Sinuplasty balloon in frontal sinus: Experience in 8 patients

Abstract

Introduction: Sinuplasty with balloon is a technology increasingly used in sinus pathology, avoiding trauma, and preserving anatomy. It avoids the instrumentation of frontal sinus, and can be realized even in ambulatory form, with high degree of safety. Main indications are the pathologies of frontal sinus, such as isolated sinusitis, focused osteitis, postoperatory sinusitis or barotrauma, where it allows the conservation of the mucose of the frontal recess. Controversies relate to especific indications, cost and the absence of removal tissue. Aim: Asses the effectiveness of balloon sinuplasty in pathology of the frontal sinus. Material and method: Retrospective descriptive study analizing 8 clinical cases, demographic data, surgical indication, technology used, postoperatory follow-up and complications. Results: Eight patients, average age 51,4 years. In the majority of the patients was used balloon and endoscopic surgical (7/8). In all cases technique was demonstrated postoperatory permeability of the frontal sinus. No one patient report complications, with an average follow-up of 22,2 months. Conclusions: Balloon sinuplasty is a sure tool, and is a complementary instrument for nasosinusal surgery, being specially useful in dilatation and ventilation of the frontal recess. Anatomical previous knowledge is essential for its correct use.