Ramadan Hassan H
Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, West Virginia 26505, USA.
Ann Otol Rhinol Laryngol. 2009 Mar;118(3):161-5. doi: 10.1177/000348940911800301.
Balloon sinuplasty is a new technique that was recently introduced for the treatment of chronic rhinosinusitis (CRS). The initial experience in adults has been promising. The technique allows for restoring ventilation to the sinuses with minimal risk and trauma to the tissues. I present our initial experience of its use for treatment of CRS in children.
I performed a prospective study of 30 children in whom medical therapy failed and who were scheduled for surgery. They were offered treatment with balloon sinuplasty of selected sinuses. The data collected included age, computed tomography score, and comorbid conditions. The primary outcome was the intraoperative success of dilation of the sinuses and the rate of adverse events due to the procedure.
The procedure was successful in 51 of 56 sinuses (91%) in 30 children. Five sinuses, of which 4 were hypoplastic maxillary sinuses and 1 was a frontal sinus, were not amenable to dilation. No complications or side effects were noted.
The initial experience with balloon sinuplasty in children seems to be very encouraging. Because there is no bone or tissue removal, the procedure seems to be suitable for use in children. A hypoplastic sinus may not be amenable to balloon sinuplasty.
球囊鼻窦成形术是一种最近被引入用于治疗慢性鼻-鼻窦炎（CRS）的新技术。在成人中的初步经验很有前景。该技术能够以最小的组织风险和创伤恢复鼻窦的通气功能。我在此介绍我们将其用于治疗儿童CRS的初步经验。
我对30名药物治疗失败且计划接受手术的儿童进行了一项前瞻性研究。他们接受了所选鼻窦的球囊鼻窦成形术治疗。收集的数据包括年龄、计算机断层扫描评分和合并症。主要结局是鼻窦扩张的术中成功率以及该手术导致的不良事件发生率。
在30名儿童的56个鼻窦中，该手术在51个鼻窦（91%）中成功。5个鼻窦不适合扩张，其中4个是发育不全的上颌窦，1个是额窦。未观察到并发症或副作用。
儿童球囊鼻窦成形术的初步经验似乎非常令人鼓舞。由于无需去除骨质或组织，该手术似乎适用于儿童。发育不全的鼻窦可能不适合球囊鼻窦成形术。
