Cargando…
Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review
OBJECTIVE: Chronic rhinosinusitis (CRS) negatively affects quality of life (QoL), and balloon catheter sinuplasty (BCS) has shown good outcomes in adult patients. However, there has not been much research on the effects of BCS on pediatric patients. The objective of this review is to systematically...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523047/ https://www.ncbi.nlm.nih.gov/pubmed/32993786 http://dx.doi.org/10.1186/s40463-020-00463-0 |
_version_ | 1783588313008963584 |
---|---|
author | Mirza, Ahmad A. Shawli, Hatim Y. Alandejani, Talal A. Aljuaid, Sattam M. Alreefi, Mahmoud Basonbul, Razan A. Alhomaiani, Shahad K. Althobaity, Banan A. Alhumaidi, Dhuha A. Zawawi, Faisal |
author_facet | Mirza, Ahmad A. Shawli, Hatim Y. Alandejani, Talal A. Aljuaid, Sattam M. Alreefi, Mahmoud Basonbul, Razan A. Alhomaiani, Shahad K. Althobaity, Banan A. Alhumaidi, Dhuha A. Zawawi, Faisal |
author_sort | Mirza, Ahmad A. |
collection | PubMed |
description | OBJECTIVE: Chronic rhinosinusitis (CRS) negatively affects quality of life (QoL), and balloon catheter sinuplasty (BCS) has shown good outcomes in adult patients. However, there has not been much research on the effects of BCS on pediatric patients. The objective of this review is to systematically assess the literature for studies demonstrating the effectiveness and safety of BCS in pediatric CRS patients. DATA SOURCES: PubMed, Embase and Cochrane Library. STUDY SELECTION: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis recommendations (PRISMA) to conduct our study. Observational- and interventional-based studies reporting efficacy and/or side effects of BCS among pediatric populations were included. Efficacy was evaluated by clinically reliable measures including Sino-Nasal 5 (SN-5) QoL scale. Antibiotic usage and revision surgery were also evaluated. DATA EXTRACTION: Articles were screened, and data were obtained. Study design, sample size and demographics, treated sinuses, criteria of inclusion, adjunct procedure(s), follow-up time, and outcomes measured were reported. MAIN FINDINGS: Out of 112 articles identified, 10 articles were included: two interventional controlled trials and eight observational studies. All studies evaluating QoL by SN-5 showed a remarkable reduction in SN-5 score postoperatively. Improvement in the computed tomography (CT) and endoscopic findings for up to 1 year after operation was reported. Furthermore, the majority of patinets treated with BCS did not recieve any course of sinusitis-indicated antibiotics during long-term follow-up, and they had low surgical revision rates. Minor side effects were reported, most commonly synechia. CONCLUSION: Available evidence suggests that BCS is safe and effective for the treatment of CRS in pediatric patients. Future randomized controlled studies with large sample size are warranted. Such studies can further determine the efficacy of BCS in managing children with CRS. |
format | Online Article Text |
id | pubmed-7523047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75230472020-09-30 Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review Mirza, Ahmad A. Shawli, Hatim Y. Alandejani, Talal A. Aljuaid, Sattam M. Alreefi, Mahmoud Basonbul, Razan A. Alhomaiani, Shahad K. Althobaity, Banan A. Alhumaidi, Dhuha A. Zawawi, Faisal J Otolaryngol Head Neck Surg Review OBJECTIVE: Chronic rhinosinusitis (CRS) negatively affects quality of life (QoL), and balloon catheter sinuplasty (BCS) has shown good outcomes in adult patients. However, there has not been much research on the effects of BCS on pediatric patients. The objective of this review is to systematically assess the literature for studies demonstrating the effectiveness and safety of BCS in pediatric CRS patients. DATA SOURCES: PubMed, Embase and Cochrane Library. STUDY SELECTION: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis recommendations (PRISMA) to conduct our study. Observational- and interventional-based studies reporting efficacy and/or side effects of BCS among pediatric populations were included. Efficacy was evaluated by clinically reliable measures including Sino-Nasal 5 (SN-5) QoL scale. Antibiotic usage and revision surgery were also evaluated. DATA EXTRACTION: Articles were screened, and data were obtained. Study design, sample size and demographics, treated sinuses, criteria of inclusion, adjunct procedure(s), follow-up time, and outcomes measured were reported. MAIN FINDINGS: Out of 112 articles identified, 10 articles were included: two interventional controlled trials and eight observational studies. All studies evaluating QoL by SN-5 showed a remarkable reduction in SN-5 score postoperatively. Improvement in the computed tomography (CT) and endoscopic findings for up to 1 year after operation was reported. Furthermore, the majority of patinets treated with BCS did not recieve any course of sinusitis-indicated antibiotics during long-term follow-up, and they had low surgical revision rates. Minor side effects were reported, most commonly synechia. CONCLUSION: Available evidence suggests that BCS is safe and effective for the treatment of CRS in pediatric patients. Future randomized controlled studies with large sample size are warranted. Such studies can further determine the efficacy of BCS in managing children with CRS. BioMed Central 2020-09-29 /pmc/articles/PMC7523047/ /pubmed/32993786 http://dx.doi.org/10.1186/s40463-020-00463-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Review Mirza, Ahmad A. Shawli, Hatim Y. Alandejani, Talal A. Aljuaid, Sattam M. Alreefi, Mahmoud Basonbul, Razan A. Alhomaiani, Shahad K. Althobaity, Banan A. Alhumaidi, Dhuha A. Zawawi, Faisal Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
title | Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
title_full | Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
title_fullStr | Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
title_full_unstemmed | Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
title_short | Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
title_sort | efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523047/ https://www.ncbi.nlm.nih.gov/pubmed/32993786 http://dx.doi.org/10.1186/s40463-020-00463-0 |
work_keys_str_mv | AT mirzaahmada efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT shawlihatimy efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT alandejanitalala efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT aljuaidsattamm efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT alreefimahmoud efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT basonbulrazana efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT alhomaianishahadk efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT althobaitybanana efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT alhumaididhuhaa efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview AT zawawifaisal efficacyandsafetyofparanasalsinusballooncatheterdilationinpediatricchronicrhinosinusitisasystematicreview |