Evaluating the Role of Balloon Sinuplasty in the Treatment of Pediatric Chronic Rhinosinusitis

被引：0
|
作者：
Lee E.R. [1 ]
Nadaraja G.S. [1 ,2 ]
机构：
[1] Department of Otolaryngology–Head and Neck Surgery, University of California, 2233 Post St, 3rd Floor, Room #351, San Francisco, 94115-1225, CA
[2] Division of Pediatric Otolaryngology, UCSF Benioff Children’s Hospital, San Francisco, CA
来源：
Current Otorhinolaryngology Reports | 2017年 / 5卷 / 4期
关键词：
Balloon sinuplasty; Balloon sinus dilation; Pediatric balloon sinuplasty; Pediatric chronic rhinosinusitis; Pediatric sinusitis;
D O I：
10.1007/s40136-017-0175-z
中图分类号：
学科分类号：
摘要：
Purpose of Review: Balloon catheter sinuplasty’s (BCS) role in the treatment algorithm of pediatric chronic rhinosinusitis (CRS) continues to evolve. Our review seeks to elucidate how best to use BCS when treating pediatric CRS based on the current literature. Recent Findings: BCS as an adjuvant procedure to adenoidectomy or limited functional endoscopic sinus surgery potentially shows greater symptomatic improvements in both validated and non-validated questionnaires. BCS for recalcitrant CRS after adenoidectomy shows promise as well. BCS may not be as efficacious in patients with medical comorbidities or anatomic variants such as a hypoplastic maxillary sinus or Haller cells. Summary: BCS as an adjuvant procedure, or as an additional procedure after adenoidectomy failure but before functional endoscopic sinus surgery, shows promising outcomes. Because of the limited evidence thus far, randomized-controlled prospective studies with higher power are needed to further clarify the efficacy of BCS. Further research regarding its role in acute complications of CRS is also needed. © 2017, Springer Science+Business Media, LLC.
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页码：229 / 234
页数：5
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