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Functional endoscopic sinus surgery (FESS) alone versus balloon catheter sinuplasty (BCS) and ethmoidectomy: A comparative outcome analysis in pediatric chronic rhinosinusitis

Authors :
Thottam, Prasad John
Haupert, Michael
Saraiya, Sonal
Dworkin, James
Sirigiri, Ranga
Belenky, Walter M.
Source :
International Journal of Pediatric Otorhinolaryngology. Sep2012, Vol. 76 Issue 9, p1355-1360. 6p.
Publication Year :
2012

Abstract

Abstract: Objective: To evaluate whether the addition of BCS (balloon catheter sinuplasty) would improve the treatment outcome in children with chronic rhinosinusitis (CRS) compared to FESS (functional endoscopic sinus surgery). Study design: Two-group, retrospective cohort with blinded chart review comparison. Setting: Children''s Hospital of Michigan, Detroit, MI. Subjects and methods: Chart review of 15 pediatric patients who underwent BCS with ethmoidectomy and 16 who underwent FESS from 2008 to 2011 for treatment of CRS in a tertiary care, university affiliated, pediatric institution. Pre-operative CT-scans as well as pre and post-operative sinus symptoms and medications were compared. Post-surgical outcome was examined using chi square analysis. Results: Mean age of children at the time of the procedure was 9.3 (SD=4.19; range=3–17). Both groups had similar pre-surgical Lund–Mackay CT CRS scores (FESS: mean=9.33 and t =0.67; balloon: mean=10.58, t =0.68, and p =0.51). Analyses identified significant post-treatment reductions in overall symptoms and needed interventions in both treatment groups. Side-by-side post-operative comparison of patients who underwent balloon sinuplasty to FESS demonstrated statistically significant post-operative difference between the two groups in antibiotic requirement, sinus congestion and headaches. Though not statistically significant, 62.5% of FESS patients and 80.0% of BCS patients (χ 2 =1.15) reported improvement in their overall sinus symptoms post-operatively. Conclusion: Both BCS and FESS are suitable treatments for CRS in children. Both treatments significantly reduced CRS complaints post-operatively and had similar overall results. BCS patients required significantly fewer antibiotics post-operatively for CRS related disease when compared to FESS. Larger prospective studies with long-term data are needed to further evaluate. [Copyright &y& Elsevier]

Details

Language :
English
ISSN :
01655876
Volume :
76
Issue :
9
Database :
Academic Search Index
Journal :
International Journal of Pediatric Otorhinolaryngology
Publication Type :
Academic Journal
Accession number :
79336828
Full Text :
https://doi.org/10.1016/j.ijporl.2012.06.006