Laryngorhinootologie 2018; 97(09): 606-614
DOI: 10.1055/a-0646-4223
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Stents und Platzhalter in der endoskopischen endonasalen Nasennebenhöhlenchirurgie

Stents and spacers in endoscopic endonasal sinus surgery
Werner Hosemann
1   HNO-Klinik, Universitätsmedizin Greifswald
,
Thomas Kühnel
2   Klinik für HNO-Heilkunde, Universitätsklinikum Regensburg
,
Rainer Weber
3   HNO-Klinik, Städtisches Klinikum Karlsruhe
› Author Affiliations
Further Information

Publication History

06/08/2018

06/17/2018

Publication Date:
05 September 2018 (online)

Zusammenfassung

In der endonasalen endoskopischen Chirurgie kam es im letzten Jahrzehnt zu Fortschritten durch ein verbessertes Verständnis der Mikroanatomie, den Zugewinn additiver medikamentöser Therapieoptionen und die Optimierung der instrumentellen Technik. In den gleichen Kontext kann die Weiterentwicklung und Beforschung röhrenförmiger oder solider Platzhalter („stents“ oder „spacer“) mit und ohne simultane Freisetzung von Medikamenten gestellt werden – der vorliegende Übersichtsbeitrag stellt den aktuellen Stand dieser Entwicklungen vor.

Abstract

In endonasal endoscopic sinus surgery continuous progress has been made in the last decade due to better understanding of microanatomy, gains in adjunctive medicative therapy and technical innovations. Moreover, continuous research and clinical trials on innovative stents and spacers with and without defined drug eluting features may be mentioned in this context. A narrative review of the current development status and its therapeutic options referring to the latter is presented.

 
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