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Customised acrylic nasal stents following recanalisation of modified Young's procedure

Published online by Cambridge University Press:  19 April 2010

P Pavithran ,
K Pujary ,
S G Mahesh ,
P Parul  and
B Aziz
P Pavithran
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
K Pujary*
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
S G Mahesh
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
P Parul
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
B Aziz
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
*
Address for correspondence: Dr Kailesh Pujary, Associate Professor, Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Manipal 576104, Karnataka, India. Fax: +91 820 2570061 E-mail: pujarykp@rediffmail.com
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Abstract

Introduction:

Maintaining the patency of the nasal vestibule following recanalisation of a modified Young's procedure can be a difficult task, as restenosis is quite common.

Materials and methods:

Sixteen patients underwent recanalisation of a modified Young's procedure, between January 2005 and December 2007, in the ENT – head and neck surgery department of a tertiary centre. Three different stent types were used following recanalisation: silicone suction tube tips, dental wax plate stents and customised acrylic stents.

Results:

The silicone suction tube stents prevented restenosis. They were visible in the post-operative period, and there appeared to be some blunting of the nasal valve region, with no functional impairment. Dental wax plates had a high rate of restenosis and were uncomfortable and unsightly. The customised acrylic stents were more acceptable in the post-operative period, and enabled nasal valve angulation to be maintained.

Conclusion:

The customised acrylic stent described was a superior alternative to such stenting methods as repeated packing, silicone suction tubes and dental wax plates, following recanalisation of a modified Young's procedure.

Keywords

Atrophic RhinitisNasal CavityStents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 8 , August 2010 , pp. 864 - 867
Copyright
Copyright © JLO (1984) Limited 2010

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