RESUMEN
Recurrence of frontal sinusitis following external and endoscopic intranasal drainage procedures has been and is presently a challenge to rhinologic surgeons. The complexity of the anatomy, especially with regard to size of the newly created frontal neo-ostium, directly influences long-term success. Frontal sinus stenting is indicated if the neo-ostium is less than 5 mm. Other important factors include excessive denuded bone, remnants of osteitic bone in the frontal recess, and severe mucosal disease as seen in allergic fungal sinusitis and nonallergic eosinophilic rhinitis. Lateralization of the middle turbinate and excessive removal of the middle turbinate have also been associated with recurrent frontal sinus disease. This article reviews previous frontal sinus stenting techniques and introduces a new soft self-retaining frontal sinus stent designed for endoscopic insertion.
Asunto(s)
Seno Frontal/cirugía , Enfermedades de los Senos Paranasales/cirugía , Stents , Endoscopía/métodos , Humanos , Procedimientos Quirúrgicos Otorrinolaringológicos/métodos , Selección de Paciente , Cuidados Posoperatorios , Complicaciones PosoperatoriasRESUMEN
Allergic fungal rhinosinusitis (AFRS) has a worldwide distribution. This survey of 20 otolaryngologic practices throughout the United States confirmed a variation in the frequency of AFRS relative to endoscopic sinus procedures performed for all other diagnoses. The highest incidence occurred in Memphis, Tennessee at 23%, with three other southern practices reporting a frequency of at least 10%. In the northern locations the frequency ranged from 0 to 4%. No correlation with mould counts was demonstrated, possibly because of incomplete mould data relative to most of the surgical locations.