OBJECTIVE: To evaluate whether the addition of BCS (balloon catheter sinuplasty) would improve the treatment outcome in children with chronic rhinosinusitis (CRS) compared to FESS (functional endoscopic sinus surgery). STUDY DESIGN: Two-group, retrospective cohort with blinded chart review comparison. SETTING: Children's Hospital of Michigan, Detroit, MI. SUBJECTS AND METHODS: Chart review of 15 pediatric patients who underwent BCS with ethmoidectomy and 16 who underwent FESS from 2008 to 2011 for treatment of CRS in a tertiary care, university affiliated, pediatric institution. Pre-operative CT-scans as well as pre and post-operative sinus symptoms and medications were compared. Post-surgical outcome was examined using chi square analysis. RESULTS: Mean age of children at the time of the procedure was 9.3 (SD=4.19; range=3-17). Both groups had similar pre-surgical Lund-Mackay CT CRS scores (FESS: mean=9.33 and t=0.67; balloon: mean=10.58, t=0.68, and p=0.51). Analyses identified significant post-treatment reductions in overall symptoms and needed interventions in both treatment groups. Side-by-side post-operative comparison of patients who underwent balloon sinuplasty to FESS demonstrated statistically significant post-operative difference between the two groups in antibiotic requirement, sinus congestion and headaches. Though not statistically significant, 62.5% of FESS patients and 80.0% of BCS patients (χ(2)=1.15) reported improvement in their overall sinus symptoms post-operatively. CONCLUSION: Both BCS and FESS are suitable treatments for CRS in children. Both treatments significantly reduced CRS complaints post-operatively and had similar overall results. BCS patients required significantly fewer antibiotics post-operatively for CRS related disease when compared to FESS. Larger prospective studies with long-term data are needed to further evaluate.
OBJECTIVE: To evaluate whether the addition of BCS (balloon catheter sinuplasty) would improve the treatment outcome in children with chronic rhinosinusitis (CRS) compared to FESS (functional endoscopic sinus surgery). STUDY DESIGN: Two-group, retrospective cohort with blinded chart review comparison. SETTING:Children's Hospital of Michigan, Detroit, MI. SUBJECTS AND METHODS: Chart review of 15 pediatric patients who underwent BCS with ethmoidectomy and 16 who underwent FESS from 2008 to 2011 for treatment of CRS in a tertiary care, university affiliated, pediatric institution. Pre-operative CT-scans as well as pre and post-operative sinus symptoms and medications were compared. Post-surgical outcome was examined using chi square analysis. RESULTS: Mean age of children at the time of the procedure was 9.3 (SD=4.19; range=3-17). Both groups had similar pre-surgical Lund-Mackay CT CRS scores (FESS: mean=9.33 and t=0.67; balloon: mean=10.58, t=0.68, and p=0.51). Analyses identified significant post-treatment reductions in overall symptoms and needed interventions in both treatment groups. Side-by-side post-operative comparison of patients who underwent balloon sinuplasty to FESS demonstrated statistically significant post-operative difference between the two groups in antibiotic requirement, sinus congestion and headaches. Though not statistically significant, 62.5% of FESS patients and 80.0% of BCSpatients (χ(2)=1.15) reported improvement in their overall sinus symptoms post-operatively. CONCLUSION: Both BCS and FESS are suitable treatments for CRS in children. Both treatments significantly reduced CRS complaints post-operatively and had similar overall results. BCSpatients required significantly fewer antibiotics post-operatively for CRS related disease when compared to FESS. Larger prospective studies with long-term data are needed to further evaluate.
Authors: Elisabeth H Ference; Madeline Graber; David Conley; Rakesh K Chandra; Bruce K Tan; Charlesnika Evans; Melissa Pynnonen; Stephanie S Smith Journal: Laryngoscope Date: 2014-09-02 Impact factor: 3.325
Authors: Prasad John Thottam; Chistopher M Metz; Monica C Kieu; James Dworkin; Janardhan Jagini; Johnathan N Bangiyev; Deepak Mehta Journal: Indian J Otolaryngol Head Neck Surg Date: 2015-02-12
Authors: Stefano Di Girolamo; Sara Mazzone; Roberta Di Mauro; Piergiorgio Giacomini; Maria Cantonetti Journal: Clin Exp Otorhinolaryngol Date: 2014-11-14 Impact factor: 3.372