AI Article Synopsis
- - The review focuses on the current evidence surrounding balloon sinuplasty for treating pediatric chronic rhinosinusitis (CRS), which is ten years after the initial clinical consensus statement that deemed the treatment as lacking sufficient evidence.
- - Recent findings show that balloon sinuplasty is not cost-effective compared to procedures like adenoidectomy and endoscopic sinus surgery, although it offers benefits like shorter surgery times and less tissue damage.
- - The conclusion suggests that pediatric otolaryngologists should prioritize adenoidectomy and consider endoscopic sinus surgery, as balloon sinuplasty's effectiveness remains unproven, highlighting the need for further research.
Article Abstract
Purpose Of Review: This year marks 10 years from the publication of the clinical consensus statement on pediatric chronic rhinosinusitis (CRS). Balloon sinuplasty did not meet criteria for consensus at that time because there was insufficient evidence on its efficacy and safety. The purpose of this review is to summarize the current evidence on balloon sinuplasty treatment for pediatric CRS.
Recent Findings: Balloon sinuplasty is not a cost-effective measure compared to adenoidectomy and endoscopic sinus surgery (ESS). In the pediatric population, benefits include short operative time, reduced tissue manipulation, and potential for decreased antibiotic courses. Alternatively, balloon dilation has increased equipment costs and there is a lack of robust prospective data that fully elucidates balloon sinuplasty's role in the management of pediatric CRS.
Summary: Pediatric otolaryngologists should continue to perform first-line adenoidectomy and consider ESS based on imaging and other validated clinical scoring systems. Balloon sinuplasty has not yet been proven as an effective treatment for pediatric CRS and further large-scale investigations are required to overcome its lack of cost-effectiveness.
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| http://dx.doi.org/10.1097/MOO.0000000000001016 | DOI Listing |
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Article Synopsis
- - The review focuses on the current evidence surrounding balloon sinuplasty for treating pediatric chronic rhinosinusitis (CRS), which is ten years after the initial clinical consensus statement that deemed the treatment as lacking sufficient evidence.
- - Recent findings show that balloon sinuplasty is not cost-effective compared to procedures like adenoidectomy and endoscopic sinus surgery, although it offers benefits like shorter surgery times and less tissue damage.
- - The conclusion suggests that pediatric otolaryngologists should prioritize adenoidectomy and consider endoscopic sinus surgery, as balloon sinuplasty's effectiveness remains unproven, highlighting the need for further research.
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