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The use of modified Silastic nasal splints as frontal sinus stents: a technical note

  • S Shahidi (a1), G M Jama (a2) and S K Ahmed (a1)

Abstract

Background

Endoscopic frontal sinus surgery is frequently complicated by post-operative stenosis and obstruction of the frontal sinus outflow tract, resulting in recurrent disease. Frontal sinus stents may help prevent re-occlusion of the frontal neo-ostia.

Objective

This paper presents a simple and cost-effective approach to frontal sinus stenting using modified Silastic nasal splints.

Results and conclusion

The current technique provides an effective, reliable and inexpensive method for achieving post-operative frontal sinus outflow tract patency.

Copyright

Corresponding author

Author for correspondence: Mr Guled M Jama, Department of Otolaryngology, Royal Free Hospital, Pond Street, LondonNW3 2QG, UK E-mail: guled.jama@nhs.net Fax: +44 20 8367 4988

Footnotes

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Mr G M Jama takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Orlandi, RR, Knight, J. Prolonged stenting of the frontal sinus. Laryngoscope 2009;119:190–2
2Freeman, SB, Blom, ED. Frontal sinus stents. Laryngoscope 2000;110:1179–82
3Kohanski, MA, Toskala, E, Kennedy, DW. Evolution in the surgical management of chronic rhinosinusitis: current indications and pitfalls. J Allergy Clin Immunol 2018;141:1561–9
4Wormald, PJ. Surgery of the frontal recess and frontal sinus. Rhinology 2005;43:82–5
5Ting, JY, Wu, A, Metson, R. Frontal sinus drillout (modified Lothrop procedure): long-term results in 204 patients. Laryngoscope 2014;124:1066–70
6Samaha, M, Cosenza, MJ, Metson, R. Endoscopic frontal sinus drillout in 100 patients. Arch Otolaryngol Head Neck Surg 2003;129:854–8
7O'Brien, EK. Frontal sinus stenting: intraoperative and postoperative use. In: Lal, D, Hwang, PH, eds. Frontal Sinus Surgery: A Systematic Approach. Cham: Springer International Publishing, 2019;323–7

Keywords

The use of modified Silastic nasal splints as frontal sinus stents: a technical note

  • S Shahidi (a1), G M Jama (a2) and S K Ahmed (a1)

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