Surgical analysis of transnasal frontal sinus balloon dilatation

Abstract

Objective:To compare the clinical efficacy and safety of frontal sinus balloon for frontal sinus surgery with frontal sinus balloon dilatation and conventional frontal sinus surgery. Method:One thousand four hundred and eighty-nine cases from 2013 to 2018 were collected. The surgical methods included frontal sinus balloon dilatation, frontal sinus balloon assisted FESS and Stammberger frontal sinus removal. The preoperative and postoperative data of 1 125 patients were collected and the rate of loss of follow-up was 24.44%. All patients underwent endoscopic, CT and symptom scores before and after operation. The postoperative follow-up period ranged from 6 months to 8 years. The postoperative nasal endoscopy and CT review were recorded. Lund-Kenndy endoscopic scores were performed on the frontal sinus mucosa of patients 1-6 months after surgery. Result:In the simple frontal sinus balloon dilatation group, 59 cases were cured, 37 cases were cured, 20 cases were improved, 2 cases were ineffective, and the frontal sinus opening rate was 96.61%. The frontal sinus balloon assisted FESS group was 609 cases, 381 cases were cured, and 169 cases were improved. There were 59 cases ineffective, 8 of which were cured after the second operation, and the frontal sinus opening rate was 90.31%; Stammberger went to the eggshell group in 457 cases, recovered 285 cases, improved in 122 cases, and ineffective in 50 cases, including 13 cases. After the second operation, the patient was cured after the second operation. Two cases of postoperative sinus ostium adhesions were cured. The balloon was dilated after the expansion of the outpatient clinic. The frontal sinus opening rate was 89.06%. Nasal endoscopy scores were statistically analyzed using SPSS 19.0 software. Conclusion:Frontal sinus balloon dilatation is suitable for most frontal sinus lesions and is safer than traditional endoscopic frontal sinus surgery. Compared with Stammberger's eggshell surgery, frontal sinus balloon dilatation has the advantages of simple and easy operation, short learning curve, convenient and accurate, and worthy of clinical promotion.