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Volume 139, Issue 3, Supplement 3, Pages S27-S37 (September 2008)


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Balloon catheter sinusotomy: One-year follow-up—Outcomes and role in functional endoscopic sinus surgery

Frederick A. Kuhn, MDaCorresponding Author Informationemail address, Christopher A. Church, MDb, Andrew N. Goldberg, MD, MSCEc, Howard L. Levine, MDd, Michael J. Sillers, MDe, Winston C. Vaughan, MDf, Raymond L. Weiss, MDg

Received 18 January 2008; received in revised form 23 April 2008; accepted 6 May 2008.

Objective

The primary objective was to assess the long-term effectiveness of balloon catheter sinusotomy.

Methods

Patients who had sinus ostia dilated with balloon catheters were prospectively evaluated 1 year after surgery with nasal endoscopy, a CT scan, and the Sino-Nasal Outcome Test (SNOT-20).

Results

Sixty-six patients (202 sinuses) were examined. One hundred seventy-two of 202 sinus ostia (85%) were endoscopically patent, 1 percent (2/202) were nonpatent, and ostial patency could not be determined by endoscopy in 28 of 202 (14%). In these “indeterminate” sinuses, the CT scans were normal in 13, implying functional patency in 91.6 percent of sinuses (185/202). Sinus CT scan scores were 1.95 at 1 year versus 8.89 at baseline (P < 0.001), and 1-year SNOT-20 scores (0.91) were significantly improved from baseline (2.14, P < 0.0001).

Conclusion

Balloon catheter sinusotomy results were durable over the study period, showing long-term effectiveness.

a Georgia Nasal and Sinus Institute, Savannah, GA

b Loma Linda University, Loma Linda, CA

c University of California-San Francisco, San Francisco, CA

d Cleveland Nasal, Sinus and Sleep Center, Cleveland, OH

e Alabama Nasal and Sinus Center, Birmingham, AL

f California Sinus Institute, Palo Alto, CA

g Sinus Center of the South, Biloxi, MS

Corresponding Author InformationCorresponding author: Frederick A. Kuhn, MD, Georgia Nasal and Sinus Institute, 4750 Waters Avenue, Suite 112, Savannah, GA 31404

PII: S0194-5998(08)00380-X

doi:10.1016/j.otohns.2008.05.010


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