Lofgren Daniel H, Shermetaro Carl B
Graduate Medical Education, Otolaryngology McLaren Oakland Hospital, Pontiac, MI, USA.
Spartan Med Res J. 2024 Sep 9;9(3):123407. doi: 10.51894/001c.123407. eCollection 2024.
Balloon sinuplasty (BSP) is a common treatment modality used in the management of chronic rhinosinusitis (CRS). Although it has gained popularity, minimal self-reported data on its utilization and complications have been reported. The goal of this study was to describe current practices and complications experienced during frontal sinus BSP.
An anonymous 20-question online survey was distributed to members of the American Osteopathic Colleges of Ophthalmology and Otolaryngology-Head and Neck Surgery from August 1, 2022, to August 30, 2022. The questions were listed as multiple choice or percentage sliding bars, and data were collected using a commercial online survey service site. Results were reported as frequencies, means, and percentages.
Forty-two respondents participated in the survey, with the majority practicing in the following hospital settings: community (34, 80.95%), hybrid (5, 11.90%), and academic (3, 7.14%). The southeast had the largest proportion of respondents (13, 30.95%), versus the midwest (12, 28.57%), southwest (10, 23.81%), northeast (5, 11.90%), and northwest (2, 4.76%). On average, 50.52% of cases were performed in the hospital setting, 48.50% in-office, and 42.40% in surgery centers. Respondents who primarily used BSP, reported a yearly average of 35.72 cases, a median of 12 cases, and a range of 0-361 cases. Respondents who used BSP with functional endoscopic sinus surgery (FESS), reported a yearly average of 48.62 cases, a median of 31 cases, and a range of 0-189 cases. Nasal packing was utilized both intraoperatively (11.72%) and postoperatively (3.62%). Early complications included postoperative headaches (9.86%), acute bacterial sinusitis (ABRS) (3.52%), and tooth/facial numbness (0.86%). Reported long-term complications included postoperative synechiae (5.10%), orbital complications (0.14%), and skull base complications (0.10%). A previously unreported complication was identified through this study, accidental sphenopalatine fossa dilation.
This study contributes to the growing body of literature on frontal sinus BSP by characterizing utilization and complications from a large otolaryngologic academy.
球囊鼻窦成形术（BSP）是慢性鼻-鼻窦炎（CRS）治疗中常用的一种治疗方式。尽管它已越来越受欢迎，但关于其应用和并发症的自我报告数据却很少。本研究的目的是描述额窦BSP目前的操作方法及所经历的并发症。
2022年8月1日至2022年8月30日，向美国眼耳鼻喉科与头颈外科学会整骨医学院的成员发放了一份包含20个问题的匿名在线调查问卷。问题以多项选择题或百分比滑动条的形式列出，并使用商业在线调查服务网站收集数据。结果以频率、均值和百分比的形式报告。
42名受访者参与了调查，大多数人在以下医院环境中执业：社区医院（34人，80.95%）、混合医院（5人，11.90%）和学术医院（3人，7.14%）。东南部的受访者比例最高（13人，30.95%），其次是中西部（12人，28.57%）、西南部（10人，23.81%）、东北部（5人，11.90%）和西北部（2人，4.76%）。平均而言，50.52%的病例在医院环境中进行，48.50%在门诊进行，42.40%在手术中心进行。主要使用BSP的受访者报告，每年平均进行35.72例手术，中位数为12例，范围为0 - 361例。将BSP与功能性鼻内镜鼻窦手术（FESS）联合使用的受访者报告，每年平均进行48.62例手术，中位数为31例，范围为0 - 189例。术中（11.72%）和术后（3.62%）均使用了鼻腔填塞。早期并发症包括术后头痛（9.86%）、急性细菌性鼻窦炎（ABRS）（3.52%）和牙齿/面部麻木（0.86%）。报告的长期并发症包括术后粘连（5.10%）、眼眶并发症（0.14%）和颅底并发症（0.10%）。通过本研究发现了一种以前未报告的并发症，即蝶腭窝意外扩张。
本研究通过对一个大型耳鼻喉科学院的应用情况和并发症进行描述，为关于额窦BSP的文献积累做出了贡献。
