Background: More than a decade after its introduction, some rhinologic surgeons have incorporated the technique of balloon sinus dilation (BSD) technology into "hybrid" endoscopic sinus surgery (ESS) procedures. A novel BSD device which can be placed over standard surgical instruments, including surgical navigation instruments, has recently been introduced. We present a case series in which this device was used as a hydraulic dissection tool to aid safe efficient surgery in difficult-to-access locations of the paranasal sinuses during hybrid ESS procedures.
Objective: Highlight the potential role of hydraulic dissection techniques during ESS utilizing BSD.
Methods: Retrospective case series of patients who underwent ESS performed in part with a novel BSD device.
Results: A total of 10 patients who underwent hybrid ESS with BSD were reviewed. In all 10 cases, the novel BSD device was used without complication. The device was used over straight and curved suctions while being tracked with surgical navigation in all cases. Thirteen posterior ethmoid dissections, 12 sphenoidotomies, and 8 frontal sinusotomies were assisted with the device. For the selected dissections in which the balloon was utilized, the operating surgeon found it to be helpful in creating more space in difficult to access areas which allowed for continued safe surgical dissection.
Conclusions: Sinus balloon devices can be used as a hydraulic dissection tool and may be a useful adjunct during ESS. The novel dilation system used in this study, which deploys a sinus balloon device over standard surgical instruments with surgical navigation, provides even more opportunity to accurately dissect difficult areas of the paranasal sinuses safely and efficiently. Further studies evaluating the exact role of sinus balloon devices used as a hydraulic dissection tool during ESS are warranted.
Level Of Evidence: 4.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513423 | PMC |
| http://dx.doi.org/10.1002/lio2.638 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Can Contrast Injections Cause or Propagate Coronary Injuries? Insights From Vessel and Guiding Catheter Hemodynamics.
J Soc Cardiovasc Angiogr Interv
December 2024
Imperial College London, United Kingdom.
Background: The mechanistic association between the hydraulic forces generated during contrast injection and the risk of coronary injury is poorly understood. In this study, we sought to evaluate whether contrast injections increase intracoronary pressures beyond resting levels and estimate the risk of hydraulic propagation of coronary dissections.
Methods: This is a prospective, single-arm, multicenter study that included patients with nonculprit, non-flow-limiting coronaries.
State shifts in the deep Critical Zone drive landscape evolution in volcanic terrains.
Proc Natl Acad Sci U S A
January 2025
Department of Earth Sciences, University of Oregon, Eugene, OR 97403.
Volcanic provinces are among the most active but least well understood landscapes on Earth. Here, we show that the central Cascade arc, USA, exhibits systematic spatial covariation of topography and hydrology that are linked to aging volcanic bedrock, suggesting systematic controls on landscape evolution. At the Cascade crest, a locus of Quaternary volcanism, water circulates deeply through the upper [Formula: see text]1 km of crust but transitions to shallow and dominantly horizontal flow as rocks age away from the arc front.
View Article and Find Full Text PDFActivation of persulfates on carbon nanotubes for water decontamination: Is the non-radical process consistently considered across different pH levels?
J Hazard Mater
December 2024
State Key Laboratory of Hydraulics and Mountain River Engineering, College of Architecture and Environment, Sichuan University, Chengdu 610065, China.
Carbon nanotubes-driven persulfates oxidation processes (CNTs/PS) have been extensively studied for environmental remediation. Solution pH is one of the main factors affecting wastewater treatment, but it is often overlooked. Herein, we report the effect laws of pH on the mechanism of peroxymonosulfate (PMS) or peroxydisulfate (PDS) activation by CNTs.
View Article and Find Full Text PDFNew insight in the biotreatment of produced water: Pre-oxidation paves a rapid pathway for substrate selection in microbial community.
J Hazard Mater
December 2024
School of Civil Engineering, Shandong University, Jinan, Shandong, PR China, 250000; Laboratory of water-sediment regulation and eco-decontamination, Jinan, Shandong, PR China, 250000. Electronic address:
The deep treatment of produced water (PW) had emerged as a formidable challenge due to the coexistence of hydrocarbons, surfactants, ammonium nitrogen, and other refractory organics. On the basis of the pre-oxidation coupled heterotrophic ammonia assimilation (PHAA) system constructed in previous research, this work refined the catalyst selection and reduced the hydraulic retention time. The stable running PHAA system removed 96.
View Article and Find Full Text PDFInterventional Applications for an Ostial Protection Guidewire-The WALPO Technique.
Catheter Cardiovasc Interv
December 2024
Georgia Heart Institute, Northeast Georgia Medical Center, Gainesville, Georgia, USA.
Coronary atherosclerotic lesions at the ostium and proximal coronary arteries pose significant challenges in percutaneous coronary interventions (PCI), especially in the left main coronary artery (LMCA). Guide catheter-induced damage can lead to severe complications such as vessel dissection or myocardial infarction. Ostial stent placement with drug-eluting stents offers mechanical support and reduces restenosis but is technically challenging due to the anatomical complexity of the ostium.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!