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Frontal Sinus Balloon Sinuplasty Trends
  • Daniel Holt Lofgren,
  • Brandon Brian Knight,
  • Carl Bernard Shermetaro
Daniel Holt Lofgren
McLaren-Oakland Hospital

Corresponding Author:[email protected]

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Brandon Brian Knight
McLaren-Oakland Hospital
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Carl Bernard Shermetaro
McLaren-Oakland Hospital
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Abstract

Background: Balloon sinuplasty (BSP) is a common treatment modality used in the management of chronic rhinosinusitis (CRS), although it’s gained popularity, minimal self-reported data on its utilization and complications have been reported. The goal of this study was to describe current practices and complications experienced during frontal sinus BSP. Methods: An anonymous 20-question online survey was distributed to members of the American Osteopathic Colleges of Ophthalmology and Otolaryngology-Head and Neck Surgery from August 1, 2022, to August 30, 2022. Questions were listed as multiple choices or percentage sliding bars, and data were collected using a commercial online survey service site. Results were reported as frequencies, means, and percentages. Results: Forty-two respondents participated in the survey, with the majority practicing in the following hospital settings: community (80.95%), hybrid (11.90%), and academic (7.14%). The southeast had the largest proportion of respondents (30.95%), versus the midwest (28.57%), southwest (23.81%), northeast (11.90%), and northwest (4.76%). On average, BSP was performed most commonly in the hospital setting versus in-office and in surgical centers. Respondents who used BSP primarily, reported a yearly average of 35.72 cases, a median of 12 cases, and a range of 0-361 cases. Respondents who used BSP with functional endoscopic sinus surgery (FESS), reported a yearly average of 48.62 cases, a median of 31 cases, and a range of 0-189 cases. Overall, 15.3% of otolaryngologists reported using intraoperative (11.72%) or postoperative (3.62%) nasal packing. Early complications included postoperative headaches (9.86%), acute bacterial sinusitis (ABRS) (3.52%), and tooth/facial numbness (0.86%). Reported long-term complications included postoperative synechiae (5.10%), orbital complications (0.14%), and skull base complications (0.10%). A previously unreported complication was identified through this study, accidental sphenopalatine fossa dilation. Conclusions: This study contributes to the growing body of literature on frontal sinus BSP by characterizing utilization and complications from a large otolaryngologic academy.