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The use of modified Montgomery T-tubes as frontal sinus stents: how I do it

Published online by Cambridge University Press:  31 January 2022

F Bandino*
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
J Bates
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
A Qureishi
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
P Martinez-Devesa
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
*
Author for correspondence: Dr F Bandino, Oxford University Hospitals NHS Foundation Trust, OxfordOX3 9DU, UK E-mail: [email protected]

Abstract

Background

Frontal sinus surgery is challenging as the frontal recess is prone to re-stenosis and there is subsequent occlusion of the frontal sinus outflow tract. In an attempt to maintain the frontal recess calibre and reduce frontal sinus re-stenosis, frontal sinus stents have been used with different materials and varying results.

Objective

This paper presents the technique of using a modified Montgomery T-tube as a frontal sinus stent.

Results and conclusion

The use of a soft, self-retaining and non-absorbable stent that can be used for stenting of the frontal sinus is described. Our technique is safe, effective, inexpensive and well tolerated.

Type
Short Communications
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr F Bandino takes responsibility for the integrity of the content of the paper

References

Banhiran, W, Sargi, Z, Collins, W, Kaza, S, Casiano, R. Long-term effect of stenting after an endoscopic modified Lothrop procedure. Am J Rhinol 2006;20:595–9CrossRefGoogle ScholarPubMed
Minni, A, Dragonetti, A, Sciuto, A, Rosati, D, Cavaliere, C, Ralli, M et al. Use of balloon catheter dilation and steroid-eluting stent in light and severe rhinosinusitis of frontal sinus: a multicenter retrospective randomized study. Eur Rev Med Pharmacol Sci 2018;22:7482–91Google ScholarPubMed
Reeve, NH, Ching, HH, Kim, Y, Schroeder, WW. Possible skull base erosion after prolonged frontal sinus stenting. Ear Nose Throat J 2021;100:NP21821CrossRefGoogle ScholarPubMed
Hoyt, WH. Endoscopic stenting of nasofrontal communication in frontal sinus disease. Ear Nose Throat J 1993;72:596–7CrossRefGoogle ScholarPubMed
Shahidi, S, Jama, GM, Ahmed, SK. The use of modified Silastic nasal splints as frontal sinus stents: a technical note. J Laryngol Otol 2020;134:270–1CrossRefGoogle ScholarPubMed
Mansour, HA. Double J stent of frontal sinus outflow tract in revision frontal sinus surgery. J Laryngol Otol 2013;127:43–7CrossRefGoogle Scholar
Khan, MA, Alshareef, WA, Marglani, OA, Herzallah, IR. Outcome and complications of frontal sinus stenting: a case presentation and literature review. Case Rep Otolaryngol 2020;2020:8885870Google ScholarPubMed
Eifler, R, Seitz, JM, Weber, CM, Grundke, S, Reifenrath, J, Kietzmann, M et al. MgNd2 alloy in contact with nasal mucosa: an in vivo and in vitro approach. J Mater Sci Mater Med 2016;27:25CrossRefGoogle Scholar
Durisin, M, Seitz, JM, Reifenrath, J, Weber, CM, Eifler, R, Maier, HJ et al. A novel biodegradable frontal sinus stent (MgNd2): a long-term animal study. Eur Arch Otorhinolaryngol 2016;273:1455–67CrossRefGoogle ScholarPubMed