Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-10T11:56:01.188Z Has data issue: false hasContentIssue false
  • English
  • Français

First results of frontal sinus obliteration with a synthetic, resorbable and osteoconductive bone graft of ß-tricalcium phosphate

Published online by Cambridge University Press:  03 April 2017

M Andratschke  and
H Hagedorn
M Andratschke*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, HELIOS Amper-Klinikum Dachau, Teaching Hospital of the Ludwig Maximilian University of Munich, Germany Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Schleswig-Holstein, Luebeck, Germany
H Hagedorn
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, HELIOS Amper-Klinikum Dachau, Teaching Hospital of the Ludwig Maximilian University of Munich, Germany
*
Address for correspondence: Dr Michaela Andratschke, Department of Otorhinolaryngology, Head and Neck Surgery, HELIOS Amper-Klinikum Dachau, Krankenhausstrasse 15, D-85221 Dachau, Germany Fax: +49 8131 764909 E-mail: michaela.andratschke@helios-kliniken.de
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Despite advances in endoscopic sinus surgery, frontal sinus obliteration is still indicated in some cases. Current options for obliteration include autologous and synthetic materials. The use of ß-tricalcium phosphate as a resorbable bone graft substitute is a good alternative for frontal sinus obliteration. This study aimed to report our experience with this material.

Methods:

A retrospective chart review of patients who underwent frontal sinus obliteration at our clinic between 2008 and 2013 was performed. Demographic data, indications, previous surgery, and immediate and late complications were examined. Information on persisting symptoms and patient outcomes was collected using a telephone questionnaire in February 2016.

Results:

None of the patients underwent further surgery for frontal sinus disease. All of them reported a good cosmetic result and symptom improvement.

Conclusion:

ß-tricalcium phosphate is a good, safe and cost-effective material for frontal sinus obliteration.

Keywords

Calcium PhosphatesFrontal SinusParanasal Sinus DiseasesMucoceleBone Remodeling
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 6 , June 2017 , pp. 534 - 540
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Scott, NA, Wormald, P, Close, D, Gallagher, R, Anthony, A, Maddern, GJ. Endoscopic modified Lothrop procedure for the treatment of chronic frontal sinusitis: a systemic review. Otolaryngol Head Neck Surg 2003;129:427–38CrossRefGoogle Scholar
2 Goodale, RL, Montgomery, WW. Anterior osteoplastic frontal sinus operation. Five years’ experience. Ann Otol Rhinol Laryngol 1961;70:860–80CrossRefGoogle ScholarPubMed
3 Hardy, JM, Montgomery, WW. Osteoplastic frontal sinusotomy: an analysis of 250 operations. Ann Otol Rhinol Laryngol 1976;85:523–32CrossRefGoogle ScholarPubMed
4 Weber, R, Draf, W, Keerl, R, Kahle, G, Schinzel, S, Thomann, S et al. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000;110:1037–44Google Scholar
5 Silverman, JB, Gray, ST, Busaba, NY. Role of osteoplastic frontal sinus obliteration in the era of endoscopic sinus surgery. Int J Otolaryngol 2012;2012:501896 CrossRefGoogle ScholarPubMed
6 Gross, WE, Gross, CW, Becker, D, Moore, D, Phillips, D. Modified transnasal endoscopic Lothrop procedure as an alternative to frontal sinus obliteration. Otolaryngol Head Neck Surg 1995;113:427–34Google Scholar
7 Weber, R, Draf, W, Kratzsch, B, Hosemann, W, Schaefer, SD. Modern concepts of frontal sinus surgery. Laryngoscope 2001;111:137–46CrossRefGoogle ScholarPubMed
8 Chiu, AG. Frontal sinus surgery: its evolution, present standard of care, and recommendations for current use. Ann Otol Rhinol Laryngol Suppl 2006;196:13–19 Google Scholar
9 Soyka, MB, Annen, A, Holzmann, D. Where endoscopy fails: indications and experience with the frontal sinus fat obliteration. Rhinology 2009;47:136–40Google Scholar
10 Rivera, T, Rodriguez, M, Pulido, N, Garcia-Alcantara, F, Sanz, L. Current indications for the osteoplastic flap. Acta Otorrinolaringol Esp 2016;67:33–9Google Scholar
11 Rohrich, RJ, Mickel, TJ. Frontal sinus obliteration: in search of the ideal autogenous material. Plast Reconstr Surg 1995;95:580–5Google Scholar
12 Murphy, J, Jones, NS. Frontal sinus obliteration. J Laryngol Otol 2004;118:637–9CrossRefGoogle ScholarPubMed
13 D'Addario, M, Haug, RH, Talwar, RM. Biomaterials for use in frontal sinus obliteration. J Long Term Eff Med Implants 2004;14:455–65CrossRefGoogle ScholarPubMed
14 Wheeler, D, Cross, AR, Eschbach, EJ, Rose, AT, Gallogly, PM, Lewis, DD et al. Grafting of massive tibial subchondral bone defects in a caprine model using beta-tricalcium phosphate versus autograft. J Orthop Trauma 2005;19:85–91 CrossRefGoogle Scholar
15 Weber, R, Draf, W, Kahle, G, Kind, M. Obliteration of the frontal sinus – state of the art and reflections on new materials. Rhinology 1999;37:1–15 Google Scholar
16 Aydin, S, Demir, MG. Complicated giant mucoceles of the frontal sinus: approach to endoscopic marsupialization technique. J Craniofac Surg 2014;25:e461–3 Google Scholar
17 Chandra, RK, Kennedy, DW, Palmer, JN. Endoscopic management of failed frontal sinus obliteration. Am J Rhinol 2004;18:279–84CrossRefGoogle ScholarPubMed
18 Dhepnorrarat, RC, Subramaniam, S, Sethi, DS. Endoscopic surgery for frontoethmoidal mucoceles: a 15-year experience. Otolaryngol Head Neck Surg 2012;147:345–50CrossRefGoogle Scholar
19 Close, LG. Endoscopic Lothrop procedure: when should it be considered? Curr Opin Otolaryngol Head Neck Surg 2005;13:67–9CrossRefGoogle ScholarPubMed
20 Eloy, JA, Mady, LJ, Kanumuri, VV, Svider, PF, Liu, JK. Modified subtotal-Lothrop procedure for extended frontal sinus and anterior skull-base access: a case series. Int Forum Allergy Rhinol 2014;4:517–21Google Scholar
21 Anderson, P, Sindawi, R. Safety and efficacy of the endoscopic modified Lothrop procedure: a systemic review and meta-analysis. Laryngoscope 2009;119:1828–33Google Scholar
22 Langton-Hewer, CD, Wormald, PJ. Endoscopic sinus surgery rescue of failed osteoplastic flap with fat obliteration. Curr Opin Otolaryngol Head Neck Surg 2005;13:45–9CrossRefGoogle ScholarPubMed
23 Wormald, PJ. Salvage frontal sinus surgery: the endoscopic modified Lothrop procedure. Laryngoscope 2003;113:276–83Google Scholar
24 Woodworth, BA, Harvey, RJ, Neal, JG, Palmer, JN, Schlosser, RJ. Endoscopic management of frontal sinus mucoceles with anterior table erosion. Rhinology 2008;46:231–7Google Scholar
25 Lund, VJ. Endoscopic management of paranasal sinus mucoceles. J Laryngol Otol 1998;112:36–40 Google Scholar
26 Kennedy, DW, Josephson, JS, Zinreich, SJ, Mattox, DE, Goldsmith, MM. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope 1989;99:885–95Google Scholar
27 Nomura, K, Hidaka, H, Arakawa, K, Sugawara, M, Ozawa, D, Okumura, Y et al. Outcomes of frontal mucoceles treated with conventional endoscopic sinus surgery. Acta Otolaryngol 2015;135:819–23Google Scholar
28 Trimarchi, M, Bertazzoni, G, Bussi, M. Endoscopic treatment of frontal sinus mucoceles with lateral extension. Indian J Otolaryngol Head Neck Surg 2013;65:151–6Google Scholar
29 Sama, A, McClelland, L, Constable, J. Frontal sinus mucoceles: new algorithm for surgical management. Rhinology 2014;52:267–75Google Scholar
30 Courson, AM, Stankiewicz, JA, Lal, D. Contemporary management of frontal sinus mucoceles: a meta-analysis. Laryngoscope 2014;124:378–86CrossRefGoogle ScholarPubMed
31 Ting, JY, Wu, A, Metson, R. Frontal sinus drillout (modified Lothrop procedure): long-term results in 204 patients. Laryngoscope 2014;124:1066–70CrossRefGoogle ScholarPubMed
32 Scangas, GA, Gudis, DA, Kennedy, DW. The natural history and clinical characteristics of paranasal sinus mucoceles: a clinical review. Int Forum Allergy Rhinol 2013;3:712–17Google Scholar
33 Kang, GC, Sng, KW, Tay, AG. Modified technique for frontal sinus obliteration using calvarial bone and Tisseel glue. J Craniofac Surg 2009;20:528–31Google Scholar
34 Vironneau, P, Coste, A, Prulière-Escabasse, V. Frontal sinus obliteration with autologous calvarial bone graft: indications and results. Eur Arch Otorhinolaryngol 2014;271:2957–62Google Scholar
35 Monnazzi, M, Gabrielli, M, Pereira-Filho, V, Hochuli-Vieira, E, de Oliveira, H, Gabrielli, M. Frontal sinus obliteration with iliac crest bone grafts. Review of 8 cases. Craniomaxillofac Trauma Reconstr 2014;7:263–70Google Scholar
36 Rodriguez, IZ, Uceda, MI, Lobato, RD, Aniceto, GS. Posttraumatic frontal sinus obliteration with calvarial bone dust and demineralized bone matrix: a long term prospective study and literature review. Int J Oral Maxillofac Surg 2013;42:71–6CrossRefGoogle Scholar
37 Moshaver, A, Harris, JR, Seikaly, H. Use of anteriorly based pericranial flap in frontal sinus obliteration. Otolaryngol Head Neck Surg 2006;135:413–16Google Scholar
38 Kristin, J, Betz, CS, Stelter, K, Berghaus, A, Leunig, A. Frontal sinus obliteration – a successful treatment option in patients with endoscopically inaccessible frontal mucoceles. Rhinology 2008;46:70–4Google ScholarPubMed
39 Mendonca-Caridad, J, Lopez, PJ, Fayos, FV, Miery, G. A novel approach to human cranial tissue regeneration and frontal sinus obliteration with an autogenous platelet-rich/fibrin-rich composite matrix: 10 patients with a 6–10 year follow-up. J Tissue Eng Regen Med 2013;7:491–500 Google Scholar
40 Taghizadeh, F, Krömer, A, Laedrach, K. Evaluation of hydroxyapatite cement for frontal sinus obliteration after mucocele resection. Arch Facial Plast Surg 2006;8:416–22Google Scholar
41 Eloy, JA, Altman, JI, Hoch, BL, Munoz, CM, Shohet, MR. Comparison of fast-setting calcium phosphate bone cement and fat autograft in a rabbit model of frontal sinus obliteration. Am J Rhinol 2007;21:504–9Google Scholar
42 Becker, S, Maissen, O, Ponomarev, I, Stoll, T, Rahn, B, Wilke, I. Osteopromotion by a ß-tricalcium phosphate/bone marrow hybrid implant for use in spine surgery. Spine 2006;31:11–17 Google Scholar
43 Gazdag, AR, Lane, JM, Glaser, D, Forster, RA. Alternatives to autogenous bone graft: efficacy and indications. J Am Acad Orthop Surg 1995;3:1–8 CrossRefGoogle ScholarPubMed
44 Buser, D, Hoffmann, B, Bernard, JP, Lussi, A, Mettler, D, Schenk, RK. Evaluation of filling materials in membrane-protected bone defects. A comparative histomorphometric study in the mandible of miniature pigs. Clin Oral Implants Res 1998;9:137–50Google Scholar