Key Takeaways
- India based single institute prospective study to assess the outcomes of Balloon sinuplasty
- Dramatic relief from symptoms within the 1st postoperative week: Reduction in the Piccirillo’s SNOT 20 scores (68% to 16%)
- All patients found to be symptom free during further follow up: Low SNOT 20 scores
- Clinically significant improvement in Lanza Kennedy nasal endoscopy score: Average preoperative score 61.25% to 22.5% 1 year post operatively
- Clinically significant improvement in Lund Mackay CT-PNS score: 47.71% preoperatively to 16.25% one year post operatively
Methodology:
- Assessment of a consecutive series of 20 patients with chronic rhino-sinusitis, underwent Balloon Sinuplasty, over a period of 1 year
- Efficacy and outcomes assesssed over a period of 1 year
- Inclusion Criteria: Chronic rhino-sinusitis unresponsive to 3 weeks of trial with medical management
- Follow up for one year post procedure with SNOT score, Nasal endoscopy and CT scans
Results
- The efficacy and outcomes comparable to larger multi-centric clinical trials
- The dilated sinus ostia, showed no complications like re-stenosis or cicatrisation
Symptom improvement as per Piccirillo’s Sinonasal Outcome Test (SNOT) Score:
Average preoperative score 68.6%
1 st post-operative week: 38.2%
- 4 th post operative week: 23.45%
- 3 months post-operative score: 20.00%
- 6 month post-operative score: 18.6%
- 1 year post operatively: 16.65%
- Improvement gauged by Endoscopic findings as per Lanza Kennedy nasal endoscopy score:
- Average preoperative score 61.25%
- 1 st post-operative week: 31.67%
- 4 th post operative week: 27.50%
- 3 months post-operative score: 30.00%
- 6 month post-operative score: 29.17%
- 1 year post operatively: 22.50%
- The overall mean average Lund Mackay CT-PNS score was 47.71% preoperatively, which reduced to 24.40% by the 4th postoperative week and further to 18.25% at 6 months and 16.25% at the completion of study period at 1 year.
- CT PNS scores had reduced by an average of 23.30% in the 1 st post-operative month and were found to be in the same range at 6 and 12 months of follow up
Reference: Raghunandhan, S., et al. "Efficacy & outcomes of balloon sinuplasty in chronic rhinosinusitis: a prospective study." Indian Journal of Otolaryngology and Head & Neck Surgery 65.2 (2013): 314-319.
re.
