Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Otolaryngol Head Neck Surg. 2013 Nov;149(5):782-5. doi: 10.1177/0194599813500634. Epub 2013 Aug 19.
Balloon dilation may offer a more expedient and cost-effective treatment method compared with traditional endoscopic sinus surgery for chronic maxillary atelectasis. We sought to demonstrate the feasibility of balloon dilation of the maxillary os as a treatment modality for patients with chronic maxillary atelectasis by investigating the short-term outcomes in a retrospective case series of 4 patients representing 5 sinuses treated between 2011 and 2013. All sinuses were successfully balloon dilated without complications. Follow-up ranged from 1 week to 4 months. Aeration of the treated sinuses without restenosis was confirmed by postoperative endoscopy, sinus computed tomography, or both. All patients reported subjective symptomatic improvement. Balloon dilation of the maxillary os may be a feasible treatment option for maxillary sinus atelectasis. Longer follow-up and a larger study sample will be needed to validate the safety of this technique and determine the rate of restenosis.
球囊扩张术与传统的内镜鼻窦手术相比，可能为慢性上颌窦后鼻孔闭锁提供一种更为迅速、有效的治疗方法。我们通过对 4 例患者（5 个鼻窦）的回顾性病例系列研究，旨在探讨球囊扩张上颌窦口作为慢性上颌窦后鼻孔闭锁治疗方法的可行性。这 4 例患者分别于 2011 年至 2013 年接受治疗，所有鼻窦均成功完成球囊扩张，且无并发症。随访时间为 1 周到 4 个月。术后内镜、鼻窦 CT 或两者均证实治疗鼻窦通畅且无再狭窄。所有患者均报告主观症状改善。球囊扩张上颌窦口可能是治疗上颌窦后鼻孔闭锁的一种可行方法。需要更长时间的随访和更大的研究样本量来验证该技术的安全性和再狭窄率。
