The use of modified Montgomery T-tubes as frontal sinus stents: how I do it

J Laryngol Otol. 2022 Dec;136(12):1328-1329. doi: 10.1017/S0022215122000330. Epub 2022 Jan 31.

Abstract

Background: Frontal sinus surgery is challenging as the frontal recess is prone to re-stenosis and there is subsequent occlusion of the frontal sinus outflow tract. In an attempt to maintain the frontal recess calibre and reduce frontal sinus re-stenosis, frontal sinus stents have been used with different materials and varying results.

Objective: This paper presents the technique of using a modified Montgomery T-tube as a frontal sinus stent.

Results and conclusion: The use of a soft, self-retaining and non-absorbable stent that can be used for stenting of the frontal sinus is described. Our technique is safe, effective, inexpensive and well tolerated.

Keywords: Endoscopy; Paranasal sinuses; Sinusitis; Stenosis; Stents.

MeSH terms

  • Constriction, Pathologic
  • Endoscopy / methods
  • Frontal Sinus* / surgery
  • Humans
  • Stents