Frontal Sinus Stents

Freeman, Stephen B.; Blom, Eric

doi:10.1097/00005537-200007000-00021

Cited by 39 publications

(23 citation statements)

References 12 publications

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“…There have been an increasing number of reports of procedures using stents to maintain patency of the nasofrontal ducts. 30,37,43,44 These techniques have been developed for use with endoscopic sinus surgery and are aimed at infectious disease of the frontal sinus. 44 However, when these procedures fail, both in the short and long term, they need to be addressed with open procedures.…”

Section: Frontal Sinus Procedures and Their Indicationsmentioning

confidence: 99%

Management of Frontal Sinus Trauma

Manolidis¹

2002

Seminars in Plastic Surgery

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Frontal sinus fractures (FSFs) are a relatively uncommon maxillofacial injury, making up only 5 to 12% of all facial fractures. Individuals sustaining FSFs often have associated intracranial, ophthalmologic, and other maxillofacial injuries. High-resolution computed tomography in combination with clinical findings will accurately predict the degree of injury in the majority of instances. Exploration of the frontal sinus with reduction alone is reserved for a small minority of very simple fractures. The majority of FSFs should be treated with frontal sinus obliteration. Those with more extensive injuries and the presence of a cerebrospinal fluid leak will require a frontal sinus cranialization. Aggressive surgical management is the key to avoiding early and late complications that can cause significant morbidity and mortality.

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Section: Frontal Sinus Procedures and Their Indicationsmentioning

confidence: 99%

Management of Frontal Sinus Trauma

Manolidis¹

2002

Seminars in Plastic Surgery

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“…If we could accumulate more patients with posttraumatic PSM, the ratio of recurrence might be decreased. Previous studies have also devised methods such as insertion of silicone tubes [23,24] or stents [25], obliteration, and complete removal of the cyst and replacement with fat [26]. We did not apply any tubes to the patients in this study.…”

Section: Discussionmentioning

confidence: 99%

Clinical Features of Patients Treated with Endoscopic Sinus Surgery for Posttraumatic Paranasal Sinus Mucocele

Kojima

Tsuzuki²,

Yukitatsu³

et al. 2015

ORL

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Aim: The purpose of this study was to analyze the clinical features of patients with posttraumatic paranasal sinus mucocele (PSM). Subjects and Methods: Between 2009 and 2013, we performed endoscopic sinus surgery (ESS) on 68 patients with PSM at the Department of Otolaryngology - Head and Neck Surgery at Hyogo College of Medicine. Five male patients (age range, 45-76 years) with posttraumatic PSM were analyzed retrospectively. Diagnosis was based on the history of injury and radiological findings. Results: Posttraumatic PSM was found in 7% (5/68) of patients. The mean interval from injury to diagnosis was 28.4 years. All patients had frontal sinus mucocele. Four patients had symptoms of headache, diplopia, visual field defect, and forehead swelling, and 1 patient was asymptomatic. ESS was performed under general anesthesia in all cases, and the symptoms improved postoperatively. Reoperation was required in 1 patient (20%) because headache developed with obstruction of the frontal drainage route 7 months after ESS. Conclusions: Posttraumatic PSM was the least frequent form of PSM and was located predominantly in the frontal sinus, causing symptoms long after the forehead injury. The important lessons to be learned for treating posttraumatic PSM are to obtain a detailed history and to enlarge the route to the cyst to avoid its recurrence.

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“…Where revision surgery is indicated in the presence of significant osteoneogenesis, special considerations may need to be given to the use of stents [40][41][42][43][44] or mitomycin C [45]. The latter is only really shown to be useful in severe cases of osteoneogenesis but the use of stents can provide an effective way of preventing re-stenosis.…”

Section: Medical Management Of Frontal Sinuses After Primary Surgerymentioning

confidence: 99%