Initial clinical experience with balloon dilation in revision frontal sinus surgery.

Wycherly BJ; Manes RP; Mikula SK

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Initial clinical experience with balloon dilation in revision frontal sinus surgery.

机译：球囊扩张术在修订额窦手术中的初步临床经验。

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OBJECTIVES: The purpose of this study was to determine whether balloon dilation is effective in revision frontal sinus surgery. METHODS: We retrospectively reviewed all patients who had previously undergone endoscopic frontal sinus surgery and had persistent sinusitis. All patients then underwent balloon dilation of the frontal ostium. Outcome measurements included endoscopic patency of the frontal ostium, Lund-Mackay scores, culture-positive postoperative infections, and subjective persistence of symptoms. RESULTS: Twenty-four frontal ostia and recesses were dilated in 13 patients. The mean follow-up was 13 months (range, 7 to 19 months). During follow-up, 21 of 24 ostia (86%) remained patent and 3 required additional procedures. Postoperative computed tomography scans were performed an average of 12 months after dilation (range, 6 to 18 months) in 9 patients (17 sinuses). The average Lund-Mackay score was 1.35 before dilation and 0.87 at follow-up (p = 0.0076), with 41% of sinuses (7 of 17) displaying radiographic improvement. The average number of postoperative infections was 2.07 (range, 0 to 7). Frontal headaches persisted in 38% of patients (5 of 13) at follow-up. CONCLUSIONS: Balloon dilation of the frontal ostia has a posttreatment patency rate comparable to those of other endoscopic revision techniques. Although it may not fully address the frontal sinus disease of all patients, it is a less invasive technique that may be helpful for some patients.

机译：目的：本研究的目的是确定球囊扩张术在翻修额窦手术中是否有效。方法：我们回顾性回顾了所有以前接受过内镜下额窦手术并患有持续性鼻窦炎的患者。然后所有患者均接受额叶球囊扩张术。结果测量包括额叶内窥镜下通畅，Lund-Mackay评分，培养阳性的术后感染以及症状的主观持久性。结果：13例患者的24个额叶口和隐窝被扩大。平均随访时间为13个月（范围7到19个月）。在随访过程中，有24个口中有21个（86％）保持专利，还有3个需要额外的程序。 9例（17例鼻窦）扩张术后平均12个月（范围6至18个月）进行了术后计算机体层摄影术扫描。 Lund-Mackay的平均得分在扩张前为1.35，在随访时为0.87（p = 0.0076），其中41％的鼻窦（17个中的7个）显示影像学改善。术后平均感染数为2.07（范围为0至7）。随访中，持续性头痛持续在38％的患者中（13个中的5个）。结论：额叶口球囊扩张术的治疗后通畅率可与其他内镜翻修技术相媲美。尽管它可能不能完全解决所有患者的额窦疾病，但它是一种侵入性较小的技术，可能对某些患者有帮助。

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《The Annals of otology, rhinology, and laryngology》 |2010年第7期|共4页
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Wycherly BJ; Manes RP; Mikula SK;
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中图分类耳鼻咽喉科学;
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1. Initial clinical experience with balloon dilation in revision frontal sinus surgery. [J] . Wycherly BJ, Manes RP, Mikula SK The Annals of otology, rhinology, and laryngology . 2010,第7期

机译：球囊扩张术在修订额窦手术中的初步临床经验。
2. Balloon Dilation of the Frontal Recess in Patients With Chronic Frontal Sinusitis and Advanced Sinus Disease: An Initial Report [J] . Peter J Catalano Spencer C Payne The Annals of Otology, Rhinology & Laryngology . 2009,第2期

机译：慢性额窦炎和晚期鼻窦疾病患者额叶球囊扩张术的初步报告
3. Balloon dilation of the frontal recess in patients with chronic frontal sinusitis and advanced sinus disease: an initial report. [J] . Weymuller EA Jr The Annals of otology, rhinology, and laryngology . 2009,第7期

机译：慢性额叶鼻窦炎和晚期鼻窦疾病患者额叶球囊扩张的初步报道。
4. Ceramic-Ceramic Surface Revision Surgery. Twenty Years of Experience. [C] . D. Rueda, F. Barahona International symposium on ceramics in medicine . 2001

机译：陶瓷陶瓷表面修订手术。二十年的经验。
5. An empirical examination of frontal sinus outline variability using Elliptic Fourier Analysis: Implications for *identification, standardization, and legal admissibility. [D] . Christensen, Angi Maree. 2003

机译：使用椭圆傅立叶分析对额窦轮廓变化进行实证检验：对*标识，标准化和合法性的启示。
6. Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis [O] . Sarah K. Maurrasse, Tiffany P. Hwa, Erik Waldman, 2020

机译：复杂性小儿急性额窦鼻窦炎球囊窦扩张术的早期经验
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Initial clinical experience with balloon dilation in revision frontal sinus surgery.

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