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Frontal sinus stenting in endoscopic sinus surgery: the 10-year Oxford experience
F Bandino1, A Pendolino2, J Bates1
1ENT Department, Oxford University Hospital, Oxford, UK.
The Journal of Laryngology and Otology
|April 5, 2023
Summary
Frontal sinus stents help maintain frontal recess patency after surgery, with most patients experiencing good outcomes. Close follow-up is essential to manage potential complications like infection.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Frontal sinus stents aim to prevent re-stenosis and improve surgical outcomes.
- Recalcitrant chronic rhinosinusitis and complex cases often require advanced interventions.
Purpose of the Study:
- To evaluate the efficacy and safety of soft sinus stents in patients undergoing frontal sinus surgery.
- To assess long-term patency rates and complication profiles associated with frontal sinus stenting.
Main Methods:
- Retrospective analysis of 19 patients undergoing endoscopic sinus surgery with frontal sinus stenting.
- Assessment of frontal recess patency, follow-up duration, and complication incidence.
Main Results:
- Frontal recess patency was achieved in 78.9% of patients; no complete closure was observed.
- Mean follow-up was 20.7 months, with stents in place for an average of 9.8 months.
- Complications occurred in 47.4% of patients, most commonly post-operative sinonasal infection.
Conclusions:
- Frontal sinus stenting is indicated for challenging cases, including recalcitrant chronic rhinosinusitis, post-traumatic/surgical defects, and recurrent mucoceles.
- The stent was generally well-tolerated with only minor complications observed.
- Mandatory close clinical follow-up is required for patients with frontal sinus stents.
