Unsuccessful Frontal Balloon Sinuplasty for Recurrent Sinus Barotrauma

作者：Andrews Jamie N^*; Weitzel Erik K; Eller Robert; McMains Christopher K

来源：Aviation Space and Environmental Medicine, 2010, 81(5): 514-516.

DOI：10.3357/ASEM.2716.2010

• balloon sinuplasty
• recurrent sinus barotrauma
• endoscopic frontal sinus surgery

ANDREWS JN, WEITZEL. EK, ELLER R, MCMAINS CK. Unsuccessful frontal balloon sinuplasty for recurrent sinus barotrauma Aviat Space Environ Med 2010; 81.514-6.
The standard of care treatment for diffuse recurrent sinus barotrauma (RSB) is an endoscopic sphenoethmoidectomy with a complete frontal dissection Successful healing leaves the RSB patient with no ethmoid sinuses and endoscopically patent frontal, sphenoid, and maxillary ostia In persistent cases, patients with small frontal ostia will go on to require a frontal drillout Patients presenting for surgical management of RSB generally have minimal sinus disease despite significant symptoms during flight and the prospect of extensive surgical management can he unappealing With the advent of balloon simplasty, military otolaryngologists anticipated this technology would permit therapeutic dilation of sinus ostia without the extensive surgical dissection and prolonged recovery typical for standard of care management This case report is a cautionary note to the wider flight community to recognize a mechanism for recurrence of the underlying pathology when balloon sinuplasty is used that is not possible after properly performed standard of care sinus surgery for RSB

• 出版日期2010-5