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Original Investigation

Evaluation of Practice Patterns for 6-Sinus Balloon Sinus Dilation

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2025.4017

November 13, 2025 at 11:00 AM EST

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What is the rate of otolaryngologists performing balloon sinus dilation (BSD) on 6 sinuses?In this cross-sectional study of 522 otolaryngologists, 12 799 patients who underwent BSD received dilation to all 6 sinuses. Forty otolaryngologists in the US perform BSD of all 6 sinuses in 100% of patients with Medicare.The study results suggest that many patients receive BSD to all 6 sinuses and a small group of otolaryngologists consistently performed BSD on all 6 sinuses, demonstrating a high degree of uniformity in their treatment approach that was inconsistent with the limited indicated for BSD.

Corresponding Author: Kristine A. Smith, MD, Department of Otolaryngology–Head and Neck Surgery, University of Utah School of Medicine, 30 N Medical Dr, Salt Lake City, UT 84312 (kristinea.smith@utah.edu).

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