Indications for absorbable steroid-eluting sinus implants: Viewpoint via the Delphi method.
PROPEL
SINUVA
endoscopic sinus surgery
steroid-eluting implants
Journal
International forum of allergy & rhinology
ISSN: 2042-6984
Titre abrégé: Int Forum Allergy Rhinol
Pays: United States
ID NLM: 101550261
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
revised:
31
05
2022
received:
17
01
2022
accepted:
06
06
2022
pubmed:
23
6
2022
medline:
30
9
2022
entrez:
22
6
2022
Statut:
ppublish
Résumé
Absorbable steroid-eluting sinus implants provide targeted corticosteroid release over a sustained period and are designed to prevent both undesirable adhesion formation and sinus ostia restenosis. Here, we highlight the key evidence of these implants to date and query a group of experts via a Delphi process on the indications and optimal timing for intraoperative or in-office placement of these implants. Six of a total of 12 statements reached consensus and were accepted. Overall, experts largely agree that intraoperative or in-office use of steroid-eluting stents could be considered for patients: (1) who are diabetic or intolerant of oral steroids, (2) undergoing extended frontal sinus surgery, and (3) with recurrent stenosis. Given the lack of expert consensus on other key statements, clinicians should carefully consider these treatment options on a case-by-case basis after shared decision-making.
Identifiants
pubmed: 35730163
doi: 10.1002/alr.23044
pmc: PMC10108565
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Steroids
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1225-1231Subventions
Organisme : NCATS NIH HHS
ID : KL2 TR002367
Pays : United States
Informations de copyright
© 2022 ARS-AAOA, LLC.
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