A Case of Recurrent Sinus Headache Treated with Balloon Sinuplasty

Jung Min Ahn; Nayeon Choi; Hyun-Jin Cho; Hun-Jong Dhong

doi:10.18787/jr.2015.22.2.103

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Ahn, Choi, Cho, and Dhong: A Case of Recurrent Sinus Headache Treated with Balloon Sinuplasty

Case Report

J Rhinol 2015;22(2):103-106.

Published online: 10 January 2015

DOI: https://doi.org/10.18787/jr.2015.22.2.103

A Case of Recurrent Sinus Headache Treated with Balloon Sinuplasty

Jung Min Ahn, MD, Nayeon Choi, MD, Hyun-Jin Cho, MD, Hun-Jong Dhong, MD

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

교신저자：동헌종, 06351 서울 강남구 일원로 81 성균관대학교 의과대학 삼성서울병원 이비인후과학교실 Tel: +82-2-3410-3579, Fax: +82-2-3410-3879, E-mail: hjdhong@skku.edu

Received 27 February 2015 Revised 18 March 2015 Accepted 6 July 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Catheterization, Chronic rhinosinusitis, Sinus headache, Balloon sinuplasty.

References

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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.

Fig. 2.

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

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.

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