Zalzal Habib G, Makary Chadi A, Ramadan Hassan H
1 Department of Otolaryngology-Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA.
Ear Nose Throat J. 2019 Apr-May;98(4):207-211. doi: 10.1177/0145561319840126. Epub 2019 Apr 4.
The objective of our study was to assess the long-term effectiveness of balloon catheter sinuplasty in the treatment of pediatric chronic maxillary sinusitis following failed first-line medical and surgical management with adenoidectomy. Pediatric patients younger than 12 years were reviewed for having failed previous adenoidectomy and undergone a balloon catheter sinuplasty between August 2006 and March 2011 for chronic rhinosinusitis. Demographic data and clinical characteristics were recorded in patients who met inclusion criteria. Outcomes were assessed by need for functional endoscopic sinus surgery and persistence of chronic infection within at least 5 years of follow-up. Failure was defined by any child who was rediagnosed with chronic sinus disease after balloon catheter sinuplasty or who required endoscopic sinus surgery within 5 years. Sixty-two children were reviewed, with 38 patients meeting inclusion criteria (prior adenoidectomy, a preoperative Lund-Mackay score of ≥5, and balloon catheter sinuplasty). The mean age (standard deviation) was 6.76 (2.27) years with an age range of 2 to 11 years. Eight children (21.1%, P < .01) continued to have chronic sinus complaints following balloon procedure, with 5 (13.1%) individuals requiring eventual endoscopic surgery within 5 years. Age, asthma, allergy, and gender did not have any statistically significant impact on outcome. Balloon catheter sinuplasty is an effective long-term alternative for the treatment of chronic rhinosinusitis in pediatric patients, hoping to avoid further infections and eventual endoscopic surgery.
我们研究的目的是评估球囊导管鼻窦成形术在一线药物治疗和腺样体切除术手术治疗失败后，治疗小儿慢性上颌窦炎的长期疗效。对12岁以下的小儿患者进行回顾性研究，这些患者既往腺样体切除术失败，并于2006年8月至2011年3月期间因慢性鼻-鼻窦炎接受了球囊导管鼻窦成形术。记录符合纳入标准患者的人口统计学数据和临床特征。通过功能性鼻内镜鼻窦手术的必要性以及至少5年随访期内慢性感染的持续情况来评估治疗结果。失败的定义为球囊导管鼻窦成形术后再次被诊断为慢性鼻窦疾病的任何儿童，或在5年内需要接受鼻内镜鼻窦手术的儿童。对62名儿童进行了回顾性研究，其中38例患者符合纳入标准（既往腺样体切除术、术前Lund-Mackay评分≥5分以及接受球囊导管鼻窦成形术）。平均年龄（标准差）为6.76（2.27）岁，年龄范围为2至11岁。8名儿童（21.1%，P <.01）在球囊手术后仍有慢性鼻窦症状，其中5名（13.1%）患者在5年内最终需要接受内镜手术。年龄、哮喘、过敏和性别对治疗结果均无统计学上的显著影响。球囊导管鼻窦成形术是治疗小儿慢性鼻-鼻窦炎的一种有效的长期替代方法，有望避免进一步感染和最终的内镜手术。
