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1 results

  • Bioabsorbable steroid-eluting implants for mucosal graft fixation in Draf III frontal sinus surgery

  • Guled M. Jama, Faaizah Chishty, Catherine E. Rennie, Hesham Saleh, William E. Grant
  • Journal:
    The Journal of Laryngology & Otology / Volume 140 / Issue 7 / July 2026
    Published online by Cambridge University Press:
    30 April 2026, pp. 800-802
    Print publication:
    July 2026
    • Article
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  • Objectives

    The modified endoscopic Lothrop (Draf III) procedure requires reliable mucosal coverage of the exposed bone within the frontal neo-ostium to prevent post-operative restenosis. Free mucosal grafts are effective but difficult to secure due to limited access and absent anchoring sites. We describe a novel use of bioabsorbable steroid-eluting implants as a pragmatic approach to achieve mucosal graft fixation.

    Methods

    Following completion of a Draf III frontal sinusotomy, a PROPEL™ implant is deployed over a free mucosal graft within the frontal neo-ostium. Endoscopic assessment is performed at standard post-operative intervals.

    Results

    In our experience, the technique provides mechanical stabilisation and local steroid delivery and is associated with visually satisfactory graft apposition and mucosalisation in the post-operative period.

    Conclusion

    The use of bioabsorbable steroid-eluting implants offers a practical and complementary endoscopic adjunct in patients undergoing Draf III frontal sinus surgery, supporting graft fixation and contributing to improved long-term neo-ostium patency.