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Updated: Feb 2, 2026
07:32
Balloon-based Injury to Induce Myointimal Hyperplasia in the Mouse Abdominal Aorta
Published on: February 7, 2018
10.1K
Factors Associated with Revision Surgery after Balloon Sinuplasty
Matthew Cooper1, Tracy Cheng1, Tracy Truong2
11 Division of Head and Neck Surgery and Communication Sciences, Department of Surgery, Duke University, Durham, North Carolina, USA.
Summary
Balloon sinuplasty (BSP) may fail in patients with higher radiographic scores and neo-osteogenesis. These factors can help surgeons select ideal candidates for BSP, potentially avoiding revision endoscopic sinus surgery (rESS).
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
Background:
- Balloon sinuplasty (BSP) is gaining popularity for treating chronic rhinosinusitis.
- Identifying ideal candidates for BSP is crucial to optimize outcomes and minimize the need for revision procedures.
Purpose of the Study:
- To investigate clinical and radiographic factors associated with balloon sinuplasty (BSP) failure, defined as the need for revision endoscopic sinus surgery (rESS).
Main Methods:
- A 6-year retrospective review of 154 patients who underwent BSP or rESS after BSP.
- Univariate and multivariable analyses were used to identify factors associated with rESS, including demographics, clinical findings, and radiographic scores.
Main Results:
- Factors associated with rESS included prior endoscopic sinus surgery, polyps, allergic rhinitis, and gram-negative infection.
- Radiographic findings linked to rESS were higher Lund-Mackay scores, neo-osteogenesis, opacification, and hyperdensities.
- Multivariable analysis identified higher radiographic scores (OR, 1.08) and neo-osteogenesis (OR, 5.25) as significant predictors of rESS.
Conclusions:
- Higher radiographic scores and the presence of neo-osteogenesis are associated with an increased likelihood of revision endoscopic sinus surgery after balloon sinuplasty.
- These findings can aid surgeons in patient selection for BSP versus conventional functional endoscopic sinus surgery (FESS).
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