Balloon Catheter Technology in Rhinology: Reviewing the Evidence

Abstract

Program Description: Balloon catheter technology was introduced to otolaryngology in 2005 for management of paranasal sinus inflammatory disease. Since its introduction, it has engendered considerable controversy with proponents for and against adoption of the technology. Over time, alternate balloon devices have been advocated for office-based sinus ostia dilatation. Balloon technology has been promoted to be less invasive resulting in reduced pain and quicker recovery, generating significant press and interest by the lay public looking for new solutions for sinonasal problems. Thus, proper vetting of the balloon devices is essential to elucidate their proper role in the surgical paradigm for management of chronic rhinosinusitis. This miniseminar will objectively evaluate the currently available operative suite and office-based balloon catheter technology. Rhinologists with considerable experience without commercial conflicts on balloons will assess the frank advantages and limitations of the current balloon devices. Evidence-based review will be incorporated to assess the strengths and weaknesses of the existing peer-review literature. The potential complications unique to balloon catheters will be reviewed. The concerns of radiation exposure from fluoroscopy will be discussed. Current coding dilemmas and socioeconomic issues will also be addressed. At the conclusion of the miniseminar, participants should have a better understanding of the potential strengths and weaknesses of the balloon catheter technology in the context of management of paranasal sinus disease. This information will also serve as the foundation for better evaluation of new technologies that are introduced to our specialty. The miniseminar will be presented in a multimedia powerpoint format with video demonstrations, when applicable. Audience participation will be encouraged to stimulate discussion through the course of the miniseminar. Educational Objectives: 1) Review currently available balloon catheter technologies and to explore implications on the FESS paradigm. 2) Critically appraise the existing peer-review literature and address potential complications and radiation exposure. 3) Assess socioeconomic implications and CPT coding issues related to balloons.