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Evaluating the Role of Balloon Sinuplasty in the Treatment of Pediatric Chronic Rhinosinusitis

  • Pediatric Otolaryngology (K Rosbe, Section Editor)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Balloon catheter sinuplasty’s (BCS) role in the treatment algorithm of pediatric chronic rhinosinusitis (CRS) continues to evolve. Our review seeks to elucidate how best to use BCS when treating pediatric CRS based on the current literature.

Recent Findings

BCS as an adjuvant procedure to adenoidectomy or limited functional endoscopic sinus surgery potentially shows greater symptomatic improvements in both validated and non-validated questionnaires. BCS for recalcitrant CRS after adenoidectomy shows promise as well. BCS may not be as efficacious in patients with medical comorbidities or anatomic variants such as a hypoplastic maxillary sinus or Haller cells.

Summary

BCS as an adjuvant procedure, or as an additional procedure after adenoidectomy failure but before functional endoscopic sinus surgery, shows promising outcomes. Because of the limited evidence thus far, randomized-controlled prospective studies with higher power are needed to further clarify the efficacy of BCS. Further research regarding its role in acute complications of CRS is also needed.

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Papers of particular interest, published recently, are highlighted • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Otolaryngology–Head and Neck Surgery, University of California, 2233 Post St, 3rd Floor, Room #351, San Francisco, CA, 94115-1225, USA

    Edward R. Lee & Garani S. Nadaraja

  2. Division of Pediatric Otolaryngology, UCSF Benioff Children’s Hospital, San Francisco, CA, USA

    Garani S. Nadaraja

Authors
  1. Edward R. Lee
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  2. Garani S. Nadaraja
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Correspondence to Garani S. Nadaraja.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Pediatric Otolaryngology

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Lee, E.R., Nadaraja, G.S. Evaluating the Role of Balloon Sinuplasty in the Treatment of Pediatric Chronic Rhinosinusitis. Curr Otorhinolaryngol Rep 5, 229–234 (2017). https://doi.org/10.1007/s40136-017-0175-z

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  • DOI: https://doi.org/10.1007/s40136-017-0175-z

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