Effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis without polyposis,

Revista Brasileira de Otorrinolaringologia

Pascoto, Gabriela Robaskewicz¹  Pozzobon, Moacir²  Balsalobre, Leonardo³  Abreu, Cassiana Burtet⁴ 

[1] Complexo Hospitalar Edmundo Vasconcelos, São Paulo, Brazil;Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil;Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil;Universidade de Toronto, Toronto, Canada

关键词: Sinusitis;    Nasal mucosa;    Video-assisted surgery;    Paranasal sinuses.;   

DOI  :  10.1016/j.bjorl.2014.08.011

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Introduction: Balloon sinuplasty is a minimally invasive endoscopic procedure, developed with the aim of restoring patency of the paranasal sinuses ostia with minimal damage to the mucosa. Objective: To evaluate the effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis. Methods: This was a prospective cohort study comprising 18 patients with chronic rhinosinusitis without polyposis who underwent balloon sinuplasty. Patients were evaluated for clinical criteria, quality of life (Sino-Nasal Outcome Questionnaire Test-20 SNOT-20]), and computed tomography of the sinuses (Lund–Mackay staging) preoperatively and three to six months after the procedure. Results: Out of 18 patients assessed, 13 were included, with a mean age of 39.9 ± 15.6 years. Ostia sinuplasty was performed in 24 ostia (four sphenoid, ten frontal, and ten maxillary sinus). At the follow-up, 22 (92%) ostia were patent and there was no major complication. There was symptomatic improvement (SNOT-20), with Cronbach coefficients for consistency of the questionnaire items of 0.86 (95% CI: 0.73–0.94) preoperatively and of 0.88 (95% CI: 0.77–0.95) postoperatively, the difference being statistically significant (p <0.001). In addition, there was marked reduction of the computed tomography signs, an average of 4.2 point score (p <0.001). Conclusion: Sinuplasty is effective in reducing symptoms and improving quality of life as a treatment option for chronic rhinosinusitis in selected patients.

【 授权许可】

CC BY