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Functional Endoscopic Sinus Surgery Versus Balloon Sinuplasty with Ethmoidectomy: A 2-year Analysis in Pediatric Chronic Rhinosinusitis

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Abstract

To evaluate the 2-year post-operative outcomes of pediatric patients with chronic rhinosinusitis (CRS) treated with balloon catheter sinuplasty (BCS) and ethmoidectomy compared to functional endoscopic sinus surgery (FESS). Two-group, retrospective cohort study of 28 children with CRS was performed. Of these 28 participants, 15 were treated with traditional FESS (53.6 %) and 13 (46.4 %) underwent traditional ethmoidectomy with balloon sinuplasty. Pre-operative and 2-year postoperative total symptom scores and medications were compared. To examine the potential long-term differences in surgical outcomes and surgical procedure on symptom outcome, one-tailed Chi square analyses were employed. The mean age of the children examined was 9.3 (SD = SD = 4.1; range 3–18) and 61.9 % were male. Pre-operative symptomatology, medication and Lund Mackay scores were evaluated for both groups and no significant differences were identified. Overall, 73.3 % of children that underwent traditional FESS and 76.9 % of those who had BCS with ethmoidectomy reported significant long-term improvement in at least one of their pre-operative sinus complaints. Our data suggests that both BCS with ethmoidectomy and traditional FESS are effective treatment options for uncomplicated CRS and result in long-term alleviation of core sinus complaints, as well as decreased sinus related medication use. Larger prospective studies are needed to further evaluate these procedures.

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References

  1. Adams PF, Hendershot GE, Marano MA (1996) Current estimates from the National Health Interview Survey, 1996. Vital Health Stat 10 1999:1–203. Data from the National Health Survey

    Google Scholar 

  2. Collins JG (1997) Prevalence of selected chronic conditions: United States, 1990–1992. Vital Health Stat 10 194:1–89 Data from the National Health Survey

    PubMed  Google Scholar 

  3. Humayun MP, Alam MM, Ahmed S, Salam S, Tarafder KH, Biswas AK (2013) Comparative study of outcome of the endoscopic sinus surgery and conventional surgery for nasal polyposis. Mymensingh Med J 22:84–92

    CAS  PubMed  Google Scholar 

  4. Plaza G, Eisenberg G, Montojo J, Onrubia T, Urbasos M, O’Connor C (2011) Balloon dilation of the frontal recess: a randomized clinical trial. Ann Otol Rhinol Laryngol 120:511–518

    Article  PubMed  Google Scholar 

  5. Thottam PJ, Haupert M, Saraiya S, Dworkin J, Sirigiri R, Belenky WM (2012) Functional endoscopic sinus surgery (FESS) alone versus balloon catheter sinuplasty (BCS) and ethmoidectomy: a comparative outcome analysis in pediatric chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 76:1355–1360

    Article  PubMed  Google Scholar 

  6. Hengerer AS (1984) Surgical anatomy of the paranasal sinuses. Ear Nose Throat J 63:137–143

    CAS  PubMed  Google Scholar 

  7. Laine FJ, Smoker WR (1992) The ostiomeatal unit and endoscopic surgery: anatomy, variations, and imaging findings in inflammatory diseases. AJR Am J Roentgenol 159:849–857

    Article  CAS  PubMed  Google Scholar 

  8. Catalano PJ (2013) Balloon dilation technology: let the truth be told. Curr Allergy Asthma Rep 13:250–254

    Article  PubMed  Google Scholar 

  9. Achar P, Duvvi S, Kumar BN (2012) Endoscopic dilatation sinus surgery (FEDS) versus functional endoscopic sinus surgery (FESS) for treatment of chronic rhinosinusitis: a pilot study. Acta otorhinolaryngol Ital 32:314–319

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Ramadan HH, Terrell AM (2010) Balloon catheter sinuplasty and adenoidectomy in children with chronic rhinosinusitis. Ann Otol Rhinol Laryngol 119:578–582

    PubMed  Google Scholar 

  11. Sedaghat AR, Cunningham MJ (2011) Does balloon catheter sinuplasty have a role in the surgical management of pediatric sinus disease? Laryngoscope 121:2053–2054

    Article  PubMed  Google Scholar 

  12. Rosenfeld RM, Andes D, Bhattacharyya N et al (2007) Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg 137:S1–31

    Article  PubMed  Google Scholar 

  13. Kay DJ, Rosenfeld RM (2003) Quality of life for children with persistent sinonasal symptoms. Otolaryngol Head Neck Surg 128:17–26

    Article  PubMed  Google Scholar 

  14. Browne JP, Hopkins C, Slack R, Cano SJ (2007) The Sino-Nasal Outcome Test (SNOT): can we make it more clinically meaningful? Otolaryngology–head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 136:736–741

    Article  Google Scholar 

  15. Bolger WE, Brown CL, Church CA et al (2007) Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients. Otolaryngology–head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 137:10–20

    Article  Google Scholar 

  16. Kutluhan A, Bozdemir K, Cetin H et al (2009) Endoscopic balloon dilation sinuplasty including ethmoidal air cells in chronic rhinosinusitis. Ann Otol Rhinol Laryngol 118:881–886

    Article  PubMed  Google Scholar 

  17. Ramadan HH (2009) Safety and feasibility of balloon sinuplasty for treatment of chronic rhinosinusitis in children. Ann Otol Rhinol Laryngol 118:161–165

    Article  PubMed  Google Scholar 

  18. Weiss RL, Church CA, Kuhn FA, Levine HL, Sillers MJ, Vaughan WC (2008) Long-term outcome analysis of balloon catheter sinusotomy: two-year follow-up. Otolaryngol Head Neck Surg 139:S38–S46

    Article  PubMed  Google Scholar 

  19. Siedek V, Stelter K, Betz CS, Berghaus A, Leunig A (2009) Functional endoscopic sinus surgery–a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 73:741–745

    Article  PubMed  Google Scholar 

  20. Clinical practice guideline (2001) Management of sinusitis. Pediatrics 108:798–808

    Article  Google Scholar 

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Acknowledgements

Lisa Chiodo Ph.D.: affiliated with Wayne State University College of Nursing is a statistician and conducted all analyses of data collected. David N. Madgy D.O.: contributing physician, Detroit Medical Center Program Director, and advisor on research collected. Janardhan R. Jagini M.D.: contributing physician, and advisor on research collected. Michael Haupert D.O.: contributing physician, and advisor on research collected. Sonal Saraiya M.D.: contributing physician and educator. Nicholas Eaton B.S.: aided with editing this paper. Walter M. Belenky M.D.: contributing physician, astute clinician, and friend.

Conflict of interest

No conflicts of interest exist for these authors. No relevant financial relationship exists between the authors and procedures or products used in this manuscript.

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Authors and Affiliations

  1. Department of Otolaryngology, Children’s Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Floor 3, Pittsburgh, PA, 15224, USA

    Prasad John Thottam & Deepak Mehta

  2. Department of Otolaryngology, Children’s Hospital of Michigan, Detroit, MI, USA

    Prasad John Thottam, Monica C. Kieu, James Dworkin, Janardhan Jagini & Johnathan N. Bangiyev

  3. Department of Otolaryngology, Detroit Medical Center, Detroit, USA

    Prasad John Thottam, Monica C. Kieu, James Dworkin & Johnathan N. Bangiyev

  4. Department of Surgical Services, Michigan State University, East Lansing, USA

    Prasad John Thottam & Chistopher M. Metz

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  1. Prasad John Thottam
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  2. Chistopher M. Metz
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  3. Monica C. Kieu
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  4. James Dworkin
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  5. Janardhan Jagini
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  6. Johnathan N. Bangiyev
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  7. Deepak Mehta
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Corresponding author

Correspondence to Prasad John Thottam.

Additional information

Manuscript was accepted and presented as a scientific oral presentation in the Rhinology section for the American Academy of Otolaryngology—Head and Neck Surgery Annual Meeting on October 2, 2013 in Vancouver, BC.

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Thottam, P.J., Metz, C.M., Kieu, M.C. et al. Functional Endoscopic Sinus Surgery Versus Balloon Sinuplasty with Ethmoidectomy: A 2-year Analysis in Pediatric Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg 68, 300–306 (2016). https://doi.org/10.1007/s12070-015-0839-2

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  • DOI: https://doi.org/10.1007/s12070-015-0839-2

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