Abstract
IntroductionChronic rhinosinusitis is a broad clinical syndrome characterized by mucosal inflammation of the nose and paranasal sinuses. In order for the paranasal sinuses to maintain their physiological functions; the ostiomeatal complex drainage pathways must be open. Surgical procedures are an important treatment option in patients who do not respond adequately to medical treatment. Although the methods and instruments used in functional endoscopic sinus surgery have continued to improve in recent years, the scar tissue formed during operation disrupts the drainage of the sinuses and reduces postoperative success. The natural ostiodilatation method, which is performed by balloon sinoplasty method, has become more and more popular in recent years. ObjectivesTo compare the technique of balloon sinoplasty with the classical functional endoscopic sinus surgery method by considering the severity of chronic sinusitis on the same patient. MethodsTotal of 61 chronic sinusitis patients was included in the study. Paranasal sinus tomography of the patients was taken and according to the Lund–Mackay scoring, chronic sinusitis levels were determined. Cases were divided into two groups: Group 1 (severe chronic sinusitis group) and Group 2 (mild chronic sinusitis). ResultsThere was no statistically significant difference in the results of comparison of sinuses which underwent balloon sinoplasty and classical functional endoscopic sinus surgery in Group 2 after Lund–Mackay scores. However in Group 1, the results of the comparison of postoperative Lund–Mackay scores of the balloon sinoplasty and the classical endoscopic operation were statistically significantly lower than those of the face half operated with the classical functional endoscopic sinus surgery. ConclusionThe success of balloon sinoplasty in patients with mild sinusitis is the same as in classic functional endoscopic sinus surgery. However, as the severity of sinusitis increases, the efficacy of balloon sinoplasty decreases.
Highlights
Chronic rhinosinusitis (CRS) is a broad clinical syndrome characterized by mucosal inflammation of the nose and paranasal sinuses
The most important pathologic factor in the development of CRS symptoms is the occurrence of a blockage state that prevents the physiological drainage of the ostiomeatal complex (OMC)
The methods and instruments used in functional endoscopic sinus surgery (FESS) surgery have continued to improve in recent years, the scar tissue formed during operation disrupts the drainage of the sinuses and reduces postoperative success
Summary
Chronic rhinosinusitis is a broad clinical syndrome characterized by mucosal inflammation of the nose and paranasal sinuses. The primary treatment of CRS is medical treatment, which provides remission in many patients.[2] Surgical procedures are an important treatment option in patients who do not respond adequately to medical treatment, have obstructive anatomical variations of sinus drainage in imaging and examination results, develop sinusitis complications and have allergic fungal infection.[3] The basic principles of functional endoscopic sinus surgery (FESS) are based on endoscopic visualization of the nose by an endonasal approach and removal of the drainage-inhibiting tissues using special instruments.[4] the methods and instruments used in FESS surgery have continued to improve in recent years, the scar tissue formed during operation disrupts the drainage of the sinuses and reduces postoperative success. Invasive methods have been developed to further reduce scar formation; methods are needed to provide natural dilatation of the sinus ostia
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