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Research Article

Evaluation of Silastic Splints following Endoscopic Sinus Surgery

Neela Doddi*, Bassem Mettias and Alexi Usanov

Department of ENT, Princess of Wales Hospital, UK

*Corresponding Author:
Neela Doddi
Department of ENT
Princess of Wales Hospital
Bridgend, CF31 1RQ
Phone: 0447737289154 E-mail: dnmouli@yahoo.co.uk

Received date: Feb 17, 2015; Accepted date: April 28, 2016; Published date: April 30, 2016

Citation: Doddi N, Bassem M, Alexi U (2016) Evaluation of Silastic Splints following Endoscopic Sinus Surgery. Otolaryngol (Sunnyvale) 6:233. doi:10.4172/2161-119X.1000233

Copyright: © 2016 Doddi N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Middle meatal adhesions are considered the most common complication of Functional Endoscopic Sinus Surgery (FESS), ranging in incidence from 1 to 36%. Consequently the recurrence and persistence of symptoms increase, resulting in revision surgery in up to 25% of the cases. Although different methods have been attempted to prevent adhesions, each procedure involves some disadvantages and no standard method has been proposed. This study evaluates the efficacy of a 0.85 mm thick polymeric Silastic splint, in preventing middle meatal synechiae, in postoperative FESS patients. 12% of patients with splint had adhesions while 19.2% of patients without splint had adhesions. Splints do not appear to have a statistically significant advantage in preventing middle meatal synechiae following FESS. However, larger studies are needed to confirm this.

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