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Effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis without polyposis Please cite this article as: 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;80:470–5. ,☆☆ ☆☆ Centro de Otorrinolaringologia e Fonoaudiologia de São Paulo – Complexo Hospitalar Edmundo Vasconcelos, São Paulo, SP, Brazil.

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.

Sinusitis; Nasal mucosa; Video-assisted surgery; Paranasal sinuses


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