Retained Drug-eluting Stents and Recalcitrant Chronic Rhinosinusitis: A Case Report

Sjogren, Phayvanh P.; Parker, Noah P.; Boyer, Holly

doi:10.2500/ar.2013.4.0042

Cited by 15 publications

(13 citation statements)

References 15 publications

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“…[490,492], bevor eine Empfehlung ausgesprochen werden kann. Bei einem anderen System zur lokalen Kortisonapplikation ist eine Verletzung der Orbita beschrieben worden durch das in die Bulla ethmoidalis eingeführte Siebbeinimplantat und einmal wurde dieser Fremdkörper versehentlich belassen [493,494]. ist nicht bekannt.…”

Section: Synechien Im Mittleren Nasengang/stents Im Mittleren Nasengangunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

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Endonasal endoscopic sinus surgery is the standard procedure for surgery of most paranasal sinus diseases.Appropriate frame conditions provided, the respective procedures are safe and successful.These prerequisites encompass appropriate technical equipment, anatomical oriented surgical technique, proper patient selection, and individually adapted extent of surgery.The range of endonasal sinus operations has dramatically increased during the last 20 years and reaches from partial uncinectomy to pansinusoperation with extended surgery of the frontal (Draf type III), maxillary (grade 3-4, medial maxillectomy, prelacrimal approach) and sphenoid sinus.In addition there are operations outside and beyond the paranasal sinuses. The development of surgical technique is still constantly evolving.This article gives a comprehensive review on the most recent state of the art in endoscopic sinus surgery according to the literature with the following aspects: principles and fundamentals, surgical techniques, indications, outcome, postoperative care, nasal packing and stents, technical equipment.

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Section: Synechien Im Mittleren Nasengang/stents Im Mittleren Nasengangunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

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“…1308,1311 However, these can be difficult to remove, with a case report of retained spacers leading to inflammation and infection 7 months after initial insertion. 1312,1313 There has also been a case report of orbital violation leading to pain and a permanently dilated pupil. 1314 Biodegradable drug-eluting stents offer the benefit of having both a mechanical spacer combined with precise sustained release of medication into the sinus cavity over a known period of time.…”

Section: Xd6 Surgical Principles/techniques: Drug Eluting Packingmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

558

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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“…No serious complications have been reported with the use of the Propel implant. Similarly, a case of foreign body reaction and granulation tissue has been reported due to retained ethmoid sinus implants (Relieva Stratus Microflow Spacers; Acclarent, Inc., Menlo Park, California, USA) left in situ for 7 months [33]. Villari et al [32] reported a case of orbital violation due to a Strutus Ethmoid nonabsorbable sinus implant (Acclarent, Inc., Menlo Park, California, USA) resulting in severe orbital pain and a permanently dilated pupil.…”

Section: Key Pointsmentioning

confidence: 98%