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Frontal sinus stenting in endoscopic sinus surgery: the 10-year Oxford experience

Published online by Cambridge University Press:  05 April 2023

F Bandino Open the ORCID record for F Bandino [Opens in a new window] ,
A Pendolino Open the ORCID record for A Pendolino [Opens in a new window] ,
J Bates ,
A Qureishi  and
P Martinez-Devesa
F Bandino*
Affiliation:
ENT Department, Oxford University Hospital, Oxford, UK
A Pendolino
Affiliation:
Department of ENT, Royal National ENT and Eastman Dental Hospitals, London, UK
J Bates
Affiliation:
ENT Department, Oxford University Hospital, Oxford, UK
A Qureishi
Affiliation:
ENT Department, Oxford University Hospital, Oxford, UK
P Martinez-Devesa
Affiliation:
ENT Department, Oxford University Hospital, Oxford, UK
*
Corresponding author: Fabrizio Bandino; Email: fabrizio.ban@gmail.com
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Abstract

Background

Frontal sinus stents have been introduced to reduce frontal sinus re-stenosis after surgery and to improve outcomes.

Method

This study was a retrospective analysis of 19 patients who had endoscopic sinus surgery with approach to the frontal sinus and insertion of a soft sinus stent.

Results

The frontal recess was patent in 78.9 per cent and stenosed in 21.1 per cent of patients; no completely closed recesses were observed. Mean follow up was 20.7 months, and time period of stenting was 9.8 months on average; complications were observed in 47.4 per cent of the patients, with post-operative sinonasal infection being the most common.

Conclusion

In the authors’ experience, indications for frontal sinus stenting include recalcitrant chronic rhinosinusitis after multiple functional endoscopic sinus surgeries (especially in chronic rhinosinusitis with nasal polyps), patients with history of important craniofacial surgery or trauma, and recurrent mucoceles. The stent was overall well tolerated as only minor complications were observed. Close clinical follow up is mandatory.

Keywords

Sinusitissinusesnasal endoscopystentstenosis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 1 , January 2024 , pp. 60 - 66
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Fabrizio Bandino takes responsibility for the integrity of the content of the paper

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