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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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
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author Stephanie Flukes MBBS
Martin Hanson MBBS
Matthew Bott MD
Marc A. Cohen MD
author_facet Stephanie Flukes MBBS
Martin Hanson MBBS
Matthew Bott MD
Marc A. Cohen MD
author_sort Stephanie Flukes MBBS
collection DOAJ
description 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.
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spelling doaj.art-aac71aef0e774ab7b50412fc0a65822f2023-12-03T00:11:25ZengWileyOTO Open2473-974X2020-08-01410.1177/2473974X20952699A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve StenosisStephanie Flukes MBBS0Martin Hanson MBBS1Matthew Bott MD2Marc A. Cohen MD3Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USADepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USADepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USADepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USAAcquired 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.https://doi.org/10.1177/2473974X20952699
spellingShingle Stephanie Flukes MBBS
Martin Hanson MBBS
Matthew Bott MD
Marc A. Cohen MD
A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis
OTO Open
title A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis
title_full A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis
title_fullStr A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis
title_full_unstemmed A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis
title_short A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis
title_sort cure for pains a novel approach to management of proton associated internal nasal valve stenosis
url https://doi.org/10.1177/2473974X20952699
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