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首页> 外文期刊>Archives of otolaryngology--head & neck surgery. >Sinus balloon catheter dilation after adenoidectomy failure for children with chronic rhinosinusitis
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Sinus balloon catheter dilation after adenoidectomy failure for children with chronic rhinosinusitis

机译：慢性鼻-鼻窦炎患儿腺样体切除术失败后鼻窦球囊导管扩张

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Objective: To assess surgical outcomes in children undergoing sinus balloon catheter dilation for whom previous adenoidectomy has failed. Adenoidectomy is the first line of surgical management for children with chronic rhinosinusitis (CRS). This procedure is successful in about 50 percent of patients. Design: Prospective review of children who had surgery for CRS. Setting: A referral tertiary health care system. Patients: Children with persistent symptoms after adenoidectomy, despite medical treatment, as documented by the sinonasal 5 (SN-5) score and the Lund-Mackay computed tomography (CT) score. Main Outcome Measure: The SN-5 score at 1 year post procedure. Results: Twenty-six children met the inclusion criteria. The age range was 4 to 12 years (mean [SD] age, 9.0 [2.5] years). The mean (SD) CT score was 7.3 (2.9). The minimum preoperative SN-5 score was 3.0 (mean [SD], 4.6 [0.9]). The mean (SD) time of postoperative follow- up was 13 (3.0) months. The mean (SD) SN-5 score at 1 year was 3.0 (1.2). Thiswas a significant change from preoperative scores (P<.001). Surgical success, measured by a decrease of more than 0.5 on the postoperative SN-5 score, was achieved in 21 children (81%). Conclusions: Sinus balloon catheter dilation has previously been shown to be safe and effective in children. This current study demonstrates that balloon dilation is effective in children for whom previous adenoidectomy has failed. Balloon catheter dilation may be considered prior to proceeding to functional endoscopic sinus surgery in children with CRS.
机译：目的：评估先前接受腺样体切除术失败的接受鼻窦球囊导管扩张术的儿童的手术效果。腺样体切除术是慢性鼻鼻窦炎（CRS）儿童手术治疗的第一线。此过程在大约50％的患者中成功。设计：对接受过CRS手术的儿童进行前瞻性审查。机构：转诊三级卫生保健系统。患者：通过药物治疗的腺样体切除术后仍存在持续症状的儿童，如鼻窦5（SN-5）评分和Lund-Mackay计算机断层扫描（CT）评分所证明。主要观察指标：术后1年的SN-5评分。结果：26名儿童符合入选标准。年龄范围为4到12岁（平均[SD]年龄为9.0 [2.5]岁）。 CT的平均得分为7.3（2.9）。术前最低SN-5评分为3.0（平均[SD]，4.6 [0.9]）。术后平均随访时间为13（3.0）个月。 1年的平均（SD）SN-5分数为3.0（1.2）。与术前评分相比有显着变化（P <.001）。通过对21名儿童（81％）的术后SN-5得分的降低超过0.5来衡量手术成功率。结论：鼻窦球囊导管扩张术先前已被证明对儿童安全有效。这项当前的研究表明，球囊扩张术对先前接受腺样体切除术失败的儿童有效。对于CRS患儿，在进行功能性内窥镜鼻窦手术之前，应考虑球囊导管扩张术。

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