Skip to main content
SpringerLink
Log in

Kathetergestützte Ballondilatation des Ostium frontale, maxillare und sphenoidale

Ein neues Verfahren in der Nasennebenhöhlenchirurgie

Catheter-based balloon dilatation of the frontal, maxillary, and sphenoid ostia

A new procedure in sinus surgery

  • HNO-Praxis
  • Published:
HNO Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Die endonasale endoskopische Nasennebenhöhlenchirurgie ist die Methode der Wahl zur Therapie einer chronischen medikamentenresistenten Sinusitis. Es wird ein neues minimal-invasives Verfahren zur Wiederherstellung der Drainage und Belüftung der Nasennebenhöhlen, die Balloon-Sinuplasty-Technik, vorgestellt.

Patienten und Methoden

Zwei Patienten wurden mit der neuen Methode behandelt. Bei einer Patientin wurden beide Ostia maxillare und Ostia sphenoidale, bei dem anderen Patienten beide Ostia frontale, beide Ostia maxillare und das rechte Ostium sphenoidale dilatiert.

Ergebnisse

Die Ballondilatation der Ostia gelang problemlos ohne die Schleimhautzirkumferenz zu beschädigen. Der postoperative Heilungsverlauf war komplikationsfrei.

Schlussfolgerung

Es werden die Vorteile, Nachteile sowie die Indikationen und Kontraindikationen diskutiert. Die Balloon-Sinuplasty-Technik ist ein leicht durchführbares Operationsverfahren und scheint für ausgewählte Indikationen eine geeignete Methode zur Öffnung obstruierter Ostia zu sein.

Abstract

Background

Endoscopic sinus surgery is the procedure of choice for treating chronic rhinosinusitis. This paper describes a new minimally invasive method to restore ostium patency without removing tissue: the balloon sinuplasty technique.

Patients and methods

Two patients were treated with the new procedure. One patient had her maxillary and sphenoid ostia dilated; the other patient had both frontal ostia, both maxillary ostia, and the right sphenoid ostia dilated.

Results

The balloon dilatations of the ostia were achieved successfully without impairing the mucosal circumference. There was no bleeding, and nasal packing was not necessary. The postoperative healing process showed no complications.

Conclusion

This paper discusses the advantages and disadvantages as well as the indications and contraindications of this method. The balloon sinuplasty technique is an easily performed surgery; for selected indications, it seems especially suited for opening blocked ostia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Baumann I, Blumenstock G, Klingmann C et al. (2007) Chronische Rhinosinusitis. Subjektive Nutzenbewertung 1 Jahr nach funktioneller endonasaler Nasennebenhöhlenoperation. HNO DOI 10.1007/s00106–006–1529-x

  2. Bhatti MT, Stankiewicz JA (2003) Ophthalmic complications of endoscopic sinus surgery. Surv Ophthalmol 48: 389–402

    Article  PubMed  Google Scholar 

  3. Bolger WE, Brown CL, Church CA et al. (2007) Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients. Otolaryngol Head Neck Surg 137: 10–20

    Article  PubMed  Google Scholar 

  4. Bolger WE, Vaughan WC (2006) Catheter-based dilation of the sinus ostia: initial safety and feasibility analysis in a cadaver model Am J Rhinol 20: 290–294

    Google Scholar 

  5. Braun H, Stammberger H, Buzina W et al. (2003) Häufigkeit und Nachweis von Pilzen und eosinophilen Granulozyten bei chronischer Rhinosinusitis Laryngorhinootologie 82: 330–340

  6. Damm M, Quante G, Jungehuelsing M, Stennert E (2002) Impact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhinosinusitis. Laryngoscope 112: 310–315

    Article  PubMed  Google Scholar 

  7. Dessi P, Castro F, Triglia JM et al. (1994) Major complications of sinus surgery: a review of 1192 procedures. J Laryngol Otol 108: 212–215

    PubMed  CAS  Google Scholar 

  8. Dotter CT, Judkins MP (1964) Transluminal treatment of artheriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation 30: 654–670

    PubMed  CAS  Google Scholar 

  9. Grech ED (2003) ABC of interventional cardiology: percutaneous coronary intervention. I: history and development. BMJ 326: 1080–1082

    Article  PubMed  Google Scholar 

  10. Gruentzig AR (1984) Percutaneous transluminal coronary angioplasty: six years‘ experience. Am Heart J 107: 818–819

    Article  PubMed  CAS  Google Scholar 

  11. Hosemann W, Kuhnel T, Held P et al. (1997) Endonasal frontal sinusotomy in surgical management of chronic sinusitis: a critical evaluation. Am J Rhinol 11: 1–9

    Article  PubMed  CAS  Google Scholar 

  12. Hutcheson KA, Drack AV, Lambert SR (1997) Balloon dilatation for treatment of resistant nasolacrimal duct obstruction. J AAPOS 1: 241–244

    Article  PubMed  CAS  Google Scholar 

  13. Ino T, Kishiro M, Okubo M et al. (1998) Dilatation mechanism of balloon angioplasty in children: assessment by angiography and intravascular ultrasound. Cardiovasc Intervent Radiol 21: 102–108

    Article  PubMed  CAS  Google Scholar 

  14. Kaya M, Petersen BT, Angulo P et al. (2001) Balloon dilation compared to stenting of dominant strictures in primary sclerosing cholangitis. Am J Gastroenterol 96: 1059–1066

    Article  PubMed  CAS  Google Scholar 

  15. Lanza DC (1993) Postoperative care and avoiding frontal recess stenosis. In: Abstracts of The International Advanced Sinus Symposium. Philadelphia, PA, July 1993

  16. Leunig A, Berghaus A (2005) New information on chronic rhinosinusitis and polyposis nasi. MMW Fortschr Med 147: 28–32

    PubMed  CAS  Google Scholar 

  17. Park AH, Stankiewicz JA, Chow J, Azar-Kia B (1998) A protocol for management of a catastrophic complication of functional endoscopic sinus surgery: internal carotid artery injury. Am J Rhinol 12: 153–158

    Article  PubMed  CAS  Google Scholar 

  18. Stammberger H, Hawke M (eds) (1993) Essentials of functional endoscopic sinus surgery. Endoscopic anatomy of lateral nasal wall and ethmoidal sinuses. p 31, Mosby, St. Louis Balitmore Chicago London Madrid Philadelphia Syndney Toronto

  19. Stankiewicz JA (1989) Complications of endoscopic sinus surgery. Otolaryngol Clin North Am 22: 749–758

    PubMed  CAS  Google Scholar 

  20. U.S. Food and Drug Administration. FDA Adverse Event Report. MDR Report Key 753063

  21. U.S. Food and Drug Administration. FDA Adverse Event Report. MDR Report Key 786162

  22. Vale JA, Miller PD, Kirby RS (1993) Balloon dilatation of the prostate–should it have a place in the urologist’s armamentarium? J R Soc Med 86: 83–86

    PubMed  CAS  Google Scholar 

  23. Weber R, Draf W, Keerl R et al. (1996) Langzeitergebnisse nach endonasaler Stirnhöhlenchirurgie. HNO 44: 503–509

    Article  PubMed  CAS  Google Scholar 

  24. Wigand ME, Steiner W, Jaumann MP (1978) Endonasal sinus surgery with endoscopical control: from radical operation to rehabilitation of the mucosa. Endoscopy 10: 255–260

    PubMed  CAS  Google Scholar 

  25. Wigand ME (Hrsg) (1989) Endoskopische Chirurgie der Nasennebenhöhlen und der vorderen Schädelbasis. Konzepte der endonasalen Chirurgie der Nasennebenhöhlen. S 7, 1. Aufl., Thieme, Stuttgart New York

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. HNO-Gemeinschaftspraxis, Friedrichstraße 3/4, 37073, Göttingen, Deutschland

    D. Brehmer

Authors
  1. D. Brehmer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. Brehmer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brehmer, D. Kathetergestützte Ballondilatation des Ostium frontale, maxillare und sphenoidale. HNO 56, 65–70 (2008). https://doi.org/10.1007/s00106-007-1637-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00106-007-1637-2

Schlüsselwörter

Keywords

Search

Navigation