Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-25T23:31:56.076Z Has data issue: false hasContentIssue false
  • English
  • Français

Balloon sinuplasty: two-year follow up using Sino-Nasal Outcome Test-22 outcomes

Published online by Cambridge University Press:  29 April 2021

J Sinnott  and
E Chisholm
J Sinnott*
Affiliation:
ENT Department, Royal United Hospitals, Bath, UK
E Chisholm
Affiliation:
ENT Department, Musgrove Park Hospital, Taunton, UK
*
Author for correspondence: Mr Joseph Sinnott, ENT Department, Royal United Hospitals, Bath, UK Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Balloon sinuplasty is a relatively new surgical technology proposed as a less invasive way of treating chronic rhinosinusitis and frontal sinus disease. It is crucial to monitor safety and efficacy to allow informed clinical decisions and appropriate counselling of patients. There are few papers with long-term follow up.

Method

Patients were selected for surgery based on symptoms of frontal pain and pressure or headache, pre-operative Sino-Nasal Outcome Test-22 scores, and computed tomography findings. All were resistant to appropriate medical therapy. Balloon sinuplasty was performed followed by a Sino-Nasal Outcome Test-22 questionnaire at two months and then two years.

Results

All patients underwent successful operations with no failure of technology or technique. There were no significant complications. The average Sino-Nasal Outcome Test-22 score reduced from 46 pre-operatively (standard error: +/− 5.7, n = 9) to 23 at 2 months (standard error: +/− 7.6, n = 7). At 2 years, the average Sino-Nasal Outcome Test score was 23 (standard error: +/− 4.3, n = 6). There was an even larger lasting benefit when pain or pressure symptoms were analysed in isolation.

Conclusion

This study adds to the evidence of technique safety and feasibility. The procedure resulted in a significant long-term improvement in symptoms.

Keywords

SinusitisFrontal Sinusitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 415 - 419
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr J Sinnott takes responsibility for the integrity of the content of the paper

References

Fokkens, W, Lund, V, Hopkins, C, Hellings, PW, Kern, R, Reitsma, S et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology 2020 1:1–464Google Scholar
Adams, PF, Marano, MA. Current estimates from the National Health Interview Survey, 1994. Vital Health Stat 10 1995;193:1–260Google Scholar
Benninger, MS, Ferguson, BJ, Hadley, JA, Hamilos, DL, Jacobs, M, Kennedy, DW et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg 2003;129:S1–32CrossRefGoogle ScholarPubMed
Hopkins, C, Browne, JP, Slack, R, Lund, V, Topham, J, Reeves, B et al. The national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Clin Otolaryngol 2006;31:390–8CrossRefGoogle ScholarPubMed
Piccirillo, JF, Merritt, MG, Richards, ML. Psychometric and clinimetric validity of the 20-item sino-nasal outcome test (SNOT-20). Otolaryngol Head Neck Surg 2002;126:41–7CrossRefGoogle Scholar
Gillett, S, Hopkins, C, Slack, R, Browne, JP. A pilot study of the SNOT 22 score in adults with no sinonasal disease. Clin Otolaryngol 2009;34:467–9CrossRefGoogle ScholarPubMed
Noon, E, Hopkins, C. Review article: outcomes in endoscopic sinus surgery. BMC Ear Nose Throat Disord 2016;16:9CrossRefGoogle ScholarPubMed
Toma, S, Hopkins, C. Stratification of SNOT-22 scores into mild, moderate or severe and relationship with other subjective instruments. Rhinology 2016;54:129–33CrossRefGoogle ScholarPubMed
Hopkins, C, Noon, E, Bray, D, Roberts, D. Balloon sinuplasty: our first year. J Laryngol Otol 2011;125:43–52CrossRefGoogle ScholarPubMed
Weiss, RL, Church, CA, Kuhn, FA, Levine, HL, Sillers, MJ, Vaughan, WC. Long-term outcome analysis of balloon catheter sinusotomy: two-year follow-up. Otolaryngol Head Neck Surg 2008;139:38–46CrossRefGoogle ScholarPubMed
Bolger, WE, Brown, CL, Church, CA, Goldberg, AN, Karanfilov, B, Kuhn, FA et al. Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients. Otolaryngol Head Neck Surg 2007;137:10–20CrossRefGoogle ScholarPubMed
Abreu, CB, Balsalobre, L, Pascoto, GR, Pozzobon, M, Fuchs, SC, Stamm, AC. Effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis without polyposis. Braz J Otorhinolaryngol 2014;80:470–5CrossRefGoogle ScholarPubMed
Clinical Evaluation to Confirm Safety and Efficacy of Sinuplasty in the Paranasal Sinuses (CLEAR) - Full Text View - ClinicalTrials.gov. Available from: https://clinicaltrials.gov/ct2/show/NCT00231062 [5 April 2020]Google Scholar
Levine, HL, Sertich, AP, Hoisington, DR, Weiss, RL, Pritikin, J, PatiENT Registry Study Group. Multicenter registry of balloon catheter sinusotomy outcomes for 1,036 patients. Ann Otol Rhinol Laryngol 2008;117:263–70CrossRefGoogle ScholarPubMed
Friedman, M, Schalch, P, Lin, H-C, Mazloom, N, Neidich, M, Joseph, NJ. Functional endoscopic dilatation of the sinuses: patient satisfaction, postoperative pain, and cost. Am J Rhinol 2008;22:204–9CrossRefGoogle ScholarPubMed
Koskinen, A, Myller, J, Mattila, P, Penttilä, M, Silvola, J, Alastalo, I et al. Long-term follow-up after ESS and balloon sinuplasty: comparison of symptom reduction and patient satisfaction. Acta Otolaryngol 2016;136:532–6CrossRefGoogle ScholarPubMed