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CLINICAL CHALLENGES IN OTOLARYNGOLOGY Peter H. Hwang, MD Hypothesis: Balloon dilation proce- other surgical technologies for si- dures are comparable in clinical ef- nus surgery. ficacy to traditional functional en- Efficacy has been more difficult doscopic sinus surgery (FESS) to assess. As gauged by technical suc- techniques involving tissue re- cess of cannulating the sinus os- moval. tium and completion of the bal- loon dilation, the technique is largely BACKGROUND successful, with 80% to 97% rates of procedure completion in most se- 2,3 Having demonstrated clinical effi- ries. Newer fiberoptic light- cacy in cardiology, urology, and oph- guided devices have enabled more thalmology, balloon catheters were ergonomically favorable instrumen- adapted for the paranasal sinuses in tation while avoiding the exposure Peter H. Hwang, MD the early 2000s, highlighted by US to radiation from fluoroscopy, for- Food and Drug Administration merly required of the procedure. ing about what is necessary to ef- (FDA) approval of the first Acclar- However, assessments of clinical fect resolution of inflammatory ent balloon catheter device in 2005 outcomes of balloon dilation are un- changes in the paranasal sinuses. (Acclarent Inc). In the ensuing years, dermined by inadequacies of study At the same time, while we
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Nov 1, 2012
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