Abstract
Balloon catheter sinuplasty’s (BCS) role in the treatment algorithm of pediatric chronic rhinosinusitis (CRS) continues to evolve. Our review seeks to elucidate how best to use BCS when treating pediatric CRS based on the current literature. BCS as an adjuvant procedure to adenoidectomy or limited functional endoscopic sinus surgery potentially shows greater symptomatic improvements in both validated and non-validated questionnaires. BCS for recalcitrant CRS after adenoidectomy shows promise as well. BCS may not be as efficacious in patients with medical comorbidities or anatomic variants such as a hypoplastic maxillary sinus or Haller cells. BCS as an adjuvant procedure, or as an additional procedure after adenoidectomy failure but before functional endoscopic sinus surgery, shows promising outcomes. Because of the limited evidence thus far, randomized-controlled prospective studies with higher power are needed to further clarify the efficacy of BCS. Further research regarding its role in acute complications of CRS is also needed.
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