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Safety and Feasibility of Steroid-Eluting Stent as a Bolster in Endoscopic Anterior Skull Base Reconstruction.

Publication ,  Journal Article
Finlay, JB; Issa, K; Ackall, F; Zomorodi, A; Codd, P; Jang, DW; Goldstein, BJ; Abi Hachem, R
Published in: Ann Otol Rhinol Laryngol
January 2024

BACKGROUND: With a rising incidence of cerebrospinal fluid (CSF) leaks, endoscopic endonasal CSF leak repair is increasingly performed. Current approaches utilize a variety of materials including free mucosal grafts and vascularized flaps, but post-op leaks continue to be reported. Steroid-eluting bioabsorbable stents (SES) are used during functional endoscopic sinus surgery for chronic rhinosinusitis to reduce inflammation and scarring while maintaining patency of sinus ostia. OBJECTIVE: The aim of this study is to assess the feasibility of SES as a graft/flap bolster for endoscopic endonasal CSF leak repair. METHODS: This is a retrospective review of patients undergoing endoscopic endonasal CSF leak repair with SES placed as part of the bolster technique at a tertiary care center between January 2019 and May 2022. Age, sex, BMI, comorbid idiopathic intracranial hypertension, pathology, location of CSF leak, intraoperative CSF leak flow, reconstruction type, and presence of post-op CSF leak were recorded. RESULTS: Twelve patients (mean age 52, median BMI 30.9, 58% female) had SES placement as part of the bolster technique. The most common pathology was meningoencephalocele (75%). Reconstruction was performed with either a free mucosal graft (6), or a flap (6). No post-op CSF leaks occurred at a reconstruction site with a stent, and no known complications were reported. All sinusotomies were patent at the last follow-up visit. CONCLUSIONS: SES placement as an adjunct to graft and/or flap bolster appears to be safe and feasible during anterior skull base reconstruction and CSF leak repair providing longer term structural support and preserving sinus drainage patency.

Duke Scholars

Published In

Ann Otol Rhinol Laryngol

DOI

EISSN

1943-572X

Publication Date

January 2024

Volume

133

Issue

1

Start / End Page

43 / 49

Location

United States

Related Subject Headings

  • Surgical Flaps
  • Skull Base
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Humans
  • Female
  • Feasibility Studies
 

Citation

APA
Chicago
ICMJE
MLA
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Finlay, J. B., Issa, K., Ackall, F., Zomorodi, A., Codd, P., Jang, D. W., … Abi Hachem, R. (2024). Safety and Feasibility of Steroid-Eluting Stent as a Bolster in Endoscopic Anterior Skull Base Reconstruction. Ann Otol Rhinol Laryngol, 133(1), 43–49. https://doi.org/10.1177/00034894231181178
Finlay, John B., Khalil Issa, Feras Ackall, Ali Zomorodi, Patrick Codd, David W. Jang, Bradley J. Goldstein, and Ralph Abi Hachem. “Safety and Feasibility of Steroid-Eluting Stent as a Bolster in Endoscopic Anterior Skull Base Reconstruction.Ann Otol Rhinol Laryngol 133, no. 1 (January 2024): 43–49. https://doi.org/10.1177/00034894231181178.
Finlay JB, Issa K, Ackall F, Zomorodi A, Codd P, Jang DW, et al. Safety and Feasibility of Steroid-Eluting Stent as a Bolster in Endoscopic Anterior Skull Base Reconstruction. Ann Otol Rhinol Laryngol. 2024 Jan;133(1):43–9.
Finlay, John B., et al. “Safety and Feasibility of Steroid-Eluting Stent as a Bolster in Endoscopic Anterior Skull Base Reconstruction.Ann Otol Rhinol Laryngol, vol. 133, no. 1, Jan. 2024, pp. 43–49. Pubmed, doi:10.1177/00034894231181178.
Finlay JB, Issa K, Ackall F, Zomorodi A, Codd P, Jang DW, Goldstein BJ, Abi Hachem R. Safety and Feasibility of Steroid-Eluting Stent as a Bolster in Endoscopic Anterior Skull Base Reconstruction. Ann Otol Rhinol Laryngol. 2024 Jan;133(1):43–49.
Journal cover image

Published In

Ann Otol Rhinol Laryngol

DOI

EISSN

1943-572X

Publication Date

January 2024

Volume

133

Issue

1

Start / End Page

43 / 49

Location

United States

Related Subject Headings

  • Surgical Flaps
  • Skull Base
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Humans
  • Female
  • Feasibility Studies