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

  • Prasad John Thottam
  • Chistopher M. Metz
  • Monica C. Kieu
  • James Dworkin
  • Janardhan Jagini
  • Johnathan N. Bangiyev
  • Deepak Mehta
Original Article
First Online:
Received:
Accepted:

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.

Keywords

Balloon catheter sinuplasty Pediatric chronic rhinosinusitis Functional endoscopic sinus surgery 
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Notes

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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Copyright information

© Association of Otolaryngologists of India 2015

Authors and Affiliations

  • Prasad John Thottam
    • 1
    • 2
    • 3
    • 4
  • Chistopher M. Metz
    • 4
  • Monica C. Kieu
    • 2
    • 3
  • James Dworkin
    • 2
    • 3
  • Janardhan Jagini
    • 2
  • Johnathan N. Bangiyev
    • 2
    • 3
  • Deepak Mehta
    • 1
  1. 1.Department of OtolaryngologyChildren’s Hospital of Pittsburgh of UPMCPittsburghUSA
  2. 2.Department of OtolaryngologyChildren’s Hospital of MichiganDetroitUSA
  3. 3.Department of OtolaryngologyDetroit Medical CenterDetroitUSA
  4. 4.Department of Surgical ServicesMichigan State UniversityEast LansingUSA

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