Preventing Lateral Synechia Formation After Endoscopic Sinus Surgery With a Silastic Sheet

Lee, Jae Yong; Lee, Seungwon

doi:10.1001/archotol.133.8.776

Cited by 51 publications

(56 citation statements)

References 11 publications

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“…Lee et al investigated whether insertion of nonabsorbable Silastic sheets could prevent lateral synechiae formation in the middle meatus after endoscopic sinus surgery (ESS). Control sinuses receiving only routine postoperative care exhibited adhesions 44% of the time, whereas 6% of the sinus sides receiving Silastic sheets exhibited adhesions 21…”

Section: Discussionmentioning

confidence: 97%

ADVANCE: A multisite trial of bioabsorbable steroid‐eluting sinus implants

et al. 2011

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This consecutive case series provides clinical evidence of the safety, effectiveness, and clinical utility of a bioabsorbable steroid-eluting implant for use in CRS patients. The implant was associated with favorable rates of sinus patency. At 1 month, minimal degrees of inflammation and adhesions were observed, suggesting a positive clinical impact of local steroid delivery without evidence of ocular risk.

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Section: Discussionmentioning

confidence: 97%

ADVANCE: A multisite trial of bioabsorbable steroid‐eluting sinus implants

et al. 2011

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“…Previous reports on nasal synechia were focusing on the prevention [11][12][13][14][15][16][17], while the management was not sufficiently addressed, so we conducted our study to tackle this issue.…”

Section: Discussionmentioning

confidence: 99%

Laser and topical mitomycin C for management of nasal synechia after FESS: a preliminary report

Hesham

Fathi

Attia

et al. 2011

Eur Arch Otorhinolaryngol

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The objective of the study is to assess the role of diode laser coupled with topical mitomycin C (MMC) in the management of synechia after endoscopic sinus surgery. Twenty-five patients with recurrent sinusitis due to synechia between the middle turbinate and lateral nasal wall after endoscopic sinus surgery were included in this study. Diode laser was used to divide the synechia and MMC was applied topically in the area of the middle meatus for 5 min. Patients were followed for 6 months to assess symptoms improvement, recurrence of synechia and CT scan changes. Most of our patients reported improvement of their symptoms, recurrent synechia occurred in 15% of the patients with significant improvement of the CT scan findings. In conclusion, the diode laser with topical MMC is an outpatient procedure which is simple, safe and effective in managing postoperative nasal synechia.

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“…Patients were reviewed in the outpatient setting at 2 and 8 weeks postoperatively and up to 6 months after surgery. The stent was removed at the 2‐week review to allow for mucosalization as described by Lee and Lee . At each follow‐up, recorded video sinoscopy was performed.…”

Section: Methodsmentioning

confidence: 99%

A randomized controlled trial of a middle meatal silastic stent for reducing adhesions and middle turbinate lateralization following endoscopic sinus surgery

Chan

Elmiyeh

Woods

et al. 2015

Int Forum Allergy Rhinol

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Preventing Lateral Synechia Formation After Endoscopic Sinus Surgery With a Silastic Sheet

Abstract: Objectives: To investigate whether the insertion of a Silastic sheet between the middle turbinate and lateral nasal wall can prevent lateral synechia formation when an unstable, floppy middle turbinate results from endoscopic sinus surgery (ESS).

Cited by 51 publications

References 11 publications

ADVANCE: A multisite trial of bioabsorbable steroid‐eluting sinus implants

ADVANCE: A multisite trial of bioabsorbable steroid‐eluting sinus implants

Laser and topical mitomycin C for management of nasal synechia after FESS: a preliminary report

A randomized controlled trial of a middle meatal silastic stent for reducing adhesions and middle turbinate lateralization following endoscopic sinus surgery

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