39 Balloon Technology in the Frontal Sinus: Useful or Gimmick

Claire Hopkins and Roland Hettige

Abstract

Since the inception of sinus ostial balloon dilatation in 2005, there has been a fivefold increase in the number of frontal sinus procedures in the United States, although the overall rates of sinus surgery remain relatively stable.

Most outcome studies using balloon techniques have selected patients with limited sinus disease without nasal polyps; in these groups, outcomes appear to be comparable to endoscopic sinus surgery (ESS) and the technique may facilitate surgery in an office setting without general anesthesia. The role of balloon dilatation in the presence of nasal polyps or more extensive sinus disease remains unclear.

There is no role for the use of the technology in the setting of a patient with a normal sinus computed tomography (CT) scan.

Schlüsselwörter

balloon dilatation - minimally invasive sinus techniques - office-based procedures

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