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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Long-Term Risk of Revision Surgery Following Balloon Sinuplasty Versus Endoscopic Sinus Surgery
Miti J Parikh1, Antonio Franco2,3, Kevin Hur3
1Keck School of Medicine of the University of Southern California, Los Angeles, USA.
The Annals of Otology, Rhinology, and Laryngology
|November 5, 2025
Summary
Patients with chronic rhinosinusitis (CRS) undergoing balloon sinuplasty (BSP) face a higher risk of revision surgery compared to endoscopic sinus surgery (ESS). However, long-term healthcare utilization remains similar for both procedures.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Health Services Research
Background:
- Chronic rhinosinusitis (CRS) significantly impacts quality of life.
- Balloon sinuplasty (BSP) and endoscopic sinus surgery (ESS) are common CRS treatments.
- Comparative data on long-term outcomes between BSP and ESS is limited.
Purpose of the Study:
- To compare revision surgery rates between BSP and ESS in CRS patients.
- To evaluate postoperative healthcare utilization following BSP versus ESS.
- To analyze long-term outcomes up to five years post-procedure.
Main Methods:
- Retrospective analysis of the TriNetX US database.
- Inclusion of adult CRS patients (≥18 years) without cystic fibrosis or malignancy.
- Propensity score matching to control for patient characteristics and surgical procedures (BSP vs. ESS).
Main Results:
- A total of 4,632 CRS patients were analyzed; 26% had nasal polyps.
- Within five years, 9.70% of BSP patients required revision surgery versus 7.22% of ESS patients (p=0.0004).
- No significant difference in postoperative antibiotic or steroid use was observed after one year.
Conclusions:
- Balloon sinuplasty (BSP) is associated with a higher five-year risk of revision surgery compared to endoscopic sinus surgery (ESS) for chronic rhinosinusitis.
- Long-term postoperative healthcare utilization, including medication use, does not significantly differ between the two surgical approaches.
- These findings suggest ESS may offer more durable initial results regarding the need for repeat procedures.
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