Maintaining Favorable Middle Turbinate Position after Endoscopic Sinus Surgery

Abstract

Objectives: (1) Analyze the safety of using Propel mesh implant in revision sinus surgery. (2) Analyze the efficacy of maintaining a medial position of the middle turbinate without synechiae in the postoperative period. Methods: This was a retrospective study between July 2012 and February 2014 in 16 patients with chronic rhinosinusitis undergoing revision sinus surgery and who underwent placement of a Propel mometasone implant into the ethmoid bowl at end of the procedure. Placement of the Propel was unilateral in some or bilateral in others. Surgery was conducted at outpatient surgical centers. Safety measures included incidence of bleeding, orbital migration of mesh, and chronic scabbing. Efficacy measures included incidence of synechiae and maintenance of medial position of the middle turbinate. Results: A total of 26 Propel implants were placed. The incidence of complications from the implant was zero and the efficacy of maintaining a medialized middle turbinate without synechiae was 100%. Conclusions: In selected patients with chronic rhinosinusitis undergoing revision sinus surgery, the placement of a Propel mometasone implant into the ethmoid bowl is safe and effective at maintaining a medialized position of the middle turbinate without synechiae formation.