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Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access

Introduction  As experience grows with in-office balloon sinus dilation (BSD) procedures, technique modifications will evolve to meet specific needs. The major disadvantage with the maxillary BSD procedure is that the intact uncinate process prevents visualization of and instrument access into the m...

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Autor principal: Nishioka, Gary J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783689/
https://www.ncbi.nlm.nih.gov/pubmed/29371901
http://dx.doi.org/10.1055/s-0037-1601562
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author Nishioka, Gary J.
author_facet Nishioka, Gary J.
author_sort Nishioka, Gary J.
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description Introduction  As experience grows with in-office balloon sinus dilation (BSD) procedures, technique modifications will evolve to meet specific needs. The major disadvantage with the maxillary BSD procedure is that the intact uncinate process prevents visualization of and instrument access into the maxillary sinus both intraoperatively and postoperatively. Combining a partial or complete uncinectomy procedure with maxillary BSD could be beneficial in selected patients with certain maxillary sinus problems. Objective  The primary objective of this study was to see if, in selected patients, combining an uncinectomy and maxillary sinus BSD together allowed visualization of and access to the maxillary sinus cavity at the time of the procedure and at follow-up visits. Method  A chart review was completed for BSD cases performed from 2013 through mid-2015 identifying patients who underwent partial or complete uncinectomy with in-office maxillary sinus BSD. A total of 14 patients were identified, with 26 sinuses treated. The data collected included: difficulty or problems in performing an uncinectomy with the maxillary sinus BSD; visualization and access to the maxillary sinus cavity both intraoperatively and at follow-up visits; and occurrence of complications or late adverse sequelae. All patients completed a minimum 6-month follow-up. Results  Combined uncinectomy and maxillary sinus BSD procedures were easily completed for all patients without complications, and no late adverse sequelae were encountered. The maxillary sinuses could be visualized and accessed, if needed, intraoperatively and at all follow-up visits. Conclusions  In selected subsets of maxillary sinus conditions this procedure modification can provide significant benefits. A case is presented for illustration.
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spelling pubmed-57836892018-01-25 Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access Nishioka, Gary J. Int Arch Otorhinolaryngol Introduction  As experience grows with in-office balloon sinus dilation (BSD) procedures, technique modifications will evolve to meet specific needs. The major disadvantage with the maxillary BSD procedure is that the intact uncinate process prevents visualization of and instrument access into the maxillary sinus both intraoperatively and postoperatively. Combining a partial or complete uncinectomy procedure with maxillary BSD could be beneficial in selected patients with certain maxillary sinus problems. Objective  The primary objective of this study was to see if, in selected patients, combining an uncinectomy and maxillary sinus BSD together allowed visualization of and access to the maxillary sinus cavity at the time of the procedure and at follow-up visits. Method  A chart review was completed for BSD cases performed from 2013 through mid-2015 identifying patients who underwent partial or complete uncinectomy with in-office maxillary sinus BSD. A total of 14 patients were identified, with 26 sinuses treated. The data collected included: difficulty or problems in performing an uncinectomy with the maxillary sinus BSD; visualization and access to the maxillary sinus cavity both intraoperatively and at follow-up visits; and occurrence of complications or late adverse sequelae. All patients completed a minimum 6-month follow-up. Results  Combined uncinectomy and maxillary sinus BSD procedures were easily completed for all patients without complications, and no late adverse sequelae were encountered. The maxillary sinuses could be visualized and accessed, if needed, intraoperatively and at all follow-up visits. Conclusions  In selected subsets of maxillary sinus conditions this procedure modification can provide significant benefits. A case is presented for illustration. Thieme Revinter Publicações Ltda 2018-01 2017-04-27 /pmc/articles/PMC5783689/ /pubmed/29371901 http://dx.doi.org/10.1055/s-0037-1601562 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Nishioka, Gary J.
Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access
title Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access
title_full Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access
title_fullStr Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access
title_full_unstemmed Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access
title_short Modified In-Office Maxillary Balloon Sinus Dilation for Post-Procedure Sinus Monitoring and Access
title_sort modified in-office maxillary balloon sinus dilation for post-procedure sinus monitoring and access
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783689/
https://www.ncbi.nlm.nih.gov/pubmed/29371901
http://dx.doi.org/10.1055/s-0037-1601562
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