The use of balloon dilation in revision sinus surgery

2020 ◽  
Vol 10 (10) ◽  
pp. 1158-1164
Author(s):  
David W. Jang ◽  
Derek D. Cyr ◽  
Kristine Schulz ◽  
Richard Scher ◽  
Phil Ryan ◽  
...  
Keyword(s):  
Balloon Dilation ◽  
Sinus Surgery ◽  
Revision Sinus Surgery

scholarly journals Visualized Ethmoid Roof Cerebrospinal Fluid Leak during Frontal Balloon Sinuplasty

2018 ◽  
Vol 97 (8) ◽  
pp. E34-E38 ◽  
Author(s):  
Navdeep R. Sayal ◽  
Eytan Keidar ◽  
Shant Korkigian
Keyword(s):  
Cerebrospinal Fluid ◽  
Balloon Dilation ◽  
Major Complication ◽  
Cerebrospinal Fluid Leak ◽  
Collagen Matrix ◽  
Sinus Surgery ◽  
Csf Leak ◽  
Safe Alternative ◽  
Revision Sinus Surgery ◽  
Fluid Leak

Balloon sinus dilation (BSD) is generally accepted as a safe alternative to traditional sinus surgery. It is a unique technique designed to potentially minimize complications associated with traditional functional endoscopic sinus surgery (FESS). We present a case in which a 65-year-old man experienced a cerebrospinal fluid (CSF) leak in the ethmoid roof that was visualized instantly after balloon dilation in a revision sinus surgery. In this case report, we discuss the causes of CSF leaks and explain in detail the immediate endoscopic repair with a collagen matrix. Also, literature is reviewed on the safety of BSD versus traditional FESS. Postoperative-ly, the patient has been without CSF leak and remains symptom free. CSF leak is a rare but major complication during both FESS and BSD. As BSD use increases, its complication profile will become clearer when used alone, in conjunction with FESS, and/or during revision surgery. Although BSD is considered a benign procedure, one should be cautious when using it in revision sinus surgery.

Revision Functional Endoscopic Sinus Surgery: Objective and Subjective Surgical Outcomes

2005 ◽  
Vol 19 (4) ◽  
pp. 344-347 ◽  
Author(s):  
K. Christopher McMains ◽  
Stilianos E. Kountakis
Keyword(s):  
Medical Therapy ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Patient Symptom ◽  
Before And After ◽  
Revision Sinus Surgery ◽  
Preoperative Ct ◽  
The Mean

Background The aim of this study was to report objective and subjective outcomes after revision sinus surgery (RESS) for chronic rhinosinusitis (CRS). Methods We performed a retrospective analysis of prospectively collected data in 125 patients requiring revision functional endoscopic sinus surgery after failing both maximum medical therapy and prior sinus surgery for CRS. Patients were seen and treated over a 3-year period (1999–2001) in a tertiary rhinology setting. Computed tomography (CT) scans were graded as per Lund-MacKay and patient symptom scores were recorded using the Sinonasal Outcome Test 20 (SNOT-20) instrument. Individual rhinosinusitis symptoms were evaluated on a visual analog scale (0–10) before and after surgery. All patients had a minimum 2-year follow-up. Results The mean number of prior sinus procedures was 1.9 ± 0.1 (range, 1–7) and the mean preoperative CT grade was 13.4 ± 0.7. Patients with asthma and polyposis had higher CT scores than those without these processes. Preoperative mean SNOT-20 and endoscopy scores were 30.7 ± 1.3 and 7.3 ± 0.4, respectively. At the 2-year follow-up, mean SNOT-20 and endoscopy scores improved to 7.7 ± 0.6 and 2.1 ± 0.4, respectively (p < 2.8 X 10-10). At 12-month follow-up, each individual symptom score decreased significantly. Overall, 10 patients failed RESS and required additional surgical intervention for an overall failure rate of 8.0%. All patients who failed RESS had nasal polyposis. Conclusion Revision functional endoscopic sinus surgery benefits patients that fail maximum medical therapy and prior sinus surgery for CRS by objective and subjective measures.

Revision Sinus Surgery

1994 ◽  
Vol 73 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Matthew Ng ◽  
Dale H. Rice
Keyword(s):  
Sinus Surgery ◽  
Revision Sinus Surgery

The Role of Computed Tomography in Revision Sinus Surgery

1990 ◽  
Vol 100 (8) ◽  
pp. 811???816 ◽  
Author(s):  
George P. Katsantonis ◽  
William H. Friedman ◽  
Michael C. Sivore
Keyword(s):  
Computed Tomography ◽  
Sinus Surgery ◽  
Revision Sinus Surgery
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