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Long-term stenting for chronic frontal sinus disease: case series and literature review

Published online by Cambridge University Press:  20 May 2010

B Hunter ,
S Silva ,
R Youngs ,
A Saeed  and
V Varadarajan
B Hunter*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
S Silva
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
R Youngs
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
A Saeed
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
V Varadarajan
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
*
Address for correspondence: Mr B Hunter, Department of Otolaryngology/Head and Neck Surgery, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK. E-mail: benhunter@doctors.org.uk
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Abstract

Objective:

The frontal sinus outflow tract consists anatomically of narrow channels prone to stenosis. Following both endonasal and external approach surgery, up to 30 per cent of patients suffer post-operative re-stenosis of the frontal sinus outflow tract, with recurrent frontal sinus disease. This paper proposes the surgical placement of a long-term frontal sinus stent to maintain fronto-nasal patency, as an alternative to more aggressive surgical procedures such as frontal sinus obliteration and modified Lothrop procedures.

Design:

We present a series of three patients with frontal sinus disease and significant co-morbidity, the latter making extensive surgery a significant health risk. We also review the relevant literature and discuss the use of long-term frontal sinus stenting.

Results:

These three cases were successfully treated with long-term frontal sinus stenting. Stents remained in situ for a period ranging from 48 to over 60 months.

Conclusion:

Due to the relatively high failure rates for both endonasal and external frontal sinus surgery, with a high post-operative incidence of frontal sinus outflow tract re-stenosis, long-term stenting is a useful option in carefully selected patients.

Keywords

Frontal SinusStentsPathologic ConstrictionEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1216 - 1222
Copyright
Copyright © JLO (1984) Limited 2010

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