Clinical Observation of Balloon Sinuplasty for the Treatment of Chronic Sphenoid Sinusitis_West China Medical Journal

Authors：

 JIANGLu-yun ¹ ,  LIUYang ² , XIEYan ¹ , XIEHui ¹

1. Department of Otorhinolaryngology-Head and Neck Surgery, the Affiliated Hospital;Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, P. R. China;
2. The First Medical Collage;Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, P. R. China;

Corresponding author：

LIUYang, Email: liuyang_19861010@163.com

Keywords：

Sinusitis; Sphenoid sinus; Endoscopic surgery; Balloon sinuplasty

DOI：

10.7507/1002-0179.20140393

Video：

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Objective To evaluate the safety and effect of balloon sinuplasty for the treatment of chronic sphenoid sinusitis. Methods From November 2011 to March 2013, 17 patients received balloon catheter dilation of sinus ostia. All the patients were followed up for 12 months postoperatively and the therapeutic effect was evaluated. Results At the end of the following-up, the clinical symptoms of all the patients got relieved. Through nasal endoscopic examination, we found that apertura sphenoidalis developed well in 15 cases, sinus mucosa edema in one case, sinus stenosis in one case, and no postoperative complications occurred. The mean visual analogue scale (VAS) scores were 5.21±1.51 preoperatively and 3.23±1.34, 3.35±1.41, 3.58±1.46 at 3, 6 and 12 months postoperatively. The mean sino-nasal outcome test-20 scores were 12.50±1.96 preoperatively and 7.30±1.79, 7.64±1.93, 7.77±2.02 at 3, 6, 12 months postoperatively. The mean Lund-Kennedy endoscopic mucosal morphology scores were 3.51±1.47 preoperatively and 1.77±1.11, 1.88±1.01, 2.00±0.97 at 3, 6, 12 months postoperatively. The mean CT scores were 1.57±1.06 preoperatively and 0.85±0.62 at 12 months postoperatively. Compared with the preoperative scores, the postoperative scores were significantly different. Conclusion Balloon sinuplasty is worthy of clinical application for its advantages of good clinical effect and safety.

Citation： JIANGLu-yun, LIUYang, XIEYan, XIEHui. Clinical Observation of Balloon Sinuplasty for the Treatment of Chronic Sphenoid Sinusitis. West China Medical Journal, 2014, 29(7): 1286-1289. doi: 10.7507/1002-0179.20140393 Copy

1.	张建华, 徐颖, 朱华斌, 等. 鼻窦球囊扩张术治疗慢性鼻窦炎的临床观察[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(5):427-429.
2.	熊观霞, 詹杰民, 江广理, 等. 功能性鼻窦内镜术后对鼻腔鼻窦气流的影响[J]. 中山大学学报·医学科学版, 2009, 30(2):205-210.
3.	中华医学会耳鼻咽喉头颈外科分会, 中华耳鼻咽喉头颈外科杂志编委会. 慢性鼻窦炎诊断和治疗指南[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(1):6-7.
4.	Friedman M, Schalch P. Functional endoscopic dilatation of the sinuses (FEDS):patient selection and surgical technique[J]. Otolaryngol Head Neck Surg, 2006, 17(2):126-134.
5.	Lanza DC, Kennedy DW. Balloon sinuplasty:not ready for prime time[J]. Ann Otol Rhinol Laryngol, 2006, 115(10):789-790.
6.	左可军, 方积乾, Piccirillo JF, 等. 鼻腔鼻窦结局测试-20(SNOT-20)量表中文版的研制[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(10):751-756.
7.	周兵, 韩德民. 临床实践促进慢性鼻-鼻窦炎诊疗观念的变化[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(2):89-91.
8.	许成利, 左可军, 许庚. 上颌窦自然开口开放方式对上颌窦纤毛传输途径的影响[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(4):259-262.
9.	李正贤, 江文, 冯秀荣, 等. 87例内窥镜鼻窦手术临床分析[J]. 中国耳鼻咽喉颅底外科杂志, 1997, 3(4):55.
10.	游全贵, 梅乐, 饶裕民, 等. 鼻内镜鼻窦手术186例临床分析[J].中国耳鼻咽喉颅底外科杂志, 2006, 12(1):74-75.
11.	谢允平, 何建平, 陈才军, 等. 鼻内镜下鼻窦手术1135例疗效的回顾性分析[J]. 中国耳鼻咽喉颅底外科杂志, 2012, 18(4):285-288.
12.	Lawson W, Reino AJ. Isolated sphenoid sinus disease:an analysis of 132 cases[J]. Laryngoscope, 1997, 107(12 Pt 1):1590-1595.
13.	Martin TJ, Smith TL, Smith MM, et al. Evaluation and surgical management of isolated sphenoid sinus disease[J]. Arch Otolaryngol Head Neck Surg, 2002, 128(12):1413-1419.
14.	赖银妍, 许庚, 史剑波. 鼻窦球囊扩张术治疗慢性鼻-鼻窦炎[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(1):73-75.
15.	Brown CL, Bolger WE. Safety and feasibility of balloon catheter dilation of paranasal sinus ostia:a preliminary investigation[J]. Ann Otol Rhinol Laryngol, 2006, 115(4):293-299.
16.	Levine HL, Sertich AP, Hoisington DR, et al. Multicenter registry of balloon catheter sinusotomy outcomes for 1,036 patients[J]. Ann Otol Rhinol Laryngol, 2008, 117(4):263-270.
17.	Kuhn FA, Church CA, Goldberg AN, et al. Balloon catheter sinusotomy:one-year follow-up-outcomes and role in functional endoscopic sinus surgery[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S27-S37.
18.	Weiss RL, Church CA, Kuhn FA, et al. Long-term outcome analysis of balloon catheter sinusotomy:two-year follow-up[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S38-S46.

1. 张建华, 徐颖, 朱华斌, 等. 鼻窦球囊扩张术治疗慢性鼻窦炎的临床观察[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(5):427-429.
2. 熊观霞, 詹杰民, 江广理, 等. 功能性鼻窦内镜术后对鼻腔鼻窦气流的影响[J]. 中山大学学报·医学科学版, 2009, 30(2):205-210.
3. 中华医学会耳鼻咽喉头颈外科分会, 中华耳鼻咽喉头颈外科杂志编委会. 慢性鼻窦炎诊断和治疗指南[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(1):6-7.
4. Friedman M, Schalch P. Functional endoscopic dilatation of the sinuses (FEDS):patient selection and surgical technique[J]. Otolaryngol Head Neck Surg, 2006, 17(2):126-134.
5. Lanza DC, Kennedy DW. Balloon sinuplasty:not ready for prime time[J]. Ann Otol Rhinol Laryngol, 2006, 115(10):789-790.
6. 左可军, 方积乾, Piccirillo JF, 等. 鼻腔鼻窦结局测试-20(SNOT-20)量表中文版的研制[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(10):751-756.
7. 周兵, 韩德民. 临床实践促进慢性鼻-鼻窦炎诊疗观念的变化[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(2):89-91.
8. 许成利, 左可军, 许庚. 上颌窦自然开口开放方式对上颌窦纤毛传输途径的影响[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(4):259-262.
9. 李正贤, 江文, 冯秀荣, 等. 87例内窥镜鼻窦手术临床分析[J]. 中国耳鼻咽喉颅底外科杂志, 1997, 3(4):55.
10. 游全贵, 梅乐, 饶裕民, 等. 鼻内镜鼻窦手术186例临床分析[J].中国耳鼻咽喉颅底外科杂志, 2006, 12(1):74-75.
11. 谢允平, 何建平, 陈才军, 等. 鼻内镜下鼻窦手术1135例疗效的回顾性分析[J]. 中国耳鼻咽喉颅底外科杂志, 2012, 18(4):285-288.
12. Lawson W, Reino AJ. Isolated sphenoid sinus disease:an analysis of 132 cases[J]. Laryngoscope, 1997, 107(12 Pt 1):1590-1595.
13. Martin TJ, Smith TL, Smith MM, et al. Evaluation and surgical management of isolated sphenoid sinus disease[J]. Arch Otolaryngol Head Neck Surg, 2002, 128(12):1413-1419.
14. 赖银妍, 许庚, 史剑波. 鼻窦球囊扩张术治疗慢性鼻-鼻窦炎[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(1):73-75.
15. Brown CL, Bolger WE. Safety and feasibility of balloon catheter dilation of paranasal sinus ostia:a preliminary investigation[J]. Ann Otol Rhinol Laryngol, 2006, 115(4):293-299.
16. Levine HL, Sertich AP, Hoisington DR, et al. Multicenter registry of balloon catheter sinusotomy outcomes for 1,036 patients[J]. Ann Otol Rhinol Laryngol, 2008, 117(4):263-270.
17. Kuhn FA, Church CA, Goldberg AN, et al. Balloon catheter sinusotomy:one-year follow-up-outcomes and role in functional endoscopic sinus surgery[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S27-S37.
18. Weiss RL, Church CA, Kuhn FA, et al. Long-term outcome analysis of balloon catheter sinusotomy:two-year follow-up[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S38-S46.

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Clinical Observation of Balloon Sinuplasty for the Treatment of Chronic Sphenoid Sinusitis

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