A Cure for PAINS? A Novel Approach to Management of Proton-Associated Internal Nasal Valve Stenosis. Issue 3 (August 2020)

• Record Type: Journal Article
• Authors: Flukes, Stephanie; Hanson, Martin; Bott, Matthew; Cohen, Marc A.
• Is Part Of: OTO open. Volume 4:Issue 3(2020)
• Publication Date: 2020-08
• Subjects: sinonasal -- nasal stenosis -- radiotherapy; Otolaryngology -- Periodicals; Otolaryngology; Electronic journals; Periodicals; 617.51
• DOI: 10.1177/2473974X20952699
• Languages: English
• ISSNs: 2473-974X

Abstract

Acquired internal nasal stenosis as a result of radiotherapy to the sinonasal region can be highly distressing for patients and difficult to correct surgically. We describe our experience using a controlled radial expansion balloon to dilate the area of stenosis, followed by stenting to the region. We achieved excellent results in 3 patients using this technique, with improvement in subjective nasal airflow across 100% of stenoses and complete resolution in 83%. This technique offers a simple and low-morbidity option for the management of acquired anterior nasal stenosis and is of particular value in cases of irradiation, which has the potential for poor tissue healing.