2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T78d,Balloon sinus dilation (BSD) is a tool for treating patients with chronic rhinosinusitis or recurrent acute rhinosinusitis. The use of BSD has increased exponentially since its introduction, with concerns for potential misuse. Expert consensus reports that most patients who are candidates for BSD do not need to have all 6 sinuses dilated (bilateral frontal, maxillary, and sphenoid). To determine the percentage of patients who are undergoing 6-sinus BSD, evaluate factors associated with this practice, and explore outlier practice patterns when performing 6-sinus BSD. This cross-sectional, retrospective review of a Medicare claims database from January 2022 to December 2023 included otolaryngologists (US Centers for Medicare & Medicaid Services code 04) who performed at least 11 BSDs during the study period, who were defined as high-volume BSD clinicians (>10 BSDs per year). Data were analyzed in July 2024. The primary outcome defined before data collection as the percentage of patients billed for 6-sinus BSD. Physician variables were explored for potential association with 6-sinus BSD. Of the 522 otolaryngologists (mean [SD] age, 52 [9.3] years), most physicians were male (489 [94%]), practiced in a group setting (428 [82%]), and were in an urban environment (474 [91%]). A total of 21 290 unique BSD procedures were performed, and 12 799 procedures (60%) involved all 6 sinuses. Of the 522 otolaryngologists, 40 (8%) performed 6-sinus BSD in 100% of their BSD procedures, while 54 (10%) performed no 6-sinus BSDs. Practice patterns varied substantially, with 8 physicians (2%) responsible for 10% of 6-sinus BSDs (n = 2152). The results of this cross-sectional study suggest that the high volume of 6-sinus BSD suggests the potential for overuse of BSD. Substantial variations in care emphasize the need for clear guidelines and indications for multisinus BSD to optimize the utilization and value of BSD.31:Tbcc, Importance Balloon sinus dilation (BSD) is a tool for treating patients with chronic rhinosinusitis or recurrent acute rhinosinusitis. The use of BSD has increased exponentially since its introduction, with concerns for potential misuse. Expert consensus reports that most patients who are candidates for BSD do not need to have all 6 sinuses dilated (bilateral frontal, maxillary, and sphenoid). Objective To determine the percentage of patients who are undergoing 6-sinus BSD, evaluate factors associated with this practice, and explore outlier practice patterns when performing 6-sinus BSD. Design, Setting, and Participants This cross-sectional, retrospective review of a Medicare claims database from January 2022 to December 2023 included otolaryngologists (US Centers for Medicare &amp; Medicaid Services code 04) who performed at least 11 BSDs during the study period, who were defined as high-volume BSD clinicians (&gt;10 BSDs per year). Data were analyzed in July 2024. Main Outcomes and Measures The primary outcome defined before data collection as the percentage of patients billed for 6-sinus BSD. Physician variables were explored for potential association with 6-sinus BSD. Results Of the 522 otolaryngologists (mean [SD] age, 52 [9.3] years), most physicians were male (489 [94%]), practiced in a group setting (428 [82%]), and were in an urban environment (474 [91%]). A total of 21 290 unique BSD procedures were performed, and 12 799 procedures (60%) involved all 6 sinuses. Of the 522 otolaryngologists, 40 (8%) performed 6-sinus BSD in 100% of their BSD procedures, while 54 (10%) performed no 6-sinus BSDs. Practice patterns varied substantially, with 8 physicians (2%) responsible for 10% of 6-sinus BSDs (n = 2152). Conclusions and Relevance The results of this cross-sectional study suggest that the high volume of 6-sinus BSD suggests the potential for overuse of BSD. Substantial variations in care emphasize the need for clear guidelines and indications for multisinus BSD to optimize the utilization and value of BSD. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Recurrent Acute Rhinosinusitis: condition Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Recurrent Acute Rhinosinusitis (condition). Clinician-written summaries and actionable practice insights. 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Secondary outcome details (health care visits, antibiotic courses, work absences) are not quantified in the available text.","value_numeric":null},{"paper_doi":"10.1001/jamaoto.2026.1537","tag_type":"warning","value":"The sample is 88% female, which is unusually skewed and may reflect referral bias at this single center; generalizability to broader populations is uncertain.","value_numeric":null},{"paper_doi":"10.1001/jamaoto.2026.1537","tag_type":"warning","value":"The trial is open-label, which introduces performance and detection bias risk for patient-reported outcomes like SNOT-22.","value_numeric":null}],"summaries":{"what_studied":"This open-label RCT compared ESS plus medical treatment vs. medical treatment alone in 59 adults with recurrent acute rhinosinusitis (RARS) — defined as ≥3 episodes in 6 months, ≥4 in a year, or ≥2/year for 3 consecutive years — over a 6-month follow-up at a single Finnish tertiary center.","key_result":"ESS produced a 22.41-point greater improvement in SNOT-22 score vs. medical treatment alone (95% CI, 13.67–31.10 points); conservative treatment showed no clinically meaningful effect. Only 4 patients required intervention for operative complications (3 infections, 1 synechia with septal perforation).","limitations":"Small sample (n=59) at a single center limits generalizability; follow-up was only 6 months, leaving long-term durability unknown; the study population was 88% female, which may limit applicability to male patients.","practice_takeaway":"For adults with RARS uncontrolled by conservative measures, ESS provides a clinically meaningful improvement in sinonasal quality of life within 6 months. Medical management alone appears insufficient for this population, and the complication rate was low."}},{"doi":"10.1001/jamaoto.2025.4017","pmid":"41231509","title":"Evaluation of Practice Patterns for 6-Sinus Balloon Sinus Dilation","journal_title":"JAMA Otolaryngology–Head & Neck Surgery","journal_issn":"2168-6181","published_at":"2025-11-13T00:00:00.000Z","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12616529/","source_score":15,"is_retracted":false,"is_open_access":true,"raw_metadata":{"ooir":{"day":"2026-01-10","doi":"10.1001/jamaoto.2025.4017","days":"7","issn":"2168-6181","rank":"8","field":"Clinical Medicine","score":"15","category":"Surgery","categories":["Surgery"],"_categories":["Surgery"]},"pubmed":{"doi":"10.1001/jamaoto.2025.4017","title":"Evaluation of Practice Patterns for 6-Sinus Balloon Sinus Dilation.","journal":"JAMA otolaryngology-- head & neck surgery","methods":"","results":"Of the 522 otolaryngologists (mean [SD] age, 52 [9.3] years), most physicians were male (489 [94%]), practiced in a group setting (428 [82%]), and were in an urban environment (474 [91%]). A total of 21 290 unique BSD procedures were performed, and 12 799 procedures (60%) involved all 6 sinuses. Of the 522 otolaryngologists, 40 (8%) performed 6-sinus BSD in 100% of their BSD procedures, while 54 (10%) performed no 6-sinus BSDs. Practice patterns varied substantially, with 8 physicians (2%) responsible for 10% of 6-sinus BSDs (n = 2152).","abstract":"$30","keywords":[],"pubmed_id":"41231509","conclusions":"","publication_date":"2025-11-13T00:00:00"},"crossref":{"DOI":"10.1001/jamaoto.2025.4017","URL":"https://doi.org/10.1001/jamaoto.2025.4017","ISSN":["2168-6181"],"link":[{"URL":"https://jamanetwork.com/journals/jamaotolaryngology/articlepdf/2841503/jamaotolaryngology_smith_2025_oi_250070_1767717023.69299.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":"47","type":"journal-article","issue":"1","score":1,"title":["Evaluation of Practice Patterns for 6-Sinus Balloon Sinus Dilation"],"author":[{"given":"Kristine A.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Otolaryngology–Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City"}]},{"given":"Nyssa Fox","family":"Farrell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri"}]},{"given":"Alexander","family":"Romashko","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee"}]},{"given":"Dorina","family":"Kallogjeri","sequence":"additional","affiliation":[{"name":"Clinical Outcomes Research Office, Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri"},{"name":"Statistics Editor, JAMA Otolaryngology–Head & Neck Surgery"}]},{"given":"Matthew P.","family":"Sáenz","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine, St Louis, Missouri"}]},{"given":"Jay F.","family":"Piccirillo","sequence":"additional","affiliation":[{"name":"Clinical Outcomes Research Office, Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri"},{"name":"Editor, JAMA Otolaryngology–Head & Neck Surgery"}]}],"issued":{"date-parts":[[2026,1,1]]},"member":"10","prefix":"10.1001","source":"Crossref","volume":"152","created":{"date-time":"2025-11-13T16:00:29Z","timestamp":1763049629000,"date-parts":[[2025,11,13]]},"indexed":{"date-time":"2026-01-09T02:51:57Z","timestamp":1767927117452,"date-parts":[[2026,1,9]]},"subject":[],"abstract":"$31","language":"en","relation":{},"resource":{"primary":{"URL":"https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2841503"}},"subtitle":[],"deposited":{"date-time":"2026-01-08T16:00:41Z","timestamp":1767888041000,"date-parts":[[2026,1,8]]},"issn-type":[{"type":"print","value":"2168-6181"}],"published":{"date-parts":[[2026,1,1]]},"publisher":"American Medical Association 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Among 522 physicians, 40 (8%) performed 6-sinus BSD in 100% of their cases, 54 (10%) performed none, and 8 (2%) accounted for 10% of all 6-sinus cases (n=2,152).","limitations":"Claims-based, cross-sectional, retrospective design. Restricted to Medicare data and high-volume otolaryngologists (>10 BSDs/year), which may limit generalizability.","practice_takeaway":"High rates and wide variation in 6-sinus BSD suggest potential overuse. 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