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The use of modified Montgomery T-tubes as frontal sinus stents: how I do it

Published online by Cambridge University Press:  31 January 2022

F Bandino Open the ORCID record for F Bandino [Opens in a new window] ,
J Bates ,
A Qureishi  and
P Martinez-Devesa
F Bandino*
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
J Bates
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
A Qureishi
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
P Martinez-Devesa
Affiliation:
ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
*
Author for correspondence: Dr F Bandino, Oxford University Hospitals NHS Foundation Trust, OxfordOX3 9DU, UK E-mail: [email protected]
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Abstract

Background

Frontal sinus surgery is challenging as the frontal recess is prone to re-stenosis and there is subsequent occlusion of the frontal sinus outflow tract. In an attempt to maintain the frontal recess calibre and reduce frontal sinus re-stenosis, frontal sinus stents have been used with different materials and varying results.

Objective

This paper presents the technique of using a modified Montgomery T-tube as a frontal sinus stent.

Results and conclusion

The use of a soft, self-retaining and non-absorbable stent that can be used for stenting of the frontal sinus is described. Our technique is safe, effective, inexpensive and well tolerated.

Keywords

SinusitisParanasal sinusesEndoscopyStentsStenosis
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1328 - 1329
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 F Bandino takes responsibility for the integrity of the content of the paper

References

Banhiran, W, Sargi, Z, Collins, W, Kaza, S, Casiano, R. Long-term effect of stenting after an endoscopic modified Lothrop procedure. Am J Rhinol 2006;20:595–9CrossRefGoogle ScholarPubMed
Minni, A, Dragonetti, A, Sciuto, A, Rosati, D, Cavaliere, C, Ralli, M et al. Use of balloon catheter dilation and steroid-eluting stent in light and severe rhinosinusitis of frontal sinus: a multicenter retrospective randomized study. Eur Rev Med Pharmacol Sci 2018;22:7482–91Google ScholarPubMed
Reeve, NH, Ching, HH, Kim, Y, Schroeder, WW. Possible skull base erosion after prolonged frontal sinus stenting. Ear Nose Throat J 2021;100:NP218–21CrossRefGoogle ScholarPubMed
Hoyt, WH. Endoscopic stenting of nasofrontal communication in frontal sinus disease. Ear Nose Throat J 1993;72:596–7CrossRefGoogle ScholarPubMed
Shahidi, S, Jama, GM, Ahmed, SK. The use of modified Silastic nasal splints as frontal sinus stents: a technical note. J Laryngol Otol 2020;134:270–1CrossRefGoogle ScholarPubMed
Mansour, HA. Double J stent of frontal sinus outflow tract in revision frontal sinus surgery. J Laryngol Otol 2013;127:43–7CrossRefGoogle Scholar
Khan, MA, Alshareef, WA, Marglani, OA, Herzallah, IR. Outcome and complications of frontal sinus stenting: a case presentation and literature review. Case Rep Otolaryngol 2020;2020:8885870Google ScholarPubMed
Eifler, R, Seitz, JM, Weber, CM, Grundke, S, Reifenrath, J, Kietzmann, M et al. MgNd2 alloy in contact with nasal mucosa: an in vivo and in vitro approach. J Mater Sci Mater Med 2016;27:25CrossRefGoogle Scholar
Durisin, M, Seitz, JM, Reifenrath, J, Weber, CM, Eifler, R, Maier, HJ et al. A novel biodegradable frontal sinus stent (MgNd2): a long-term animal study. Eur Arch Otorhinolaryngol 2016;273:1455–67CrossRefGoogle ScholarPubMed