Safety and outcomes of balloon catheter sinusotomy: A multicenter 24-week analysis in 115 patients

The aim of this study was to further evaluate the safety and effectiveness of balloon catheter devices to dilate obstructed sinus ostia/perform sinusotomy. Through a prospective, multicenter evaluation, safety was assessed by rate of adverse events, patency was determined by endoscopic examination,...

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Veröffentlicht in:Otolaryngology-head and neck surgery 2007-07, Vol.137 (1), p.10-20
Hauptverfasser: Bolger, William E., Brown, Christopher L., Church, Christopher A., Goldberg, Andrew N., Karanfilov, Boris, Kuhn, Frederick A., Levine, Howard L., Sillers, Michael J., Vaughan, Winston C., Weiss, Raymond L.
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Sprache:eng
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Zusammenfassung:The aim of this study was to further evaluate the safety and effectiveness of balloon catheter devices to dilate obstructed sinus ostia/perform sinusotomy. Through a prospective, multicenter evaluation, safety was assessed by rate of adverse events, patency was determined by endoscopic examination, and sinus symptoms were determined by the Sino-Nasal Outcome Test (SNOT 20). At the conclusion of the 24-week analysis, endoscopy determined that the sinusotomy was patent in 80.5% (247 of 307) sinuses and nonpatent in 1.6% (5 of 307), and could not determine ostial patency status in 17.9% (55 of 307). Of the ostia visualized on endoscopy, 98% were patent (247 of 252), while 2% (5 of 252) were considered nonpatent. SNOT 20 scores showed consistent symptomatic improvement over baseline. Revision treatment was required in 3 sinuses (3 of 307 sinuses, 0.98%) in 3 patients (3 of 109 patients, 2.75%). Balloon catheter technology appears safe and effective in relieving ostial obstruction. Patients were pleased and indicated that they experienced symptomatic improvement.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2007.02.006