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Frontal sinus obliteration with beta-tricalcium phosphate putty: case series with long-term radiological follow up

Published online by Cambridge University Press:  20 June 2022

P Moore Open the ORCID record for P Moore [Opens in a new window] ,
J K T Kam ,
M Castle-Kirszbaum ,
D Tan ,
S Wreghitt ,
S Lee  and
C A Gonzalvo
P Moore*
Affiliation:
Department of ENT, Head and Neck Surgery, Austin Health, Melbourne, Australia
J K T Kam
Affiliation:
Department of Neurosurgery, Monash Health, Melbourne, Australia
M Castle-Kirszbaum
Affiliation:
Department of Neurosurgery, Monash Health, Melbourne, Australia
D Tan
Affiliation:
Department of Neurosurgery, Monash Health, Melbourne, Australia
S Wreghitt
Affiliation:
Department of Neurosurgery, Austin Health, Melbourne, Australia
S Lee
Affiliation:
Department of ENT, Head and Neck Surgery, Austin Health, Melbourne, Australia
C A Gonzalvo
Affiliation:
Department of Neurosurgery, Austin Health, Melbourne, Australia
*
Author for correspondence: Dr Phillip Moore, Department of ENT, Head and Neck Surgery, Austin Health, 145 Studley Rd, Heidelberg, Victoria, Australia 3084 E-mail: [email protected]
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Abstract

Objectives

Frontal sinus obliteration is often performed using fat, autologous bone or a range of synthetic materials. This paper reports the long-term clinical and radiological outcomes of frontal sinus obliteration using beta-tricalcium phosphate putty.

Methods

A retrospective audit was performed of patients who underwent frontal sinus obliteration with beta-tricalcium phosphate putty. Patient-, disease- and procedure-related data were collected. Pre- and post-operative computed tomography scans were reviewed to assess bone integration.

Results

Four patients underwent frontal sinus obliteration using beta-tricalcium phosphate putty for treatment of a cerebrospinal leak, mucocele and recalcitrant frontal sinusitis. All patients had disease resolution, with no intra- or post-operative complications reported in the 16.5-month follow up. Post-operative computed tomography scans confirmed native bone obliteration of the frontonasal ducts in all patients.

Conclusion

Beta-tricalcium phosphate putty is a safe and effective option for bone obliteration of the frontal sinus in a range of pathologies, including cerebrospinal fluid leak.

Keywords

Frontal SinusCerebrospinal Fluid LeakFrontal SinusitisMucoceleBone Substitute
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 163 - 168
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr P Moore takes responsibility for the integrity of the content of the paper

This paper was presented at the 8th World Federation of Skull Base Societies Meeting, 22–27 March 2022, Rio de Janeiro, Brazil.

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