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Safety and Outcomes of Balloon Catheter Sinusotomy: A Multicenter 24‐Week Analysis in 115 Patients

Authors :
Winston C. Vaughan
Christopher L. Brown
William E. Bolger
Frederick A. Kuhn
Boris Karanfilov
Michael J. Sillers
Andrew N. Goldberg
Howard L. Levine
Raymond L. Weiss
Christopher A. Church
Source :
Otolaryngology–Head and Neck Surgery. 137:10-20
Publication Year :
2007
Publisher :
Wiley, 2007.

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.

Details

ISSN :
10976817 and 01945998
Volume :
137
Database :
OpenAIRE
Journal :
Otolaryngology–Head and Neck Surgery
Accession number :
edsair.doi.dedup.....a2654474c9e36e8710f3af236b70c17e