Open AccessA Cure for PAINS? A Novel Approach to Management of Proton‐Associated Internal Nasal Valve Stenosis
Author(s) -
Flukes Stephanie,
Hanson Martin,
Bott Matthew,
Cohen Marc A.
Publication year - 2020
Publication title -
oto open
Language(s) - English
Resource type - Journals
ISSN - 2473-974X
DOI - 10.1177/2473974x20952699
Subject(s) - medicine , stenosis , nasal cavity , radiology , balloon dilatation , balloon , surgery
Acquired internal nasal stenosis as a result of radiotherapy to the sinonasal region can be highly distressing for patients and difficult to correct surgically. We describe our experience using a controlled radial expansion balloon to dilate the area of stenosis, followed by stenting to the region. We achieved excellent results in 3 patients using this technique, with improvement in subjective nasal airflow across 100% of stenoses and complete resolution in 83%. This technique offers a simple and low‐morbidity option for the management of acquired anterior nasal stenosis and is of particular value in cases of irradiation, which has the potential for poor tissue healing.