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Balloon Sinuplasty in Pediatric Rhinosinusitis

  • Pediatric Allergy (JT Lee, Section Editor)
  • Published:
Current Treatment Options in Allergy Aims and scope Submit manuscript

Abstract

Rationale

Balloon catheter dilation (BCD) is increasingly utilized as an adjunct to adenoidectomy or functional endoscopic sinus surgery in the surgical management of pediatric chronic rhinosinusitis (CRS).

Purpose of this review

The goal of this review is to analyze existing evidence for the efficacy of BCD in treating pediatric CRS. We also assess expanded indications of BCD such as acute complications of sinusitis or surgery for critically ill patients. Pearls and pitfalls of the technique are discussed.

Recent findings

BCD shows potential as an effective adjuvant procedure in addition to adenoidectomy and as a stand-alone procedure. Multiple studies have shown its safety; however, studies on efficacy have been limited by lack of randomized control.

Summary

BCD is safe and an important addition to the surgical treatment of selected pediatric CRS. Further randomized controlled studies are necessary to clearly define the efficacy of BCD as an adjuvant or stand-alone procedure in the management of pediatric CRS and to investigate expanded indications.

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Abbreviations

SN-5:

Sinus and Nasal Quality of Life Survey

SNOT-22:

22-item Sino-Nasal Outcome Test

RSI:

Rhinosinusitis Symptom Inventory

VAS:

Visual analog scale

CT:

Computed tomography

BCD:

Balloon catheter dilation

ESS:

Endoscopic sinus surgery

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Rick and Tina Caruso Department of Otolaryngology—Head and Neck Surgery, Keck School of Medicine of University of Southern California, 1540 Alcazar Street, Suite 204M, Los Angeles, CA, 90033, USA

    Elisabeth H. Ference MD, MPH & Jee-Hong Kim MD

  2. Department of Otolaryngology-Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA

    Hassan H. Ramadan MD, MSC

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  1. Elisabeth H. Ference MD, MPH
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Correspondence to Elisabeth H. Ference MD, MPH.

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Elisabeth H. Ference declares that she has no conflict of interest.

Jee-Hong Kim declares that he has no conflict of interest.

Hassan H. Ramadan declares that he has no conflict of interest.

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Ference, E.H., Kim, JH. & Ramadan, H.H. Balloon Sinuplasty in Pediatric Rhinosinusitis. Curr Treat Options Allergy 6, 238–252 (2019). https://doi.org/10.1007/s40521-019-00220-3

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