Pediatric rhinosinusitis is common but sometimes overlooked. Pediatric patients are often subject to other disease entities which may have a significant overlap with symptoms associated with pediatric Chronic Rhinosinusitis (CRS).
Symptom overlap examples include:
- Allergic rhinitis
- Recurrent viral URI
- Chronic adenoiditis
- ET dysfunction
Currently there is a lack of evidence for antibiotic efficacy in chronic sinusitis. Adenoidectomy failure rate is 40-60% when used as a sole Chronic Rhinosinusitis (CRS) surgical treatment.
The result is a considerable loss of school time and accumulation of medical expenses, affecting children and their parents.
Balloon Sinuplasty, Safe and Effective for Children Suffering from Chronic Sinusitis
Adenoidectomy with Balloon Sinuplasty and lavage of the maxillary sinus may be an appropriate surgical therapy for children deemed to have failed medical treatment.
Multiple studies have demonstrated long-term success of 80-87% with adenoidectomy or after failed adenoidectomy.
In one study, a higher percentage of children’s SN-5 sinonasal symptoms were improved at 12 months, in the Balloon Sinuplasty and adenoidectomy group (80%) compared to the group that underwent adenoidectomy alone (53%).
*Patients were not randomized between the Balloon Sinuplasty and adenoidectomy group and the adenoidectomy alone group. Therefore, the results may be due to different patient characteristics rather than the procedure performed.
Acclarent’s Balloon Sinuplasty Systems (RELIEVA® SPIN, ULTIRRA®, and SOLO PRO™) are indicated for children aged 17 and under and are intended to dilate sinus ostia and spaces associated with the maxillary sinus for diagnostic and therapeutic procedures.
Balloon Sinuplasty is an Effective Option After Failed Adenoidectomy
In a tertiary care, university affiliated pediatric institution, a side-by-side post-operative comparison of patients who underwent Balloon Sinuplasty with ethmoidectomy or ESS after failed adenoidectomy was conducted. Although the difference was not statistically significant, 62.3% of ESS patients and 80% of Balloon Sinuplasty patients reported improvement in their overall sinus symptoms post-operatively.
**Patients were not randomized between the Balloon Sinuplasty and ESS group. Therefore, the results may be due to different patient characteristics rather than the procedure performed.