Frontal sinus obliteration with beta-tricalcium phosphate putty: case series with long-term radiological follow up.

P Moore, J K T Kam, M Castle-Kirszbaum, D Tan, S Wreghitt, S Lee, C A Gonzalvo

The Journal of laryngology and otology 2023 Feb

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Frontal sinus obliteration is often performed using fat, autologous bone or a range of synthetic materials. This paper reports the long-term clinical and radiological outcomes of frontal sinus obliteration using beta-tricalcium phosphate putty. A retrospective audit was performed of patients who underwent frontal sinus obliteration with beta-tricalcium phosphate putty. Patient-, disease- and procedure-related data were collected. Pre- and post-operative computed tomography scans were reviewed to assess bone integration. Four patients underwent frontal sinus obliteration using beta-tricalcium phosphate putty for treatment of a cerebrospinal leak, mucocele and recalcitrant frontal sinusitis. All patients had disease resolution, with no intra- or post-operative complications reported in the 16.5-month follow up. Post-operative computed tomography scans confirmed native bone obliteration of the frontonasal ducts in all patients. Beta-tricalcium phosphate putty is a safe and effective option for bone obliteration of the frontal sinus in a range of pathologies, including cerebrospinal fluid leak.

Citation

P Moore, J K T Kam, M Castle-Kirszbaum, D Tan, S Wreghitt, S Lee, C A Gonzalvo. Frontal sinus obliteration with beta-tricalcium phosphate putty: case series with long-term radiological follow up. The Journal of laryngology and otology. 2023 Feb;137(2):163-168