Effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis without polyposis
Bibliographic record
Abstract
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. To evaluate the effectiveness of balloon sinuplasty in patients with chronic rhinosinusitis. 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. 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). Sinuplasty is effective in reducing symptoms and improving quality of life as a treatment option for chronic rhinosinusitis in selected patients. Sinuplastia com balão é um procedimento endoscópico minimamente invasivo, desenvolvido com o objetivo de restaurar a patência dos óstios dos seios paranasais com mínimo dano à mucosa. Avaliar a efetividade da sinuplastia com balão em pacientes com diagnóstico de rinossinusite crônica. Estudo de coorte, prospectivo, envolvendo 18 pacientes com rinossinusite crônica sem polipose submetidos à sinuplastia com balão. Foram avaliados critérios clínicos, qualidade de vida (SNOT-20) e tomografia computadorizada dos seios da face (estadiamento de Lund - Mackay) três a seis meses após o procedimento. Dos 18 pacientes avaliados, 13 foram incluídos, com média de idade 39.9 ± 15.6 anos. A sinuplastia foi realizada em 24 óstios (10 frontais, 10 maxilares e 4 esfenóides). Após acompanhamento, 22 (92%) óstios permaneceram patentes, sem ter ocorrido nenhuma complicação maior. Houve melhora sintomática (SNOT-20) com coeficiente de Cronbach para consistência dos itens do questionário de 0,86 (IC95% 0,73 - 0,94) no pré-operatório e 0,88 (IC95% 0,77 - 0,95) no pós-operatório, respectivamente, sendo estatisticamente significativa a diferença (P < 0,001) e redução marcante dos sinais à tomografia, em média 4,2 pontos do escore (P < 0,001). Sinuplastia mostrou-se efetiva para redução de sintomas e melhora da qualidade de vida como opção de tratamento da rinossinusite crônica em pacientes selecionados.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".