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Ann Otol Rhinol Laryngol. 2015 Aug;124(8):630-7. doi: 10.1177/0003489415573830. Epub 2015 Mar 4.

Office-Based Balloon Sinus Dilation: 1-Year Follow-up of a Prospective, Multicenter Study.

Author information

1
Ear, Nose & Throat Consultants of Nevada, Las Vegas, Nevada, USA asikand1@aol.com.
2
Madison ENT & Facial Plastic Surgery, New York, New York, USA.
3
Pasha Snoring & Sinus Center, Houston, Texas, USA.
4
Maryland Nose and Sinus Center, Baltimore, Maryland, USA.
5
Ohio Sinus Institute, Dublin, Ohio, USA.
6
Acclarent Clinical Research, Menlo Park, California, USA.
7
Alabama Nasal and Sinus Center, Birmingham, Alabama, USA.

Abstract

OBJECTIVE:

Balloon sinus dilation (BSD) instruments afford the opportunity for office-based sinus procedures in properly selected patients with chronic rhinosinusitis (CRS). This study evaluated patient-reported outcomes 1 year after office-based BSD.

METHODS:

Adult patients with medically refractory CRS were prospectively enrolled into a multicenter, single-arm study and treated with office-based BSD under local anesthesia. Follow-up on 203 patients was conducted at 2, 8, and 24 weeks postsurgery using validated outcome measures for quality of life (SNOT-20) and computed tomography imaging (Lund-Mackay score). After 24 weeks, patients were re-enrolled for 1-year follow-up to evaluate changes in SNOT-20 scores and revisions.

RESULTS:

All patients who re-enrolled (n = 122) completed the study, with an average follow-up of 1.4 years. Neither preoperative SNOT-20 nor Lund-Mackay CT scores were predictive of re-enrollment and return for follow-up. Compared to baseline, improvements in SNOT-20 scores remained statistically significant (P < .001) and clinically meaningful (mean decrease ≥ 0.8). In patients followed to 1.4 years, 9 of 122 (7.4%) had revision surgery.

CONCLUSION:

Following office-based BSD, significant improvements in quality of life observed at 24 weeks were maintained 1 year postsurgery. These extended results provide further evidence of office-based BSD as an effective, minimally invasive procedure for appropriately selected patients with CRS.

KEYWORDS:

balloon sinus dilation; chronic rhinosinusitis; endoscopic sinus surgery; ethmoid disease; office surgery

PMID:
25740407
DOI:
10.1177/0003489415573830
[Indexed for MEDLINE]

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