complicated Acute Pediatric Rhinosinusitis (ARS)." Case Reports in Otolaryngology 2022 (May 14, 2022): 1–5. http://dx.doi.org/10.1155/2022/7232588.

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Utilization of frontal balloon sinuplasty in pediatric complicated acute rhinosinusitis (ARS) is demonstrated to be a safe and expedient alternative to other procedures such as trephination or functional endoscopic sinus surgery (FESS) in this case series. We performed a retrospective review of six pediatric cases of frontal balloon sinuplasty for ARS with intracranial complications at a tertiary academic center. Patients underwent unilateral (n = 5) or bilateral dilation (n = 1) in addition to functional endoscopic sinus surgery (FESS) including anterior ethmoidectomy (n = 5) and maxillary antrostomy (n = 6). This technique effectively addressed frontal sinus obstruction and served as an alternative to procedures such as trephination or functional endoscopic sinus surgery. No immediate or short-term complications of balloon dilation were observed in these cases. A larger cohort and extended follow-up are necessary to determine the use and long-term impact of this technique.
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Elguindy, Ahmed. "Balloon dilatation sinuplasty: concept, procedure, and debate." Tanta Medical Journal 41, no. 4 (2013): 301. http://dx.doi.org/10.4103/1110-1415.126177.

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Lanza, Donald C., and David W. Kennedy. "Balloon Sinuplasty: Not Ready for Prime Time." Annals of Otology, Rhinology & Laryngology 115, no. 10 (2006): 789–90. http://dx.doi.org/10.1177/000348940611501013.

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Weiss, Raymond L. "Current state and potential of Balloon Sinuplasty." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 54, no. 1 (2015): 70. http://dx.doi.org/10.7248/jjrhi.54.70.

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Armstrong, Michael, та Dana M. Christian. "Whatʼs new in sinus surgery? Balloon sinuplasty". OR Nurse 8, № 3 (2014): 36–46. http://dx.doi.org/10.1097/01.orn.0000429403.02598.e1.

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Makary, Chadi A., and Hassan H. Ramadan. "Balloon catheter sinuplasty in pediatric chronic rhinosinusitis." Operative Techniques in Otolaryngology-Head and Neck Surgery 29, no. 2 (2018): 94–98. http://dx.doi.org/10.1016/j.otot.2018.03.011.

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Zyabkin, I. V., N. S. Grachev, E. P. Karpova, I. N. Vorozhtsov, and E. Yu Yaremenko. "Balloon sinuplasty in children - Russian first experience." Vestnik otorinolaringologii 85, no. 1 (2020): 48. http://dx.doi.org/10.17116/otorino20208501148.

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Christmas, Dewey A., Joseph P. Mirante, and Eiji Yanagisawa. "Endoscopic View of Balloon Catheter Dilation of sinus Ostia (Balloon Sinuplasty)." Ear, Nose & Throat Journal 85, no. 11 (2006): 698–700. http://dx.doi.org/10.1177/014556130608501103.

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Shah, Mansi R., Vishal J. Rana, Shreya R. Shah, Hitesh N. Jain, and U. M. Upadhyay. "Balloon Sinuplasty: Novel Technique for Treatment of Sinusitis." Research Journal of Pharmacy and Technology 8, no. 2 (2015): 127. http://dx.doi.org/10.5958/0974-360x.2015.00022.0.

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Andrews, Jamie N., Erik K. Weitzel, Robert Eller, and Christopher K. McMains. "Unsuccessful Frontal Balloon Sinuplasty for Recurrent Sinus Barotrauma." Aviation, Space, and Environmental Medicine 81, no. 5 (2010): 514–16. http://dx.doi.org/10.3357/asem.2716.2010.

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Cooper, Matthew, Tracy Cheng, Tracy Truong, Maragatha Kuchibhatla, Ralph Abi Hachem, and David W. Jang. "Factors Associated with Revision Surgery after Balloon Sinuplasty." Otolaryngology–Head and Neck Surgery 160, no. 4 (2018): 734–39. http://dx.doi.org/10.1177/0194599818813044.

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Objective Although balloon sinuplasty (BSP) is increasing in popularity, little is known about which patients are the ideal candidates. The objective of this study is to investigate factors that may be associated with BSP failure. Study Design Retrospective review. Setting Academic center. Subjects and Methods This is a 6-year (July 2011-June 2017) retrospective review of patients who underwent BSP or revision endoscopic sinus surgery (rESS) after BSP within a single tertiary health system. Demographics, clinical findings, and radiographic findings were investigated for association with rESS via univariate analyses and a multivariable backward elimination selection procedure. Results A total of 154 patients were identified (median age, 53 years): 146 patients underwent BSP at a single health system, with 16 (11%) undergoing rESS; 8 patients underwent BSP at an outside institution and underwent rESS with the senior author. Mean ± SD follow-up was 12.8 ± 16.6 months. Univariate analyses revealed that prior endoscopic sinus surgery, polyps, allergic rhinitis, and gram-negative infection were significantly associated with rESS. As for radiographic findings, a higher Lund-Mackay score, neo-osteogenesis, moderate or complete opacification, and hyperdensities were associated with rESS. The final model after multivariable selection showed that higher radiographic scores (odds ratio, 1.08; 95% CI, 1.01-1.17) and neo-osteogenesis (odds ratio, 5.25; 95% CI, 1.68-16.42) were associated with higher odds for rESS. Conclusions This study identifies several clinical and radiographic factors that may be associated with the need for rESS after BSP. Surgeons can take these factors into consideration when deciding whether a patient should forego BSP and undergo conventional FESS.
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Wynn, Rhoda, and Winston C. Vaughan. "R133: Postoperative Recovery: FESS with Balloon Sinuplasty Device." Otolaryngology–Head and Neck Surgery 135, no. 2_suppl (2006): P151. http://dx.doi.org/10.1016/j.otohns.2006.06.887.

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Hueman, Kevin G., and Robert L. Eller. "P182: Balloon Sinuplasty Reduction of Frontal Sinus Fracture." Otolaryngology–Head and Neck Surgery 137, no. 2_suppl (2007): P271—P272. http://dx.doi.org/10.1016/j.otohns.2007.06.696.

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39

Stewart, Alexander E., and Winston C. Vaughan. "Balloon Sinuplasty Versus Surgical Management of Chronic Rhinosinusitis." Current Allergy and Asthma Reports 10, no. 3 (2010): 181–87. http://dx.doi.org/10.1007/s11882-010-0105-3.

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40

Siow, Jin Keat, Basel Al Kadah, and Jochen A. Werner. "Balloon sinuplasty: a current hot topic in rhinology." European Archives of Oto-Rhino-Laryngology 265, no. 5 (2008): 509–11. http://dx.doi.org/10.1007/s00405-008-0605-0.

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41

Heimgartner, S., J. Eckardt, D. Simmen, H. R. Briner, A. Leunig, and M. D. Caversaccio. "Limitations of balloon sinuplasty in frontal sinus surgery." European Archives of Oto-Rhino-Laryngology 268, no. 10 (2011): 1463–67. http://dx.doi.org/10.1007/s00405-011-1626-7.

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42

Terrell, Andrew, and Hassan H. Ramadan. "Outcome of balloon sinuplasty vs adenoidectomy in children." Otolaryngology - Head and Neck Surgery 141, no. 3 (2009): P100. http://dx.doi.org/10.1016/j.otohns.2009.06.311.

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43

Shetty, Kunal R., Helen H. Soh, Chase Kahn, et al. "Review and Analysis of Research Trends in Surgical Treatment of Pediatric Chronic Sinusitis." American Journal of Rhinology & Allergy 34, no. 3 (2020): 428–35. http://dx.doi.org/10.1177/1945892419896240.

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Background Chronic sinusitis is a common otolaryngologic complaint with a significant impact on patients’ quality of life. There is current debate and differences in quality of evidence regarding the best surgical management approach to pediatric chronic sinusitis. Objective To investigate changes in publishing trends over time in surgical management of pediatric chronic sinusitis. Methods A systematic literature review was conducted in January 2019 using Embase, PubMed, and Web of Science, of all articles that included surgical treatments for pediatric chronic sinusitis. Publications were grouped into 3 time periods: pre-1998, 1999–2008, and 2009–2018. In addition, a subgroup of publications pertaining to endoscopic sinus surgery, balloon sinuplasty, and adenoidectomy were grouped into 2-year periods since 1988 to compare the number of publications on each topic and to examine overall trends. Results A total of 327 abstracts were included in the data collection and analysis. There was an overall significant increase in total number of publications ( P < .0001), total number of authors ( P = .001), and comparison studies ( P = .003) from pre-1989 to 2018. Relative number of prospective studies, systemic review, and case studies/expert opinions have not significantly increased over time when comparing decades ( P > .05). Among the surgery types, functional endoscopic sinus surgery has the most amount of publications regardless of year despite a statistically significant increase in publications pertaining to balloon sinuplasty in the pediatric literature from 1999–2008 to 2009–2018 ( P = .001). Conclusions Studies on pediatric chronic sinusitis have increased significantly during each of the last 2 decades with an increase in the concomitant number of authors and comparison studies. Although most publications are still Level C or D evidence, there has been a nonsignificant increase in Level A evidence in the past decade. Endoscopic sinus surgery still remains the most studied procedure despite the recent increase in publications on balloon sinuplasty.
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Kim, Joon Ho, Jeong-Hoon Seol, Do-Kwang Jung, Yong-Bae Lee, and Sang-Duck Lee. "Feasibility of Balloon Sinuplasty in Korea: our first experiences." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 56, no. 1 (2017): 81. http://dx.doi.org/10.7248/jjrhi.56.81.

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45

Hughes, N., J. Bewick, R. Van Der Most, and M. O'Connell. "A previously unreported serious adverse event during balloon sinuplasty." Case Reports 2013, jan28 1 (2013): bcr2012007879. http://dx.doi.org/10.1136/bcr-2012-007879.

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46

Friedman, Michael, Howard L. Levine, William E. Bolger, and James A. Stankiewicz. "Miniseminar: Balloon Sinuplasty: Who, When, Why, & Why Not." Otolaryngology–Head and Neck Surgery 137, no. 2_suppl (2007): P129. http://dx.doi.org/10.1016/j.otohns.2007.06.300.

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47

BELL, CHRIS, DANE TATARNIUK, and JAMES CARMALT. "Endoscope-Guided Balloon Sinuplasty of the Equine Nasomaxillary Opening." Veterinary Surgery 38, no. 7 (2009): 791–97. http://dx.doi.org/10.1111/j.1532-950x.2009.00579.x.

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48

Taghi, Ali S., Sherif S. Khalil, Alasdair D. Mace, and Hesham A. Saleh. "Balloon Sinuplasty™: balloon-catheter dilation of paranasal sinus ostia for chronic rhinosinusitis." Expert Review of Medical Devices 6, no. 4 (2009): 377–82. http://dx.doi.org/10.1586/erd.09.24.

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49

Tomazic, P. V., H. Stammberger, H. Braun, et al. "Feasibility of balloon sinuplasty in patients with chronic rhinosinusitis: the Graz experience." Rhinology journal 51, no. 2 (2013): 120–27. http://dx.doi.org/10.4193/rhino12.194.

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Background: Balloon sinuplasty (BSP) is a catheter-based technique to dilate sinus ostia and drainage pathways to create ventilation and drainage. The aim of this study was to evaluate the feasibility of BSP in routine treatment of patients suffering from chronic rhinosinusitis (CRS). Methodology: Patients with CRS refractory to medical therapy who had been scheduled for endoscopic sinus surgery between 2009 and 2011 were included in this study. Results: Forty-five consecutive patients were included in this study, in whom 112 sinuses were approached by BSP. Of the 112 sinuses, 68 (60%) were planned as a "Balloon-Only" procedure and 44 (40%) were planned as a "Hybrid" procedure. Of the 68 sinuses in the "Balloon-Only" group, in 44 sinuses BSP failed, equating to a failure rate of 65%. Forty-four sinuses were planned for "Hybrid" procedures. In 29 of these sinuses BSP failed, giving a failure rate of 66%. Conclusion: According to literature, BSP can be a useful adjunct technique to standard FESS. In our experience, however, a failure rate of 65% for "Balloon-Only" and of 66% for "Hybrid" procedures occurred, which was regarded as unacceptable by the study group. Therefore, the study initially scheduled for 200 consecutive patients, was abandoned.
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Sayal, Navdeep R., Eytan Keidar, and Shant Korkigian. "Visualized Ethmoid Roof Cerebrospinal Fluid Leak during Frontal Balloon Sinuplasty." Ear, Nose & Throat Journal 97, no. 8 (2018): E34—E38. http://dx.doi.org/10.1177/014556131809700807.

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Balloon sinus dilation (BSD) is generally accepted as a safe alternative to traditional sinus surgery. It is a unique technique designed to potentially minimize complications associated with traditional functional endoscopic sinus surgery (FESS). We present a case in which a 65-year-old man experienced a cerebrospinal fluid (CSF) leak in the ethmoid roof that was visualized instantly after balloon dilation in a revision sinus surgery. In this case report, we discuss the causes of CSF leaks and explain in detail the immediate endoscopic repair with a collagen matrix. Also, literature is reviewed on the safety of BSD versus traditional FESS. Postoperative-ly, the patient has been without CSF leak and remains symptom free. CSF leak is a rare but major complication during both FESS and BSD. As BSD use increases, its complication profile will become clearer when used alone, in conjunction with FESS, and/or during revision surgery. Although BSD is considered a benign procedure, one should be cautious when using it in revision sinus surgery.
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