Efficacy & Outcomes of Balloon Sinuplasty in Chronic Rhinosinusitis in India

 

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.

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