John N Bangiyev1,2, Nandini Govil3, Anthony Sheyn4, Michael Haupert2,5,6, Prasad John Thottam7,5,6. 1. Detroit Medical Center Department of Otolaryngology-HNS, Detroit, Michigan, USA. 2. Children's Hospital of Michigan, Detroit, Michigan, USA. 3. University of Pittsburgh-Department of Otolaryngology, Pittsburgh, Pennsylvania, USA. 4. University of Tennessee Health Science Center- Department of Pediatric Otolaryngology, Memphis, Tennessee, USA. 5. MPENTA-Michigan Pediatric ENT associates, West Bloomfield, Michigan, USA. 6. Department of Pediatric Otolaryngology: Beaumont Children's Hospital, Royal Oak, Michigan, USA. 7. Children's Hospital of Michigan, Detroit, Michigan, USA pthottam@gmail.com.
Abstract
PURPOSE: To describe the application of mometasone furoate eluting sinus stent technology in the treatment of choanal atresia (CA) in the hopes of preventing postsurgical stenosis. METHODS: We analyzed 3 consecutive patients aged 4 days to 16 years undergoing repair of CA at a tertiary pediatric hospital. Mometasone furoate eluting sinus stents were placed intraoperatively. Postoperative need for revision surgery as well as routine surveillance endoscopy were used to determine success of surgery. RESULTS: Three patients of varying age and etiology underwent successful repair of choanal atresia/stenosis. The steroid eluting sinus stent was deployed successfully in all 3 cases. There was no identifiable restenosis in any of the 3 patients with 12-month follow-up. There were no complications noted throughout the follow-up period. CONCLUSIONS: Choanal atresia is a rare disorder that can prove difficult in postsurgical management. In our case series, mometasone furoate eluting stents were effective and safe for the management of this disease process. Further prospective studies are needed to determine the exact safety profile, long-term consequences, and efficacy of steroid eluting sinus stents in the pediatric population.
PURPOSE: To describe the application of mometasone furoate eluting sinus stent technology in the treatment of choanal atresia (CA) in the hopes of preventing postsurgical stenosis. METHODS: We analyzed 3 consecutive patients aged 4 days to 16 years undergoing repair of CA at a tertiary pediatric hospital. Mometasone furoate eluting sinus stents were placed intraoperatively. Postoperative need for revision surgery as well as routine surveillance endoscopy were used to determine success of surgery. RESULTS: Three patients of varying age and etiology underwent successful repair of choanal atresia/stenosis. The steroid eluting sinus stent was deployed successfully in all 3 cases. There was no identifiable restenosis in any of the 3 patients with 12-month follow-up. There were no complications noted throughout the follow-up period. CONCLUSIONS:Choanal atresia is a rare disorder that can prove difficult in postsurgical management. In our case series, mometasone furoate eluting stents were effective and safe for the management of this disease process. Further prospective studies are needed to determine the exact safety profile, long-term consequences, and efficacy of steroid eluting sinus stents in the pediatric population.
Authors: Josee Paradis; Agnieszka Dzioba; Hamdy El-Hakim; Paul Hong; Frederick K Kozak; Lily H P Nguyen; Demitri Perera; Evan Jon Propst; Jennifer M Siu; Monika Wojtera; Murad Husein Journal: J Otolaryngol Head Neck Surg Date: 2021-07-13