Balloon sinuplasty: literature review

Introduction: The nasosinusal surgery showed a rapid development over the past two decades; but cicatricial stenoses secondary to surgical manipulation still occur, even in the hands of experienced surgeons and, especially, in narrow regions such as the frontal recess. The balloon sinuplasty uses th...

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Main Authors: Carreirão Neto, Waldir, Pinna, Fábio de Rezende, Voegels, Richard Louis
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2008-12-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=572
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author Carreirão Neto, Waldir
Pinna, Fábio de Rezende
Voegels, Richard Louis
author_facet Carreirão Neto, Waldir
Pinna, Fábio de Rezende
Voegels, Richard Louis
author_sort Carreirão Neto, Waldir
collection DOAJ
description Introduction: The nasosinusal surgery showed a rapid development over the past two decades; but cicatricial stenoses secondary to surgical manipulation still occur, even in the hands of experienced surgeons and, especially, in narrow regions such as the frontal recess. The balloon sinuplasty uses the principle of dilatation of the sinus ostia by balloons guided by catheter. Objective: To present and discuss the surgical technique, indications, costs and results of the balloon sinuplasty, through articles published so far on the subject. Literature's Review: The balloon sinuplasty is an alternative in the treatment of chronic rhinosinusitis. It is not substitute for the functional paranasal sinuses surgery. The use of balloon combined with endoscopic surgical approach may minimize surgical complications such as cicatricial stenosis, especially in regions such as the frontal recess. ICU Patients with a higher anesthetic risk and presenting isolated sphenoid disease may also benefit from the use of the balloon. The possibility of carrying out the dilation with local anesthesia is another advantage. As for the risks, they appear to be low, although there is a possibility of lesion to noble structures as the orbit and skull base. Conclusions: The balloon sinuplasty appears to be a feasible, safe and effective procedure in selected patients. It presents itself as an ancillary therapy and complementary to FESS. It has greater prospects in the treatment of the disease related to the frontal recess, febrile patients in ICU with sinus focus and patients at high anesthetic and bleeding risk.
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spelling doaj.art-ad21cb2d5aa5481ea7be5dbe41173d762022-12-22T00:55:29ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642008-12-01124559564Balloon sinuplasty: literature reviewCarreirão Neto, WaldirPinna, Fábio de RezendeVoegels, Richard LouisIntroduction: The nasosinusal surgery showed a rapid development over the past two decades; but cicatricial stenoses secondary to surgical manipulation still occur, even in the hands of experienced surgeons and, especially, in narrow regions such as the frontal recess. The balloon sinuplasty uses the principle of dilatation of the sinus ostia by balloons guided by catheter. Objective: To present and discuss the surgical technique, indications, costs and results of the balloon sinuplasty, through articles published so far on the subject. Literature's Review: The balloon sinuplasty is an alternative in the treatment of chronic rhinosinusitis. It is not substitute for the functional paranasal sinuses surgery. The use of balloon combined with endoscopic surgical approach may minimize surgical complications such as cicatricial stenosis, especially in regions such as the frontal recess. ICU Patients with a higher anesthetic risk and presenting isolated sphenoid disease may also benefit from the use of the balloon. The possibility of carrying out the dilation with local anesthesia is another advantage. As for the risks, they appear to be low, although there is a possibility of lesion to noble structures as the orbit and skull base. Conclusions: The balloon sinuplasty appears to be a feasible, safe and effective procedure in selected patients. It presents itself as an ancillary therapy and complementary to FESS. It has greater prospects in the treatment of the disease related to the frontal recess, febrile patients in ICU with sinus focus and patients at high anesthetic and bleeding risk.http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=572BalloonSinuplastyRhinosinusitisFrontal
spellingShingle Carreirão Neto, Waldir
Pinna, Fábio de Rezende
Voegels, Richard Louis
Balloon sinuplasty: literature review
International Archives of Otorhinolaryngology
Balloon
Sinuplasty
Rhinosinusitis
Frontal
title Balloon sinuplasty: literature review
title_full Balloon sinuplasty: literature review
title_fullStr Balloon sinuplasty: literature review
title_full_unstemmed Balloon sinuplasty: literature review
title_short Balloon sinuplasty: literature review
title_sort balloon sinuplasty literature review
topic Balloon
Sinuplasty
Rhinosinusitis
Frontal
url http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=572
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AT pinnafabioderezende balloonsinuplastyliteraturereview
AT voegelsrichardlouis balloonsinuplastyliteraturereview