A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis

Acquired internal nasal stenosis as a result of radiotherapy to the sinonasal region can be highly distressing for patients and difficult to correct surgically. We describe our experience using a controlled radial expansion balloon to dilate the area of stenosis, followed by stenting to the region....

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Bibliographic Details
Main Authors: Stephanie Flukes MBBS, Martin Hanson MBBS, Matthew Bott MD, Marc A. Cohen MD
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:OTO Open
Online Access:https://doi.org/10.1177/2473974X20952699
Description
Summary:Acquired internal nasal stenosis as a result of radiotherapy to the sinonasal region can be highly distressing for patients and difficult to correct surgically. We describe our experience using a controlled radial expansion balloon to dilate the area of stenosis, followed by stenting to the region. We achieved excellent results in 3 patients using this technique, with improvement in subjective nasal airflow across 100% of stenoses and complete resolution in 83%. This technique offers a simple and low-morbidity option for the management of acquired anterior nasal stenosis and is of particular value in cases of irradiation, which has the potential for poor tissue healing.
ISSN:2473-974X