Literature Reviews » Allergy

The Role of Balloon Catheter Sinuplasty in Pediatric Sinus Disease

What is the role of balloon catheter sinuplasty (BCS) in the surgical management of pediatric sinus disease? Background: Adenoidectomy and functional endoscopic sinus surgery have traditionally comprised the surgical management of chronic recurrent sinusitis (CRS) recalcitrant to medical therapy in the pediatric population. First introduced in 2006, BCS does not involve tissue removal and is, theoretically, […]

The Case for Second Look Procedures

Are there any intraoperative findings that could determine whether a second look procedure should be performed in pediatric cholesteatoma surgery? Background: There is no clear consensus regarding the surgical management of pediatric cholesteatoma. Canal wall up surgery is a popular approach, but the indications and timing of a second look procedure remain vague. Study design: Retrospective chart […]

Health Care Utilization for Allergic Rhinitis

Have there been incremental increases in health care utilization and expenditures for allergic rhinitis (AR) patients? Background: AR, one of the most common and likely underdiagnosed conditions, has been studied for quality of life issues, but little has been studied regarding its economic and health care burdens. Study design: Review of data from the 2007 Medical Expenditure […]

Medical Therapy vs. Surgery for CRS

How does surgery perform prospectively when compared to medical therapy for chronic rhinosinusitis (CRS)? Background: Since the introduction of endoscopic diagnosis and surgery for CRS in 1985, very few prospective studies have addressed the question of when patients should be treated with medical therapy alone and when they should have endoscopic sinus surgery (ESS). Study design: Level […]

Endoscopic Sinus Surgery Improves QoL in Patients with Minimal Disease

Will endoscopic sinus surgery (ESS) provide an improved quality of life (QoL) for patients with medically recalcitrant chronic rhinosinusitis (CRS) who have minimally affected computed tomography (CT) scans of the paranasal sinuses? Background: Although most otolaryngologists have encountered patients with symptoms and endoscopic findings suggestive of CRS, CT evaluation may demonstrate minimal mucosal disease in some […]