Faculty, Staff and Student Publications
Publication Date
10-1-2022
Journal
International Forum of Allergy & Rhinology
Abstract
Absorbable steroid-eluting sinus implants provide targeted corticosteroid release over a sustained period and are designed to prevent both undesirable adhesion formation and sinus ostia restenosis. Here, we highlight the key evidence of these implants to date and query a group of experts via a Delphi process on the indications and optimal timing for intraoperative or in-office placement of these implants. Six of a total of 12 statements reached consensus and were accepted. Overall, experts largely agree that intraoperative or in-office use of steroid-eluting stents could be considered for patients: (1) who are diabetic or intolerant of oral steroids, (2) undergoing extended frontal sinus surgery, and (3) with recurrent stenosis. Given the lack of expert consensus on other key statements, clinicians should carefully consider these treatment options on a case-by-case basis after shared decision-making.
Keywords
endoscopic sinus surgery, PROPEL, SINUVA, steroid‐eluting implants
DOI
10.1002/alr.23044
PMID
35730163
PMCID
PMC10108565
PubMedCentral® Posted Date
July 2022
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes