The use of modified Silastic nasal splints as frontal sinus stents: a technical note

2020 ◽  
Vol 134 (3) ◽  
pp. 270-271
Author(s):  
S Shahidi ◽  
G M Jama ◽  
S K Ahmed

AbstractBackgroundEndoscopic frontal sinus surgery is frequently complicated by post-operative stenosis and obstruction of the frontal sinus outflow tract, resulting in recurrent disease. Frontal sinus stents may help prevent re-occlusion of the frontal neo-ostia.ObjectiveThis paper presents a simple and cost-effective approach to frontal sinus stenting using modified Silastic nasal splints.Results and conclusionThe current technique provides an effective, reliable and inexpensive method for achieving post-operative frontal sinus outflow tract patency.

2012 ◽  
Vol 127 (1) ◽  
pp. 43-47 ◽  
Author(s):  
H A K A Mansour

AbstractObjective:Frontal sinus surgery continues to challenge even the most experienced endoscopic sinus surgeon. Revision frontal sinus surgery is even more challenging. The use of stents in frontal sinus surgery has long been described, as an attempt to decrease the incidence of synechiae and stenosis.Method:This study included five patients who had previously undergone functional endoscopic sinus surgery but suffered recurrence of frontal sinusitis. Two had bilateral disease. Double J stents were used after endoscopic frontal sinusotomy. The stents were left in place for six months.Results:Four of the 5 patients (6 out of 7 sinuses) had a patent frontal outflow tract after 10 to 36 months’ follow up.Conclusion:Double J stents can be used as frontal sinus stents. They are well tolerated by patients, easily applied, and self-retaining with no need for sutures. The length of the stent can be altered according to the patient's anatomy and pathology.


2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Smita Upadhyay ◽  
Lamia Buohliqah ◽  
Gerival Junior ◽  
Bradley Otto ◽  
Daniel Prevedello ◽  
...  

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Ahmed Sobhi Abdelaal ◽  
Mohamed Kamel Al Awady ◽  
Tawfik Abdelaty Elkholy

Abstract Background The anatomical variation of the frontal sinus and its intimate relation to the skull base and orbit makes its surgery demanding. The extended endoscopic frontal sinus surgery allows wide better drainage and preventing the recurrence of the disease. Fourteen patients underwent EEFSS from May 2017 to May 2019. These patients are nine patients presented by chronic recurrent frontal sinusitis, three patients presented by chronic recurrent fronto ethmoidal mucocele and two patients with chronic recurrent external frontal fistula. Draff III done for ten patients of them and Draff IIB done for four patients of them. This study is designed for evaluating the efficacy of the extended endoscopic frontal sinus surgery (E E F S S) in management of chronic and recurrent frontal sinus diseases. Results The neo opening of the restored frontal sinus was remained opened with Draff III with high success rate; two patients from four patients with Draff IIb were with closed nasofrontal duct. The main follow-up was 12 months; the patients were followed up post-operatively for many office visits without any other manifestations. Conclusion The chronic recurrent frontal sinus diseases can be treated successfully with extended endoscopic frontal sinus surgery (E E F S S). The extended endoscopic frontal sinus surgery (Draff III) provides good results with low morbidity and less post-operative care.


ORL ◽  
2008 ◽  
Vol 70 (2) ◽  
pp. 84-90 ◽  
Author(s):  
Zhou Bing ◽  
Han Demin ◽  
Liu Huachao ◽  
Huang Qian ◽  
Zhang Luo ◽  
...  

2007 ◽  
Vol 137 (2_suppl) ◽  
pp. P74-P75
Author(s):  
Peter Doble ◽  
Robert C Kern ◽  
Nicolas Busaba ◽  
Khajornkiat Prasittivatechakool

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