小儿复杂性急性额窦鼻窦炎球囊鼻窦扩张术可行性的早期经验
Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis.
作者信息
Maurrasse Sarah K, Hwa Tiffany P, Waldman Erik, Kacker Ashutosh, Pearlman Aaron N
机构信息
Department of Otolaryngology-Head and Neck Surgery Weill Cornell Medical College New York New York.
Department of Otolaryngology-Head and Neck Surgery Yale School of Medicine New Haven Connecticut.
出版信息
Laryngoscope Investig Otolaryngol. 2020 Feb 14;5(2):194-199. doi: 10.1002/lio2.359. eCollection 2020 Apr.
BACKGROUND/OBJECTIVE: Complicated acute rhinosinusitis in the pediatric population is an uncommon problem that may affect the orbit or brain and is life-threatening. This condition requires surgical intervention with endoscopic sinus surgery for source control, and prior studies have demonstrated the safety of balloon sinuplasty in chronic frontal sinusitis.
METHODS/RESULTS: We present our approach with a balloon sinus dilation hybrid procedure to resolve four distinct types of complicated acute frontal sinusitis in pediatric patients, including intracranial manifestations, intraorbital complications, and recurrent disease. All four patients were able to be managed operatively with frontal balloon sinuplasty.
CONCLUSIONS
Prior efficacy has been demonstrated for chronic frontal sinusitis in the pediatric population. We demonstrate that frontal balloon sinuplasty is also feasible in the proper clinical setting for acute frontal sinusitis, even in the presence of regional complications or recurrent disease.
LEVEL OF EVIDENCE
背景/目的：儿科人群中的复杂性急性鼻窦炎是一个罕见问题，可能影响眼眶或脑部，危及生命。这种情况需要通过鼻内镜鼻窦手术进行手术干预以控制源头，先前的研究已证明球囊鼻窦成形术治疗慢性额窦炎的安全性。
方法/结果：我们介绍了一种采用球囊鼻窦扩张混合手术的方法，以解决儿科患者四种不同类型的复杂性急性额窦炎，包括颅内表现、眶内并发症和复发性疾病。所有四名患者均能通过额窦球囊鼻窦成形术进行手术治疗。
结论
先前已证明球囊鼻窦成形术对儿科人群的慢性额窦炎有效。我们证明，即使存在局部并发症或复发性疾病，在适当的临床情况下，额窦球囊鼻窦成形术对于急性额窦炎也是可行的。
证据级别
4级。
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