Skip to main content
SpringerLink
Log in

Stenting in Revision Sinus Surgery

  • Chapter
Revision Sinus Surgery

Abstract

• Long-term patency rates may be improved by postoperative stenting of the frontal sinus outflow tract.

• In cases of previous partial middle-turbinate resection, stenting of the frontal sinus outflow tract allows for stabilization of the remnant fragment during revision frontal sinusotomy.

• In cases of extended frontal sinus drillout procedures, stenting allows for improved mucosalization and aids in temporary inhibition of circumferential stenosis.

• Soft (Silicone) sheets or stents, either prefabricated or designed in the operating room, are superior to rigid stents.

• No absolute length of stenting exists and a determination should be made on a case-by-case basis.

• Postoperative stent management includes routine endoscopy with gentle debridement, culture-directed antibiotic therapy, and nasal irrigations. Nasal steroid spray is reserved for select cases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amble FR, Kern EB, Neel B, et al. (1996) Nasofrontal duct reconstruction with silicone rubber sheeting for inflammatory frontal sinus disease: analysis of 164 cases. Laryngoscope 106:809–815

    Article  PubMed  CAS  Google Scholar 

  2. Barton RT (1972) Dacron prosthesis in frontal sinus surgery. Laryngoscope 82:1795–1802

    Article  Google Scholar 

  3. Benoit CM, Duncavage JA (2001) Combined external and endoscopic frontal sinusotomy with stent placement: a retrospective review. Laryngoscope 111:1246–1249

    Article  PubMed  CAS  Google Scholar 

  4. Chadwell JS, Gustafson LM, Tami TA (2001) Toxic shock syndrome associated with frontal sinus stents. Otolaryngol Head Neck Surg 124:573–574

    Article  PubMed  CAS  Google Scholar 

  5. Dubin MG, Kuhn FA (2006) Preservation of natural frontal sinus outflow in the management of frontal sinus osteomas. Otolaryngol Head Neck Surg 134:18–24

    Article  PubMed  Google Scholar 

  6. Freeman SB, Blom ED (2000) Frontal sinus stents. Laryngoscope 110:1179–1182

    Article  PubMed  CAS  Google Scholar 

  7. Goodale RL (1945) The use of tantalum in radical frontal sinus surgery. Ann Otol Rhinol Laryngol 45:757–762

    Google Scholar 

  8. Goodale RL (1954) Ten years’ experience in the use of tantalum in frontal sinus surgery. Laryngoscope 64:65–72

    Article  PubMed  CAS  Google Scholar 

  9. Har El G, Lucente FE (1995) Endoscopic intranasal frontal sinusotomy. Laryngoscope 105:440–443

    Article  PubMed  CAS  Google Scholar 

  10. Harris HE (1948) The use of tantalum tubes in frontal sinus surgery. Cleve Clin Q 15:129–133

    Google Scholar 

  11. Hosemann W, Kuhnel TH, Held P, et al. (1997) Endonasal frontal sinusotomy in surgical management of chronic sinusitis: A critical evaluation. Am J Rhinol 11:1–19

    Article  PubMed  CAS  Google Scholar 

  12. Hoyt WH (1993) Endoscopic stenting of nasofrontal communication in frontal sinus disease. Ear Nose Throat J 72:596–597

    PubMed  Google Scholar 

  13. Ingals EE (1905) New operation and instruments for draining the frontal sinus. Trans Am Laryngol Rhinol Otol Soc 11:183–189

    Google Scholar 

  14. Jacobs JB (1997) 100 years of frontal sinus surgery. Laryngoscope 107:1–36

    Article  PubMed  CAS  Google Scholar 

  15. Lynch RC (1921) The technique of radical frontal sinus surgery operation which has given me the best results. Laryngoscope 31:1–5

    Article  Google Scholar 

  16. Mirza S, Johnson AP (2000) A simple and effective frontal sinus stent. J Laryngol Otol 114:955–956

    PubMed  CAS  Google Scholar 

  17. Neel HB, Whicker JH, Lake CF (1976) Thin rubber sheeting in frontal sinus surgery: animal and clinical studies. Laryngoscope 86:524–536

    Article  PubMed  CAS  Google Scholar 

  18. Neel HB, McDonald TJ, Facer GW (1987) Modified Lynch procedure for chronic frontal sinus diseases: rationale, technique, and long-term results. Laryngoscope 97:1274–1279

    Article  PubMed  Google Scholar 

  19. Perloff JR, Palmer JN (2004) Evidence of bacterial biofilms on frontal recess stents in patients with chronic rhinosinusitis Am J Rhinol 18:377–380

    PubMed  Google Scholar 

  20. Rains BM (2001) Frontal sinus stenting. Otolaryngol Clin North Am 34:101–110

    Article  PubMed  Google Scholar 

  21. Schaefer SD, Close LG (1990) Endoscopic management of frontal sinus disease. Laryngoscope 100:155–160

    Article  PubMed  CAS  Google Scholar 

  22. Scharfe ED (1953) The use of tantalum in otolaryngology. Arch Otolaryngol 58:133–140

    CAS  Google Scholar 

  23. Weber R, Mai R, Hosemann W, et al. (2000) The success of 6-month stenting in endonasal frontal sinus surgery. Ear Nose Throat J 79:930–932, 934, 937–938, 940–941

    Google Scholar 

  24. Wish B, Dargi Z, Collins W, et al. (2006) Long-term effect of stenting after endoscopic modified Lothrop procedure. Am J Rhinol 20:595–599

    Article  Google Scholar 

  25. Yamasoba T, Kikuchi S, Higo R (1994) Transient positioning of a silicone T tube in frontal sinus surgery. Otolaryngol Head Neck Surg 111:776–780

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Ear, Nose, Throat – Head and Neck Surgery, Advanced Sinus and Nasal Surgery, 95 Madison Avenue, Suite 105, NJ 07960, Morristown, NJ, USA

    Seth J. Kanowitz

  2. Department of Otolaryngology, New York University Medical Center, 530 First Avenue, Suite 3C, NY 10016-6402, New York, New York, USA

    Joseph B. Jacobs & Richard A. Lebowitz

Authors
  1. Seth J. Kanowitz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joseph B. Jacobs
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Richard A. Lebowitz
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kanowitz, S., Jacobs, J., Lebowitz, R. (2008). Stenting in Revision Sinus Surgery. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-78931-4_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78930-7

  • Online ISBN: 978-3-540-78931-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation