Clinical Observation of Balloon Sinuplasty for the Treatment of Chronic Sphenoid Sinusitis_West China Medical Journal

Authors：

 JIANGLu-yun ¹ ,  LIUYang ² , XIEYan ¹ , XIEHui ¹

1. Department of Otorhinolaryngology-Head and Neck Surgery, the Affiliated Hospital;Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, P. R. China;
2. The First Medical Collage;Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, P. R. China;

Corresponding?author：

LIUYang, Email: liuyang_19861010@163.com

Keywords：

Sinusitis; Sphenoid sinus; Endoscopic surgery; Balloon sinuplasty

DOI：

10.7507/1002-0179.20140393

Video：

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Objective To evaluate the safety and effect of balloon sinuplasty for the treatment of chronic sphenoid sinusitis. Methods From November 2011 to March 2013, 17 patients received balloon catheter dilation of sinus ostia. All the patients were followed up for 12 months postoperatively and the therapeutic effect was evaluated. Results At the end of the following-up, the clinical symptoms of all the patients got relieved. Through nasal endoscopic examination, we found that apertura sphenoidalis developed well in 15 cases, sinus mucosa edema in one case, sinus stenosis in one case, and no postoperative complications occurred. The mean visual analogue scale (VAS) scores were 5.21±1.51 preoperatively and 3.23±1.34, 3.35±1.41, 3.58±1.46 at 3, 6 and 12 months postoperatively. The mean sino-nasal outcome test-20 scores were 12.50±1.96 preoperatively and 7.30±1.79, 7.64±1.93, 7.77±2.02 at 3, 6, 12 months postoperatively. The mean Lund-Kennedy endoscopic mucosal morphology scores were 3.51±1.47 preoperatively and 1.77±1.11, 1.88±1.01, 2.00±0.97 at 3, 6, 12 months postoperatively. The mean CT scores were 1.57±1.06 preoperatively and 0.85±0.62 at 12 months postoperatively. Compared with the preoperative scores, the postoperative scores were significantly different. Conclusion Balloon sinuplasty is worthy of clinical application for its advantages of good clinical effect and safety.

Citation： JIANGLu-yun, LIUYang, XIEYan, XIEHui. Clinical Observation of Balloon Sinuplasty for the Treatment of Chronic Sphenoid Sinusitis. West China Medical Journal, 2014, 29(7): 1286-1289. doi: 10.7507/1002-0179.20140393 Copy

1.	張建華, 徐穎, 朱華斌, 等. 鼻竇球囊擴張術治療慢性鼻竇炎的臨床觀察[J]. 中國耳鼻咽喉顱底外科雜志, 2013, 19(5):427-429.
2.	熊觀霞, 詹杰民, 江廣理, 等. 功能性鼻竇內鏡術后對鼻腔鼻竇氣流的影響[J]. 中山大學學報·醫學科學版, 2009, 30(2):205-210.
3.	中華醫學會耳鼻咽喉頭頸外科分會, 中華耳鼻咽喉頭頸外科雜志編委會. 慢性鼻竇炎診斷和治療指南[J]. 中華耳鼻咽喉頭頸外科雜志, 2009, 44(1):6-7.
4.	Friedman M, Schalch P. Functional endoscopic dilatation of the sinuses (FEDS):patient selection and surgical technique[J]. Otolaryngol Head Neck Surg, 2006, 17(2):126-134.
5.	Lanza DC, Kennedy DW. Balloon sinuplasty:not ready for prime time[J]. Ann Otol Rhinol Laryngol, 2006, 115(10):789-790.
6.	左可軍, 方積乾, Piccirillo JF, 等. 鼻腔鼻竇結局測試-20(SNOT-20)量表中文版的研制[J]. 中華耳鼻咽喉頭頸外科雜志, 2008, 43(10):751-756.
7.	周兵, 韓德民. 臨床實踐促進慢性鼻-鼻竇炎診療觀念的變化[J]. 中華耳鼻咽喉頭頸外科雜志, 2013, 48(2):89-91.
8.	許成利, 左可軍, 許庚. 上頜竇自然開口開放方式對上頜竇纖毛傳輸途徑的影響[J]. 中華耳鼻咽喉頭頸外科雜志, 2008, 43(4):259-262.
9.	李正賢, 江文, 馮秀榮, 等. 87例內窺鏡鼻竇手術臨床分析[J]. 中國耳鼻咽喉顱底外科雜志, 1997, 3(4):55.
10.	游全貴, 梅樂, 饒裕民, 等. 鼻內鏡鼻竇手術186例臨床分析[J].中國耳鼻咽喉顱底外科雜志, 2006, 12(1):74-75.
11.	謝允平, 何建平, 陳才軍, 等. 鼻內鏡下鼻竇手術1135例療效的回顧性分析[J]. 中國耳鼻咽喉顱底外科雜志, 2012, 18(4):285-288.
12.	Lawson W, Reino AJ. Isolated sphenoid sinus disease:an analysis of 132 cases[J]. Laryngoscope, 1997, 107(12 Pt 1):1590-1595.
13.	Martin TJ, Smith TL, Smith MM, et al. Evaluation and surgical management of isolated sphenoid sinus disease[J]. Arch Otolaryngol Head Neck Surg, 2002, 128(12):1413-1419.
14.	賴銀妍, 許庚, 史劍波. 鼻竇球囊擴張術治療慢性鼻-鼻竇炎[J]. 中華耳鼻咽喉頭頸外科雜志, 2009, 44(1):73-75.
15.	Brown CL, Bolger WE. Safety and feasibility of balloon catheter dilation of paranasal sinus ostia:a preliminary investigation[J]. Ann Otol Rhinol Laryngol, 2006, 115(4):293-299.
16.	Levine HL, Sertich AP, Hoisington DR, et al. Multicenter registry of balloon catheter sinusotomy outcomes for 1,036 patients[J]. Ann Otol Rhinol Laryngol, 2008, 117(4):263-270.
17.	Kuhn FA, Church CA, Goldberg AN, et al. Balloon catheter sinusotomy:one-year follow-up-outcomes and role in functional endoscopic sinus surgery[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S27-S37.
18.	Weiss RL, Church CA, Kuhn FA, et al. Long-term outcome analysis of balloon catheter sinusotomy:two-year follow-up[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S38-S46.

1. 張建華, 徐穎, 朱華斌, 等. 鼻竇球囊擴張術治療慢性鼻竇炎的臨床觀察[J]. 中國耳鼻咽喉顱底外科雜志, 2013, 19(5):427-429.
2. 熊觀霞, 詹杰民, 江廣理, 等. 功能性鼻竇內鏡術后對鼻腔鼻竇氣流的影響[J]. 中山大學學報·醫學科學版, 2009, 30(2):205-210.
3. 中華醫學會耳鼻咽喉頭頸外科分會, 中華耳鼻咽喉頭頸外科雜志編委會. 慢性鼻竇炎診斷和治療指南[J]. 中華耳鼻咽喉頭頸外科雜志, 2009, 44(1):6-7.
4. Friedman M, Schalch P. Functional endoscopic dilatation of the sinuses (FEDS):patient selection and surgical technique[J]. Otolaryngol Head Neck Surg, 2006, 17(2):126-134.
5. Lanza DC, Kennedy DW. Balloon sinuplasty:not ready for prime time[J]. Ann Otol Rhinol Laryngol, 2006, 115(10):789-790.
6. 左可軍, 方積乾, Piccirillo JF, 等. 鼻腔鼻竇結局測試-20(SNOT-20)量表中文版的研制[J]. 中華耳鼻咽喉頭頸外科雜志, 2008, 43(10):751-756.
7. 周兵, 韓德民. 臨床實踐促進慢性鼻-鼻竇炎診療觀念的變化[J]. 中華耳鼻咽喉頭頸外科雜志, 2013, 48(2):89-91.
8. 許成利, 左可軍, 許庚. 上頜竇自然開口開放方式對上頜竇纖毛傳輸途徑的影響[J]. 中華耳鼻咽喉頭頸外科雜志, 2008, 43(4):259-262.
9. 李正賢, 江文, 馮秀榮, 等. 87例內窺鏡鼻竇手術臨床分析[J]. 中國耳鼻咽喉顱底外科雜志, 1997, 3(4):55.
10. 游全貴, 梅樂, 饒裕民, 等. 鼻內鏡鼻竇手術186例臨床分析[J].中國耳鼻咽喉顱底外科雜志, 2006, 12(1):74-75.
11. 謝允平, 何建平, 陳才軍, 等. 鼻內鏡下鼻竇手術1135例療效的回顧性分析[J]. 中國耳鼻咽喉顱底外科雜志, 2012, 18(4):285-288.
12. Lawson W, Reino AJ. Isolated sphenoid sinus disease:an analysis of 132 cases[J]. Laryngoscope, 1997, 107(12 Pt 1):1590-1595.
13. Martin TJ, Smith TL, Smith MM, et al. Evaluation and surgical management of isolated sphenoid sinus disease[J]. Arch Otolaryngol Head Neck Surg, 2002, 128(12):1413-1419.
14. 賴銀妍, 許庚, 史劍波. 鼻竇球囊擴張術治療慢性鼻-鼻竇炎[J]. 中華耳鼻咽喉頭頸外科雜志, 2009, 44(1):73-75.
15. Brown CL, Bolger WE. Safety and feasibility of balloon catheter dilation of paranasal sinus ostia:a preliminary investigation[J]. Ann Otol Rhinol Laryngol, 2006, 115(4):293-299.
16. Levine HL, Sertich AP, Hoisington DR, et al. Multicenter registry of balloon catheter sinusotomy outcomes for 1,036 patients[J]. Ann Otol Rhinol Laryngol, 2008, 117(4):263-270.
17. Kuhn FA, Church CA, Goldberg AN, et al. Balloon catheter sinusotomy:one-year follow-up-outcomes and role in functional endoscopic sinus surgery[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S27-S37.
18. Weiss RL, Church CA, Kuhn FA, et al. Long-term outcome analysis of balloon catheter sinusotomy:two-year follow-up[J]. Otolaryngol Head Neck Surg, 2008, 139(3 Suppl 3):S38-S46.

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Clinical Observation of Balloon Sinuplasty for the Treatment of Chronic Sphenoid Sinusitis

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