Khan Mohammed A, Alshareef Waleed A, Marglani Osama A, Herzallah Islam R
Ear Nose and Throat Department, Head and Neck and Skull Base Center, King Abdullah Medical City (KAMC-HC), Makkah, Saudi Arabia.
Department of Ophthalmology & Otolaryngology, Umm Al-Qura University, Mecca, Saudi Arabia.
Case Rep Otolaryngol. 2020 Aug 25;2020:8885870. doi: 10.1155/2020/8885870. eCollection 2020.
Frontal sinus surgery remains challenging to manage because of its complex anatomy and narrow outflow tract. A number of studies suggest the success of frontal sinus stenting to reduce postoperative complications in endoscopic frontal sinus surgery. However, failure and complications of frontal sinus stenting may occur.
We present a case of frontal sinus stenting with migration of the stent and erosion of the lamina papyracea together with a granulomatous reaction around the stent. PubMed and Medline search was also conducted to study the current evidence on frontal sinus stenting benefits and complications.
Still there are no guidelines or universally accepted indications for the use of frontal sinus stenting in the literature. A limited number of studies suggest the success of frontal sinus stenting to reduce postoperative stenosis in endoscopic frontal sinus surgery. However, failure and complications of frontal sinus stenting may occur. Infection, pain, edema, and stent obstruction may also occur. Our case report also highlights the potential of orbital complications as well as the consequences of inducing a granulomatous reaction.
The value of frontal sinus stenting is still a subject of debate. Complications of frontal sinus stenting are not uncommon and thus necessitate regular follow-up.
由于额窦解剖结构复杂且流出道狭窄，额窦手术的管理仍然具有挑战性。多项研究表明，额窦支架置入术在减少内镜下额窦手术术后并发症方面取得了成功。然而，额窦支架置入术可能会出现失败和并发症。
我们报告一例额窦支架置入术，出现了支架移位、纸样板侵蚀以及支架周围的肉芽肿反应。我们还进行了PubMed和Medline检索，以研究目前关于额窦支架置入术的益处和并发症的证据。
文献中仍然没有关于使用额窦支架置入术的指南或普遍接受的适应症。少数研究表明，额窦支架置入术在减少内镜下额窦手术术后狭窄方面取得了成功。然而，额窦支架置入术可能会出现失败和并发症。还可能发生感染、疼痛、水肿和支架阻塞。我们的病例报告还强调了眼眶并发症的可能性以及引发肉芽肿反应的后果。
额窦支架置入术的价值仍然是一个有争议的话题。额窦支架置入术的并发症并不罕见，因此需要定期随访。
