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Войти в исследования The Journal of laryngology and otology · 2026
Bioabsorbable steroid-eluting implants for mucosal graft fixation in Draf III frontal sinus surgery.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Jama Guled M, Chishty Faaizah, Rennie Catherine E, Saleh Hesham, Grant William E
Аннотация
OBJECTIVES: The modified endoscopic Lothrop (Draf III) procedure requires reliable mucosal coverage of the exposed bone within the frontal neo-ostium to prevent post-operative restenosis. Free mucosal grafts are effective but difficult to secure due to limited access and absent anchoring sites. We describe a novel use of bioabsorbable steroid-eluting implants as a pragmatic approach to achieve mucosal graft fixation.
METHODS: Following completion of a Draf III frontal sinusotomy, a PROPEL™ implant is deployed over a free mucosal graft within the frontal neo-ostium. Endoscopic assessment is performed at standard post-operative intervals.
RESULTS: In our experience, the technique provides mechanical stabilisation and local steroid delivery and is associated with visually satisfactory graft apposition and mucosalisation in the post-operative period.
CONCLUSION: The use of bioabsorbable steroid-eluting implants offers a practical and complementary endoscopic adjunct in patients undergoing Draf III frontal sinus surgery, supporting graft fixation and contributing to improved long-term neo-ostium patency.
METHODS: Following completion of a Draf III frontal sinusotomy, a PROPEL™ implant is deployed over a free mucosal graft within the frontal neo-ostium. Endoscopic assessment is performed at standard post-operative intervals.
RESULTS: In our experience, the technique provides mechanical stabilisation and local steroid delivery and is associated with visually satisfactory graft apposition and mucosalisation in the post-operative period.
CONCLUSION: The use of bioabsorbable steroid-eluting implants offers a practical and complementary endoscopic adjunct in patients undergoing Draf III frontal sinus surgery, supporting graft fixation and contributing to improved long-term neo-ostium patency.