Hydraulic dissection technique during endoscopic sinus surgery using a novel balloon sinus dilation device.

Area of Science:

• Otolaryngology
• Rhinology
• Surgical Technology

Background:

• Balloon sinus dilation (BSD) is integrated into hybrid endoscopic sinus surgery (ESS).
• A novel BSD device allows placement over surgical instruments, including navigation tools.
• This technology can serve as a hydraulic dissection tool for paranasal sinus surgery.

Purpose of the Study:

• To highlight the utility of hydraulic dissection with BSD during ESS.
• To evaluate a novel BSD device for safe and efficient sinus surgery.

Main Methods:

• Retrospective case series of 10 patients undergoing hybrid ESS with a novel BSD device.
• The BSD device was used over instruments and tracked with surgical navigation.
• Evaluated dissections included posterior ethmoid, sphenoid, and frontal sinuses.

Main Results:

• The novel BSD device was used without complication in all 10 cases.
• The device facilitated dissection in posterior ethmoid, sphenoid, and frontal sinuses.
• Surgeons found the device helpful in creating space for safe dissection in difficult areas.

Conclusions:

• Sinus balloon devices can serve as effective hydraulic dissection tools in ESS.
• The novel BSD system enhances safe and efficient dissection in challenging sinus locations.
• Further research is needed to define the precise role of BSD as a hydraulic dissection tool in ESS.