Advertisement

In-office balloon dilation of the ethmoid infundibulum

      Maxillary antrostomy using balloon catheters in an office setting may offer surgeons another option for the treatment of chronic rhinosinusitis. Historically, endoscopic sinus surgery and balloon dilatation of sinus ostia have been performed in an operating room or surgical suite under general anesthesia. A new set of tools has been developed to enable access to, and balloon dilatation of, the maxillary sinus outflow tract using direct, endoscopic visualization and local anesthesia. Using these tools and the methods described below, balloon dilation can be safely performed in the office of the physician's medical practice.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Operative Techniques in Otolaryngology-Head and Neck Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bolger W.E.
        • Brown C.L.
        • Church C.A.
        • et al.
        Safety and outcomes of balloon catheter sinusotomty: A multicenter 24-week analysis in 115 patients.
        Otolaryngol Head Neck Surg. 2007; 137: 10-20
        • Weiss R.L.
        • Church C.A.
        • Kuhn F.A.
        • et al.
        Long-term outcome analysis of balloon catheter sinusotomy: Two-year follow-up.
        Otolaryngol Head Neck Surg. 2008; 139: S38-S46
        • Robinson S.
        • Wormald P.J.
        Patterns of innervation of the anterior maxilla: A cadaver study with relevance to canine fossa puncture of the maxillary sinus.
        Laryngoscope. 2005; 115: 1785-1788
        • Stankiewicz J.
        • Tami T.
        • Truitt T.
        • Atkins J.
        • Winegar B.
        Transantral, endoscopically guided balloon dilatation of the local ostiomeatal complex for chronic rhinosinusitis under local anesthesia.
        Am J Rhinol. 2009; 23: 321-327
        • Piccirillo J.F.
        • Merritt M.G.
        • Richards M.
        Psychometric and clinimetric validity of the 20-item sino-nasal outcome test (SNOT 20).
        Otolaryngol Head Neck Surg. 2002; 126: 41-47
        • Singhal D.
        • Douglas R.
        • Robinson S.
        • Wormald P.J.
        The incidence of complications using new landmarks and a modified technique of canine fossa puncture.
        Am J Rhinol. 2007; 21: 316-319