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Balloon catheter sinuplasty and adenoidectomy in children with chronic rhinosinusitis

Hassan H Ramadan1, Andrew M Terrell

  • 1Department of Otolaryngology, West Virginia University School of Medicine, PO Box 9200, Morgantown, WV 26506-9200, USA.

The Annals of Otology, Rhinology, and Laryngology
|November 2, 2010
PubMed

Insights

Balloon catheter sinuplasty (BCS) is a more effective treatment for pediatric chronic rhinosinusitis (CRS) than adenoidectomy. This minimally invasive procedure showed significantly better symptom improvement in children with CRS.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Devices

Background:

  • Chronic rhinosinusitis (CRS) affects many children, with adenoidectomy being a common initial surgical treatment.
  • Adenoidectomy is effective in only about half of pediatric CRS cases.
  • Endoscopic sinus surgery is effective but carries risks of facial growth issues and complications.

Purpose of the Study:

  • To evaluate the efficacy of balloon catheter sinuplasty (BCS) as a minimally invasive treatment for pediatric CRS.
  • To compare BCS outcomes with adenoidectomy in children with medically refractory CRS.

Main Methods:

  • A prospective, nonrandomized controlled study reviewed children with CRS who underwent either BCS or adenoidectomy after medical management failure.
  • Outcomes were assessed at 1-year follow-up using Sino-Nasal 5 (SN-5) scores and the need for revision surgery.
  • Computed tomography (CT) scans were evaluated using the Lund-Mackay scoring system.

Main Results:

  • Eighty percent (24/30) of children treated with BCS showed symptom improvement after 12 months, compared to 52.6% (10/19) treated with adenoidectomy (p < 0.05).
  • Multivariate analysis indicated BCS was more effective than adenoidectomy, particularly in older children.
  • No statistically significant differences were observed based on age, sex, asthma, or CT scores as covariables.

Conclusions:

  • Balloon catheter sinuplasty (BCS) is a more effective treatment option for pediatric chronic rhinosinusitis (CRS) compared to adenoidectomy.
  • BCS presents a less invasive alternative to endoscopic sinus surgery for managing pediatric CRS.
  • The findings support BCS as a viable and effective minimally invasive surgical option for pediatric CRS.
Abstract

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