Balloon sinuplasty for the surgical management of immunocompromised and critically ill patients with acute rhinosinusitis

Wittkopf, Maria; Becker, Samuel S.; Duncavage, James A.; Russell, Paul T.

doi:10.1016/j.otohns.2008.12.040

Cited by 28 publications

(33 citation statements)

References 4 publications

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“…There are similar reports in the literature, with an even lower number of patients 15 , having seen that the set of balloons have a relatively high cost, although it is already available from some health insurance companies.…”

Section: Discussionsupporting

confidence: 58%

“…Sinuplasty may be very interesting in patients who have problems concerning postoperative dressings, such as children and those with some type of mental impairment 13,15,16 . Not removing tissue from the nose and paranasal sinuses can represent a major advantage, having seen that problems such as transitional postoperative changes in the nose and PNS mucociliary movements, scar fibrosis and subsequente local re-stenosis, synechia and postoperative bleeding are much less frequent in patients submitted to these dilatations, according to papers recently published 1,4,11,[15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…Not removing tissue from the nose and paranasal sinuses can represent a major advantage, having seen that problems such as transitional postoperative changes in the nose and PNS mucociliary movements, scar fibrosis and subsequente local re-stenosis, synechia and postoperative bleeding are much less frequent in patients submitted to these dilatations, according to papers recently published 1,4,11,[15][16][17] . We noticed this in those patients who underwent sinuplasty without other associated procedures.…”

Section: Discussionmentioning

confidence: 99%

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Sinuplastia com balão, avaliação inicial: 10 casos, resultados e seguimento

Júnior¹,

Stamm²,

S³

2010

Braz. j. otorhinolaryngol. (Impr.)

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Int roduction and aims: Balloon sinuplasty has been the object of recent discussions and papers. It is believed that the use of these tools can bring benefits, when compared with traditional endoscopic sinus surgery. Although there already are papers on the efficacy of this new instrument in the literature, there is no study in our country with a series of cases and follow-up of patients undergoing sinuplasty. Our study aims to review the information of 10 patients who underwent balloon sinuplasty, alone or in combination, discussing the indications, complementary therapy and follow up evaluation.Method: retrospective study.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sinuplastia com balão, avaliação inicial: 10 casos, resultados e seguimento

Júnior¹,

Stamm²,

S³

2010

Braz. j. otorhinolaryngol. (Impr.)

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“…Wittkopf et al [24] reported using dilating balloon catheters for the surgical treatment of 31 immunocompromised and critically ill patients with acute rhinosinusitis. These immunocompromised patients had associated conditions such as thrombocytopenia, neutropenia, and anemia.…”

Section: Expanded and Future Indicationsmentioning

confidence: 99%

Balloon Sinuplasty Versus Surgical Management of Chronic Rhinosinusitis

Stewart¹,

Vaughan²

2010

Curr Allergy Asthma Rep

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The first US Food and Drug Administration-approved dilating balloon catheter system for obstructed paranasal sinus drainage pathways was introduced in September 2005. It was discussed as an alternative treatment option for traditional endoscopic sinus surgery for those suffering from chronic rhinosinusitis. Widespread patient interest has ensued, although controversy regarding application of this device continues. Many otolaryngologists have been trained to use the device, and more than 88,000 patients have had surgery using this device. Like similar dilating catheters used in other specialties to relieve obstruction, it is a minimally invasive tool for mucosal-sparing dilation of sinus ostia or sinus outflow tracts. Although studies have been completed that demonstrate feasibility, safety, and long-term patency of dilated sinuses, the evolving indications for its use remain controversial. Referring physicians and patients can expect a range of opinions on the role of these devices in the treatment of rhinosinusitis for the foreseeable future.

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“…5 Tiered therapy is applied, but when unsuccessful, nasal endoscopic surgery is indicated. 5 Nasal endoscopic surgery is safe and yields excellent results; however, inherent complications may occur, such as synechiae, crusts, and epistaxis, especially in special patient groups who often do not carry out appropriate postoperative care. 2,5 A minimally invasive technique has recently been introduced in our country, namely balloon sinuplasty.…”

Section: Discussionmentioning

confidence: 99%