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    Effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis without polyposis
    (Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2014-11-01) Abreu, Cassiana Burtet; Balsalobre, Leonardo [UNIFESP]; Pascoto, Gabriela Robaskewicz; Pozzobon, Moacir; Fuchs, Sandra Costa; Stamm, Aldo Cassol [UNIFESP]; Univ Toronto; Univ Fed Rio Grande do Sul; Complexo Hosp Edmundo Vasconcelos; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Balloon sinuplasty is a minimally invasive endoscopic procedure, developed with the aim of restoring patency of the paranasal sinuses ostia with minimal damage to the mucosa.Objective: To evaluate the effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis.Methods: This was a prospective cohort study comprising 18 patients with chronic rhinosinusitis without polyposis who underwent balloon sinuplasty. Patients were evaluated for clinical criteria, quality of life (Sino-Nasal Outcome Questionnaire Test-20 [SNOT-20]), and computed tomography of the sinuses (Lund-Mackay staging) preoperatively and three to six months after the procedure.Results: Out of 18 patients assessed, 13 were included, with a mean age of 39.9 +/- 15.6 years. Ostia sinuplasty was performed in 24 ostia (four sphenoid, ten frontal, and ten maxillary sinus). At the follow-up, 22 (92%) ostia were patent and there was no major complication. There was symptomatic improvement (SNOT-20), with Cronbach coefficients for consistency of the questionnaire items of 0.86 (95% CI: 0.73-0.94) preoperatively and of 0.88 (95% CI: 0.77-0.95) postoperatively, the difference being statistically significant (p < 0.001). in addition, there was marked reduction of the computed tomography signs, an average of 4.2 point score (p < 0.001).Conclusion: Sinuplasty is effective in reducing symptoms and improving quality of life as a treatment option for chronic rhinosinusitis in selected patients. (C) 2014 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
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    Efficacy of syringe-irrigation topical therapy and the influence of the middle turbinate in sinus penetration of solutions
    (Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2017) Wawginiak, Guilherme Henrique; Balsalobre, Leonardo [UNIFESP]; Kosugi, Eduardo Macoto [UNIFESP]; Mangussi-Gomes, Joao Paulo [UNIFESP]; Samaniego, Raul Ernesto; Stamm, Aldo Cassol
    Introduction: Topical therapies are the best postoperative treatment option for chronic rhinosinusitis, especially those with high volume and pressure, such as the squeeze bottles. However, they are not an available option in Brazil, where irrigation syringes are used. Objective: To investigate the efficacy of topical sinonasal therapy with syringe and the influence of the middle turbinate on this process Methods: Intervention study in training models (S.I.M.O.N.T.). After standard dissection, three interventions were performed (Nasal Spray 4 puffs, 60-mL syringe and 240-mL Squeeze Bottle) with normal and Sutured Middle Turbinate. Images of each sinus were captured after the interventions, totalizing 144 images. The images were classified by 10 evaluators according to the amount of residual volume from zero to 3, with zero and 1 being considered poor penetration and 2 and 3, good penetration. The 1440 evaluations were used in this study. Results: Considering all middle turbinate situations, the amount of good penetrations were 8.1% for Spray