{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:29:13Z","timestamp":1791584953710,"version":"4.3.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:00:00Z","timestamp":1758499200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012729","name":"Clinical and Translational Science Collaborative of Cleveland, School of Medicine, Case Western Reserve University","doi-asserted-by":"publisher","award":["UL1TR002548"],"award-info":[{"award-number":["UL1TR002548"]}],"id":[{"id":"10.13039\/100012729","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Previous research has reported inconsistent results when evaluating long-term revision rates of patients undergoing balloon sinus dilation (BSD) compared to primary endoscopic sinus surgery (ESS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to compare outcomes and long-term rates of revision surgery in patients with chronic rhinosinusitis without nasal polyps (CRSsP) who underwent primary standalone BSD versus primary ESS. We also wanted to better understand the post-procedure utilization of major healthcare resources between these groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective cohort study using the TriNetX platform to identify patients with CRSsP undergoing standalone BSD versus primary ESS. 1:1 propensity score matching was performed to balance age and gender in each cohort. The primary outcome was revision ESS rates at 1 and 10 years. Secondary outcomes were rates of healthcare utilization and complications, including orbital, cerebrospinal fluid (CSF) leak, and epistaxis within 90 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After matching, each cohort had 2112 patients. At 1 year, the revision ESS rate was 3.5% in the balloon cohort and 3.5% in the ESS cohort (OR = 0.97, 95% CI: 0.70\u20131.35). Extending follow-up to 10 years, revision rates were also not statistically different: 5.8% in the balloon cohort and 6.3% in the ESS cohort (OR = 0.92, 95% CI: 0.72\u20131.19). Patients in the balloon cohort had a lower 90-day risk of inpatient encounters (OR = 0.29, 95% CI: 0.23\u20130.38), CRS-related patient visits (OR = 0.63, 95% CI: 0.55\u20130.71), diagnostic nasal endoscopies (OR\u2009=\u20090.57, 95% CI: 0.50\u20130.65), antibiotic prescriptions (OR\u2009=\u20090.53, 95% CI: 0.43\u20130.66), and corticosteroid prescriptions (OR\u2009=\u20090.62, 95% CI: 0.53\u20130.71).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>No significant difference was observed in revision ESS rates in CRSsP patients who underwent primary BSD versus ESS after 10 years in this large database study. Findings suggest that in appropriately selected patients, BSD offers a durable response and a favorable value proposition in the management of patients with CRSsP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19458924251377259","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T03:34:13Z","timestamp":1758598453000},"page":"31-37","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Long-Term Revision Rates and Health Care Utilization Between Standalone Balloon Sinus Dilation and Endoscopic Sinus Surgery in Chronic Rhinosinusitis Patients Without Nasal Polyps: Is the Balloon Value Proposition Overinflated?"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3427-5291","authenticated-orcid":false,"given":"David","family":"Hoying","sequence":"first","affiliation":[{"name":"Section of Rhinology, Sinus & Skull Base Surgery"},{"name":"Cleveland Clinic"},{"name":"Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J","family":"Kabalan","sequence":"additional","affiliation":[{"name":"Section of Rhinology, Sinus & Skull Base Surgery"},{"name":"Cleveland Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C","family":"Kaelber","sequence":"additional","affiliation":[{"name":"Case Western Reserve University"},{"name":"The Center for Clinical Informatics Research and Education, The MetroHealth System, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Sindwani","sequence":"additional","affiliation":[{"name":"Section of Rhinology, Sinus & Skull Base Surgery"},{"name":"Cleveland Clinic"},{"name":"Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2016.30.4297"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin20.401"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22741"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3667-9"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino12.198"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2012.26.3828"},{"key":"e_1_3_2_8_2","first-page":"314","article-title":"Endoscopic dilatation sinus surgery (FEDS) versus functional endoscopic sinus surgery (FESS) for treatment of chronic rhinosinusitis: A pilot study","volume":"32","author":"Achar P","year":"2012","unstructured":"Achar P, Duvvi S, Kumar BN. Endoscopic dilatation sinus surgery (FEDS) versus functional endoscopic sinus surgery (FESS) for treatment of chronic rhinosinusitis: A pilot study. Acta Otorhinolaryngol Ital. 2012;32:314\u2013319.","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25507"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000804"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otpol.2013.10.005"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348941011900707"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817750086"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26741"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2016.30.4346"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2013.27.3970"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21432"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3155"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2011.25.3608"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2015.1129553"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/00034894221104939"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2015.29.4198"}],"container-title":["American Journal of Rhinology &amp; Allergy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19458924251377259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19458924251377259","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19458924251377259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:36:22Z","timestamp":1777368982000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19458924251377259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,22]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/19458924251377259"],"URL":"https:\/\/doi.org\/10.1177\/19458924251377259","relation":{},"ISSN":["1945-8924","1945-8932"],"issn-type":[{"value":"1945-8924","type":"print"},{"value":"1945-8932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,22]]}}}