Document Detail


Multicenter registry of balloon catheter sinusotomy outcomes for 1,036 patients.
MedLine Citation:
PMID:  18478835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study assesses the safety and effectiveness of balloon catheters used as instruments in sinus surgery in a "real-world" multicenter registry of 1,036 patients across 27 US otolaryngology practices. METHODS: Data were collected by standardized chart review with centralized database administration for all consecutive functional endoscopic sinus surgeries that included the use of balloon catheters across the 18-month time period from December 2005 to May 2007. RESULTS: Balloon catheters were used in 3,276 peripheral (maxillary, frontal, and sphenoid) sinuses, for an average of 3.2 sinuses per patient. There were no major adverse events related to the use of balloon catheter instruments. The revision rate was 1.3% of sinuses treated with a balloon catheter after an average follow-up of 40.2 weeks. Sinus symptoms were improved in 95.2%, unchanged in 3.8%, and worse in 1.0% of patients. Postoperative sinus infections were significantly less frequent and less severe compared to infections before surgery. The results were consistent across all patient categories, including balloon-only patients and revision patients. CONCLUSIONS: Use of balloon catheters as instruments in sinus surgery appears to be relatively safe and effective and to improve the patient's quality of life. The results are consistent and generalizable across a wide range of sinusitis patients and physician practices. The complication rates, revision rates, and patient symptom improvement rates all compare favorably with previously reported results of functional endoscopic sinus surgery.
Authors:
Howard L Levine; Anthony P Sertich; Douglas R Hoisington; Raymond L Weiss; Jordan Pritikin;
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  117     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-05-15     Completed Date:  2008-05-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  263-70     Citation Subset:  AIM; IM    
Affiliation:
Cleveland Nasal and Sinus Sleep Center, Cleveland, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Balloon Dilatation*
Debridement
Endoscopy*
Ethmoid Sinusitis / surgery
Female
Frontal Sinusitis / surgery
Humans
Male
Maxillary Sinusitis / surgery
Middle Aged
Postoperative Complications
Prospective Studies
Quality of Life
Registries*
Safety
Sinusitis / surgery*
Sphenoid Sinusitis / surgery
Treatment Outcome
Investigator
Investigator/Affiliation:
Ford D Albritton / ; Gail J Anderson / ; Robert S Bridge / ; Paul C Brindley / ; Joel G Cohen / ; Andrew J Diamond / ; Michael T Gutman / ; Edward J Hepworth / ; Douglas R Hoisington / ; Martin Hopp / ; Bradley Johnson / ; Madan N Kandula / ; Joseph Kuderko / ; Laura Larsen / ; Howard L Levine / ; Duane A Lundeberg / ; David Mendelson / ; Suzette K Mikula / ; Mary T Mitskavich / ; Mark L Nichols / ; James B Orr / ; Jordan Pritikin / ; Marc Rosenthal / ; James Roth / ; Anthony P Sertich / ; Alan A Shikani / ; Tim C Simplot / ; Ryan R Stevens / ; William Robert Steward / ; Daniel W Todd / ; Michael C Vidas / ; Robert S Warner / ; Raymond L Weiss / ; Simon K Wright /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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