Development of a New Device for Postoperative Self-Irrigation of the Maxillary and Frontal Sinus

Abstract

Objectives: Nasal saline irrigation is the corner stone of postoperative care after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS). However, intrasinus penetration of the saline solution can be challenging and may require difficult head position, particularly for the frontal sinus. Our aim was to evaluate a novel device for direct intrasinus self-irrigation, usable at home for both maxillary and frontal sinus. Methods: Thirty devices were implemented in 23 patients: in the maxillary sinus for 18 patients and in the frontal sinus for 5 patients. The device was removed after 7 days on average (5-10 days), and nasal saline irrigation was carried on with a squeeze bottle for 6 weeks. Retrospective evaluation of the device included: device-related complication, patient satisfaction, and ostial or middle turbinate synechiae at 3 months. Results: No device-related complication (obstruction, displacement, infection, bleeding) occurred. Twenty-one (91.3%) patients were satisfied with the device. Two patients required the help of a nurse for irrigation. No ostial of middle turbinate synechiae was visualized at 3 months. This new endonasal device enables direct intrasinus self-irrigation after FESS for CRS. Conclusion: This preliminary study showed that this device is safe and easy to use. However, further investigations are required to assess its potential role to reduce the risk of synechiae and revision surgery.

Analysis of Connection Variants of Frontal Sinuses With Adjacent Cavities

“…The results of the conducted study significantly complement known data regarding the topography of the paranasal area and hold crucial practical importance. Various authors emphasize the importance of a deep understanding of the anatomical features of the frontal sinus not only for successful treatment of its pathology but also for preventing complications and reducing the risk of recurrence [6,7].…”

“…The problem of diagnosis and treatment of dry eye disease (DED) is relevant in clinical ophthalmology because, despite numerous studies, the diagnosis and treatment of the "dry eye" syndrome have remained unsolved problems until recently [1][2][3]. There is a trend towards an increase in morbidity, the frequency of DED in the structure of all primary patient visits to an ophthalmologist reaches 35-40% [4,5,6]. The causes of DED are numerous factors, such as exposure to the eyes of conditioned air, electromagnetic radiation from office equipment, the prevalence of contact vision correction, and refractive surgery.…”

The Factors Related to the Time for Sinus Debridement after Functional Endoscopic Sinus Surgery - A Retrospective Study

“…It also makes post-operative medical therapies more effective. [ 1 2 ] Nonetheless, the outcome of FESS is highly variable, and only a few predictors are known so far.…”