New innovations in office-based rhinology

Area of Science:

• Otolaryngology
• Rhinology
• Medical Technology

Background:

• Chronic rhinosinusitis (CRS) impacts millions globally, necessitating efficient resource utilization.
• There's a growing trend towards office-based procedures for patient convenience and cost-effectiveness.
• Traditional treatments involve medications and surgeries, driving the need for innovative solutions.

Purpose of the Study:

• To review emerging technological innovations for managing sinonasal diseases in an office setting.
• To discuss advancements facilitating in-office rhinologic procedures.

Main Methods:

• Review of current literature on new technologies in office-based rhinologic procedures.
• Specific focus on vacuum-powered polypectomy, in-office navigation, photodynamic therapy, and drug-eluting sinus implants.
• Evaluation of clinical indications, benefits, drawbacks, and supporting evidence.

Main Results:

• Vacuum-powered polypectomy and steroid-eluting implants demonstrate safety, feasibility, and efficacy in select CRS patients.
• Photodynamic therapy shows antimicrobial and anti-inflammatory effects in vitro, with ongoing clinical trials.
• In-office navigation and other emerging tools are discussed regarding their potential in CRS management.

Conclusions:

• Novel tools are expanding the options for in-office management of sinonasal disease.
• Surgeons can integrate these innovations into their practice based on clinical judgment.
• The review highlights advancements in the armamentarium for rhinologic procedures.