A balloon dilatation technique for the treatment of intramaxillary lesions using a Foley catheter in chronic maxillary sinusitis.
BACKGROUND
In chronic maxillary sinusitis, pathologic mucosas of the anterior and lateral walls of the maxillary sinus are difficult to remove. Trocar insertion to the canine fossa is the most commonly used procedure. In the present work, we report a method involving a balloon dilatation technique for treatment of intramaxillary lesions using a Foley catheter in chronic maxillary sinusitis and the outcomes of this approach.


METHODS
Records of 34 patients with intramaxillary sinus lesions who underwent endoscopic sinus surgery were analyzed. After widening the natural ostium, a 10F Foley catheter was inserted through the widening ostium into the maxillary sinus. The intramaxillary lesion was removed by repeated balloon inflation and deflation of the Foley catheter. The patients were followed-up for at least 6 months after the surgery.


RESULTS
There were no significant intraoperative or postoperative complications. We found that the postoperative symptoms and resolution of the lesions in comparison to classic functional endoscopic sinus surgery were not different in authors' experiences.


CONCLUSIONS
The balloon dilatation technique using a Foley catheter is a minimally invasive and effective technique that is not associated with major complications in cases of intramaxillary lesions.
Park
Chan Hum
CH
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Hallym University, #153 Kyo-Dong, Chuncheon, South Korea. hlpch@paran.com
Kim
Hyung Seob
HS
Lee
Jun Ho
JH
Hong
Seok Min
SM
Kim
Seung Kyun
SK
Ko
Young Gil
YG
Lee
Ok Joo
OJ
Kang
Tae Hee
TH
D000328:Adult; D002404:Catheterization / Q000295:instrumentation*; D057785:Catheters; D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome