Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis. Issue 2 (14th February 2020)

• Record Type: Journal Article
• Authors: Maurrasse, Sarah K.; Hwa, Tiffany P.; Waldman, Erik; Kacker, Ashutosh; Pearlman, Aaron N.
• Is Part Of: Laryngoscope investigative otolaryngology. Volume 5:Issue 2(2020)
• Page Start: 194
• Page End: 199
• Publication Date: 2020-02-14
• Subjects: balloon dilation -- balloon sinuplasty -- endoscopic sinus surgery -- frontal sinusitis -- pediatric ARS; Otolaryngology -- Periodicals; Laryngoscopy -- Periodicals; Otolaryngology; Otolaryngology; Periodicals; Periodicals; 617.51
• DOI: 10.1002/lio2.359
• Languages: English
• ISSNs: 2378-8038

Abstract

Abstract: Background/Objective: Complicated acute rhinosinusitis in the pediatric population is an uncommon problem that may affect the orbit or brain and is life‐threatening. This condition requires surgical intervention with endoscopic sinus surgery for source control, and prior studies have demonstrated the safety of balloon sinuplasty in chronic frontal sinusitis. Methods/Results: We present our approach with a balloon sinus dilation hybrid procedure to resolve four distinct types of complicated acute frontal sinusitis in pediatric patients, including intracranial manifestations, intraorbital complications, and recurrent disease. All four patients were able to be managed operatively with frontal balloon sinuplasty. Conclusions: Prior efficacy has been demonstrated for chronic frontal sinusitis in the pediatric population. We demonstrate that frontal balloon sinuplasty is also feasible in the proper clinical setting for acute frontal sinusitis, even in the presence of regional complications or recurrent disease. Level of Evidence: 4 Abstract : We report a case series of four pediatric patients with acute frontal rhinosinusitis manifesting with extra‐sinonasal complications who underwent surgical intervention with endoscopic sinus surgery. In all four patients, we were able to successfully use balloon sinus dilation in the acute setting.