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Zyabkin I.V.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of Russia, Moscow, Russia, 117997;
Russian Medical Academy for Continuing Professional Education of the Ministry of Health of Russia, Department of Pediatric Otorhinolaryngology, Moscow, Russia, 125993

Grachev N.S.

Federal Scientific and Clinical Center for Childhood Hematology, Oncology and Immunology

Karpova E.P.

Kafedra detskoĭ otorinolaringologii Rossiĭskoĭ meditsinskoĭ akademii poslediplomnogo obrazovaniia

Vorozhtsov I.N.

FNKTs detskoĭ gematologii, onkologii i immunologii im. D. Rogacheva, Moskva, Rossiia, 117198

Yaremenko E.Yu.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of Russia, Moscow, Russia, 117997

Balloon sinuplasty in children – Russian first experience

Authors:

Zyabkin I.V., Grachev N.S., Karpova E.P., Vorozhtsov I.N., Yaremenko E.Yu.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2020;85(1): 48‑53

DOI: 10.17116/otorino20208501148

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BALLOON SINUPLASTY IN CHILDREN – RUSSIAN FIRST EXPERIENCE
BALLOON SINUPLASTY IN CHILDREN – RUSSIAN FIRST EXPERIENCE

To cite this article:

Zyabkin IV, Grachev NS, Karpova EP, Vorozhtsov IN, Yaremenko EYu. Balloon sinuplasty in children – Russian first experience. Russian Bulletin of Otorhinolaryngology. 2020;85(1):48‑53. (In Russ.)
https://doi.org/10.17116/otorino20208501148

Подписка 2025-2 (Russian Bulletin of Otorhinolaryngology)
 
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Objective. To evaluate and compare the clinical outcome and impact of balloon sinuplasty and functional endoscopic sinus surgery (FESS) on the quality of life of pediatric patients and adolescents suffering from chronic rhinosinusitis (CRS). Material and methods. A retrospective study was performed of 47 children with failed medical therapy, who were scheduled for surgery. The first one pediatric balloon sinuplasty was performed by Ilya Zyabkin in Filatov Children’s City Hospital on the 30-th of August 2012.They underwent treatment by balloon sinuplasty of selected sinuses in 553% (n=26) cases and hybrid FESS with BSP — in 44.7% (n=21). Data were collected, including perioperative CT Lund-Mackay score and SN-5 quality of life findings. Results. Compared with preoperative values, Lund-Mackay scores were significantly lower at 1 year (p<0.05) in 92,3% (n=12) patients after surgery. Moreover, balloon sinuplasty improved sinusrelated quality of life score in 93.3% (n=42) patients for up to 1 year after operation (p<0.05). Conclusion. Balloon sinuplasty showed a clinical curative effect in the treatment of children and adolescents with refractory CRS, and was relatively safe by itself. BSP allows to postpone, if necessary, FESS or avoid circular mucosal trauma and infundibulotomy in hybrid FESS with balloon sinuplasty technique.

Keywords:

Balloon sinuplasty
children
chronic rhinosinusitis
pediatric rhinology
sinus surgery
nasal surgery

Authors:

Zyabkin I.V.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of Russia, Moscow, Russia, 117997;
Russian Medical Academy for Continuing Professional Education of the Ministry of Health of Russia, Department of Pediatric Otorhinolaryngology, Moscow, Russia, 125993

Grachev N.S.

Federal Scientific and Clinical Center for Childhood Hematology, Oncology and Immunology

Karpova E.P.

Kafedra detskoĭ otorinolaringologii Rossiĭskoĭ meditsinskoĭ akademii poslediplomnogo obrazovaniia

Vorozhtsov I.N.

FNKTs detskoĭ gematologii, onkologii i immunologii im. D. Rogacheva, Moskva, Rossiia, 117198

Yaremenko E.Yu.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of Russia, Moscow, Russia, 117997

List of references:

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  4. Vlastarakos PV, Fetta M, Segas JV, Maragoudakis P, Nikolopoulos TP. Functional endoscopic sinus surgery improves sinus-related symptoms and quality of life in children with chronic rhinosinusitis: a systematic analysis and meta-analysis of published interventional studies. Clin Pediatr (Phila). 2013;52(12):1091-1097. https://doi.org/10.1177/0009922813506489
  5. Levine H, Rabago D. Balloon sinuplasty: a minimally invasive option for patients with chronic rhinosinusitis. Postgrad Med. 2011;123(2):112-118. https://doi.org/10.3810/pgm.2011.03.2269
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  8. Brodner D, Nachlas N, Mock P, Truitt T, Armstrong M, Pasha R, et al. Safety and outcomes following hybrid balloon and balloon-only procedures using a multifunction, multisinus balloon dilation tool. Int Forum Allergy Rhinol. 2013;3:652-658. https://doi.org/10.1002/alr.21156
  9. Lieser JD, Derkay CS. Pediatric sinusitis: when do we operate? Curr Opin Otolaryngol Head Neck Surg. 2005;13(1):60-66. PMID: 15654218.
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  11. Bothwell MR, Piccirillo JF, Lusk RP, Ridenour BD. Long-term outcome of facial growth after functional endoscopic sinus surgery. Otolaryngol Head Neck Surg. 2002;126(6):628-634. https://doi.org/10.1067/mhn.2002.125607
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