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Double J stent of frontal sinus outflow tract in revision frontal sinus surgery

Published online by Cambridge University Press:  07 December 2012

H A K A Mansour
H A K A Mansour*
Affiliation:
Department of Ear, Nose and Throat, Faculty of Medicine, Cairo University, Egypt
*
Address for correspondence: Assistant Professor Hesham A K A Mansour, Department of Ear, Nose and Throat, Faculty of Medicine, Cairo University, Cairo, Egypt E-mail: [email protected]
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Abstract

Objective:

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.

Keywords

Frontal SinusSinusitisStents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 1 , January 2013 , pp. 43 - 47
Copyright
Copyright © JLO (1984) Limited 2012

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References

1 Orlandi, RR, Knight, J. Prolonged stenting of the frontal sinus. Laryngoscope 2009;119:190–2CrossRefGoogle ScholarPubMed
2 Chan, Y, Melroy, CT, Kuhn, CA, Kuhn, FL, Daniel, WT, Kuhn, FA. Long-term frontal sinus patency after endoscopic frontal sinusotomy. Laryngoscope 2009;119:1229–32CrossRefGoogle ScholarPubMed
3 Weber, R, Mai, R, Hosemann, W, Draf, W, Toffel, P. The success of 6-month stenting in endonasal frontal sinus surgery. Ear Nose Throat J 2000;79:930–2, 934, 937, 938, 940, 941Google Scholar
4 Hunter, B, Silva, S, Youngs, R, Saeed, A, Varadarajan, V. Long-term stenting for chronic frontal sinus disease: case series and literature review. J Laryngol Otol 2010;124:1216–22CrossRefGoogle ScholarPubMed
5 Bednarskim, KA, Kuhn, FA. Stents and drug-eluting stents. Otolaryngol Clin North Am 2009;42:857–66CrossRefGoogle Scholar
6 Freeman, SB, Blom, ED. Frontal sinus stents. Laryngoscope 2000;110:1179–82Google Scholar
7 Rains, BM. Frontal sinus stenting. Otolaryngol Clin North Am 2001;34:101–10Google Scholar
8 Hughes, JP, Rowe-Jones, J. Use of a ureteric pigtail stent as a self-retaining frontal sinus stent. J Laryngol Otol 2004;118:299–301 Google Scholar
9 Hoseman, W, Schindler, E, Wiegrebe, E, Gopferich, A. Innovative frontal sinus stent acting as a local drug-releasing system. Eur Arch Otorhinolaryngol 2003;260:131–4Google Scholar
10 Schaefer, SD, Close, LG. Endoscopic management of frontal sinus disease. Laryngoscope 1990;100:155–60Google Scholar
11 Weber, R, Hosemann, W, Draf, W, Keerl, R, Schick, B, Schinzel, S. Endonasal frontal sinus surgery with permanent implantation of a place holder [in German]. Laryngorhinootologie 1997;76:728–34Google Scholar