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Tang DM, Roxbury CR, Sindwani R, Kshettry VR, Recinos P, Woodard TD. Multiple bioabsorbable corticosteroid-eluting stent placement with associated skull base injury. Laryngoscope 2018; 129:1494-1496. [PMID: 30597569 DOI: 10.1002/lary.27659] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2018] [Indexed: 11/11/2022]
Abstract
Bioabsorbable corticosteroid-eluting sinus stents (BCES) are used to optimize healing after sinus surgery. We report a patient with BCES placed through a dural defect. A 70 year old underwent sinus surgery. Postoperatively, the patient developed mental status changes. The patient was taken to the operating room and eight BCES were identified, with one extending through the skull base. The stents were extracted and the defect was repaired. The patient recovered well. This is the first significant complication associated with BCES. Thorough review of preoperative imaging, understanding of skull base anatomy, and careful use of BCES are critical for safety. LEVEL OF EVIDENCE: NA Laryngoscope, 129:1494-1496, 2019.
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Affiliation(s)
- Dennis M Tang
- Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland, Ohio, U.S.A
| | - Christopher R Roxbury
- Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland, Ohio, U.S.A
| | - Raj Sindwani
- Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland, Ohio, U.S.A.,Minimal Invasive Cranial Base and Pituitary Surgery, Rosa Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland, Ohio, U.S.A
| | - Varun R Kshettry
- Minimal Invasive Cranial Base and Pituitary Surgery, Rosa Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland, Ohio, U.S.A.,Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio, U.S.A
| | - Pablos Recinos
- Minimal Invasive Cranial Base and Pituitary Surgery, Rosa Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland, Ohio, U.S.A.,Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio, U.S.A
| | - Troy D Woodard
- Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland, Ohio, U.S.A.,Minimal Invasive Cranial Base and Pituitary Surgery, Rosa Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland, Ohio, U.S.A
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