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Prolonged stenting of the frontal sinus
Richard R Orlandi1, Jesse Knight
1Division of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA. richard.orlandi@hsc.utah.edu
The Laryngoscope
|January 2, 2009
Summary
Long-term frontal sinus stenting, rarely used, was generally well-tolerated in this study. Most patients with frontal sinus stents in place for years remained asymptomatic, suggesting potential benefits of extended stenting.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Frontal sinus outflow tract stenting is employed post-surgery to prevent stenosis.
- Optimal stent retention duration remains undefined, with some advocating up to six months.
- The tolerance of prolonged stenting periods is not well-established.
Purpose of the Study:
- To evaluate the tolerance and outcomes of long-term frontal sinus stenting.
- To assess the safety and efficacy of stents retained beyond conventional periods.
Main Methods:
- Retrospective review of adult patients receiving frontal sinus stents.
- Analysis of stent duration and patient condition at follow-up for stents in place ≥ 6 months.
- Data collected from a tertiary rhinology practice between July 2000 and December 2006.
Main Results:
- Ten frontal sinus stents were placed during the study period.
- Nine patients met inclusion criteria; mean stenting duration was 32.6 months (median 17 months).
- Seven of nine patients remained asymptomatic with patent stents; two required removal due to infection or pain/edema.
Conclusions:
- Long-term frontal sinus stenting is infrequently utilized but appears relatively well-tolerated.
- Extended stenting showed favorable outcomes in most patients, with few complications.
- The optimal duration for frontal sinus stenting requires further investigation, balancing risks and benefits.
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