The Laryngoscope C 2014 The American Laryngological, V

Rhinological and Otological Society, Inc.

Operative Utilization of Balloon Versus Traditional Endoscopic Sinus Surgery Elisabeth H. Ference, MD, MPH; Madeline Graber, BS; David Conley, MD; Rakesh K. Chandra, MD; Bruce K. Tan, MD; Charlesnika Evans, PhD, MPH; Melissa Pynnonen, MD, MSc; Stephanie S. Smith, MD, MS Objectives/Hypothesis: To study the utilization of balloon catheter dilation (BCD) compared to traditional endoscopic sinus surgery (ESS) Study Design: Cross-sectional analysis Methods: Cases identified by Current Procedural Terminology codes as BCD (2,717) or traditional ESS (31,059) were extracted from the State Ambulatory Surgery Databases 2011 for California, Florida, Maryland, and New York. Patient demographics, surgical center and surgeon volume, mean charge, and operating room (OR) time were compared. Results: There were 33,776 patients who underwent sinus surgery in the included states in 2011. Of these, 4.6% of maxillary, 5.6% of sphenoid, and 13.9% of frontal procedures were performed using BCD. Adjusted analyses found increased use of BCD in patients with chronic diseases(P