CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S221
DOI: 10.1055/s-0039-1685704
Poster
Endoscopy

Self-expanding mometasone furoate releasing self-disintegrating sinus implant – Clinical experience intraoperatively and postoperative follow-up

A Martin
1   Helios-Amperklinikum Dachau, Dachau
,
C Werner
2   Helios-Amperklinikum, Dachau
,
SI Schmitz
2   Helios-Amperklinikum, Dachau
,
H Hagedorn
2   Helios-Amperklinikum, Dachau
› Author Affiliations
Fa. Intersect
 
 

    Introduction:

    Patients with polyposis nasi have a high recurrence rate and, in more frequent relapse surgeries, also increased postoperative complications. Alternative surgical methods such as paranasal sinus stents can reduce the rate of recurrence and postoperative side effects and shorten the duration of surgery.

    Material/Methods:

    Stents from the company Intersect, PROPEL ™ "Mini" and "Normal" are used. The patients (n = 10) had been pre-operated several times. After polypectomy, the stents are minimally invasively introduced by means of applicator system to assess whether the functioning is as stated by the manufacturer, found postoperatively fewer complications and subsequently the recurrence rate can be reduced.

    Results:

    The adapters and stents show no malfunction. The Op-time is not extended, after exercise, a time advantage. All stents show no dislocations. After 6 weeks, no parts of stents are visible. Prolonged postoperative pain does not show up. In the first 6 weeks there is no recurrence of the preoperative symptoms, also no recurrence of polyposis. After 8 weeks symptoms reappear at three patients.

    Discussion:

    With good application and tolerability of the stents, reduced intraoperative wound irritation, and lack of relapse polyposis during the described period, the stent may be a minimally invasive alternative to FESS. A tamponade can be omitted, thus avoiding postoperative pain. Whether the stent has a clinical-symptomatic advantage over the FESS, must show subsequent studies. The Op-time is shortened.


    #

    Alle 10 Stents wurden von der Fa. Intersect zur Verfügung gestellt.

    Andre Martin
    Helios-Amperklinikum Dachau,
    Krankenhausstraße 15, 85221
    Dachau

    Publication History

    Publication Date:
    23 April 2019 (online)

    © 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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