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3-year follow-up after balloon sinuplasty in children with chronic rhinosinusitis

Liu Jia1, Chen Cao1, Bi Jing1

  • 1Department of ENT and Head & Neck Surgery, The Children's Hospital Zhejiang University School of Medicine, Zhejiang, Hangzhou, Binsheng Road 3333, 310051, China.

International Journal of Pediatric Otorhinolaryngology
|July 5, 2020
PubMed

Insights

Balloon sinuplasty effectively restores sinus drainage and airflow in children, showing high safety and patient satisfaction over three years. This procedure reduces symptoms and recurrence risk, with adhesion being the main complication.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Devices

Background:

  • Balloon sinuplasty offers a less invasive approach to restoring nasal sinus drainage and airflow.
  • Previous treatments for pediatric sinus issues often involve risks and potential damage.
  • Long-term efficacy and safety data for pediatric balloon sinuplasty are crucial for clinical adoption.

Purpose of the Study:

  • To evaluate the 3-year clinical efficacy and safety of balloon sinuplasty in pediatric patients.
  • To assess patient and parent satisfaction levels following the procedure.
  • To describe the management of postoperative adhesions.

Main Methods:

  • A prospective study involving 30 children with medically refractory sinus issues who underwent balloon sinuplasty.
  • Data collected over a 3-year follow-up included questionnaires (SN-5/SNOT-22), Visual Analog Scale (VAS) scores, CT scans, and nasal endoscopy.
  • Postoperative medication use, revision surgeries, complications, and overall satisfaction were recorded.

Main Results:

  • Significant reductions in VAS, SN-5/SNOT-22, and Lund-Mackay scores were observed compared to preoperative values.
  • Most patients experienced symptom relief, reduced need for medications, and minimal impact on daily activities.
  • No serious complications like facial pain or dysosmia occurred; nasal cavity adhesion was the most common issue, with high overall satisfaction.

Conclusions:

  • Balloon sinuplasty demonstrates high 3-year clinical efficacy and safety in pediatric patients, with sustained high satisfaction.
  • The procedure may improve upper respiratory infections and boost immunity, potentially reducing recurrence.
  • Postoperative steroid nasal sprays and irrigation for three months can help prevent nasal cavity adhesions.
Abstract

Keywords:
3-Year follow-upBalloon sinuplastyChildrenChronic rhinosinusitis

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