J Rhinol.  2015 Nov;22(2):103-106. 10.18787/jr.2015.22.2.103.

A Case of Recurrent Sinus Headache Treated with Balloon Sinuplasty

• Ahn JM
• Choi N
• Cho HJ
• Dhong HJ

• KMID: 2223205
• DOI: http://doi.org/10.18787/jr.2015.22.2.103

Abstract

Since its introduction in 2006, balloon sinuplasty has been a controversial procedure among rhinologists. It is considered to be a minimally invasive procedure for the treatment of chronic rhinosinusitis. However, some sinus surgeons prefer to use conventional sinus surgery. Nevertheless, the current evidence indicates that balloon sinuplasty results in the reduction of surgery duration, hospital stay, postoperative pain and the facilitation of early wound healing. Herein, we report the first case in Korea of the successful dilatation of the sinuses using balloon sinuplasty in a 39-year-old woman with recurrent headache episodes that were aggravated during airplane travel.

Keyword

Catheterization; Chronic rhinosinusitis; Sinus headache; Balloon sinuplasty

MeSH Terms

Adult
Aircraft
Catheterization
Dilatation
Female
Headache*
Humans
Korea
Length of Stay
Pain, Postoperative
Wound Healing

Figure

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  Fig. 1. Pre- and post-operative CT scan (exam carried out 3 months after the surgery) of the patient who received the balloon sinuplasty. A and B: Coronal images of pre-operative CT scan showed blurring of the bilateral maxillary sinuses, ethmoid sinuses and frontal sinuses. C and D: Coronal images of post-operative CT scan (3 months after the procedure) showed normal aeration of the bilateral sinuses.

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  Fig. 2. Right frontal transcutaneous illumination. A localized light-spot of guide-wire can be seen when frontal sinus catheterization is successful.

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  Fig. 3. Endoscopic view of middle meatus before and after balloon sinuplasty. (A) Right middle meatus and (B) Left middle meatus before balloon sinuplasty. (C) Right middle meatus and (D) Left middle meatus 1day after balloon dilation. (E) Right middle meatus and (F) Left middle meatus 2weeks after balloon dilation.

Reference

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