Many alloplastic materials have been used in clinical frontal sinus
obliteration. It has been difficult to find reliable obliteration material without
short- or long term complications. Most common problem in frontal sinus
obliteration is the resorption of occlusion material. This study was
made to evaluate the efficacy of Bioglass as an alternative to autologous
fat in the obliteration of the frontal sinus. Standard surgical techniques
were used to obliterate the frontal sinus. Eight patients underwent Rioglass
frontal sinus obliteration. There were 2 women and 6 men in the
series with age ranges from 30 to 55 (mean. 38 years). Two patients underwent
obliteration for chronic infections with mucopyocele. Follow-up
radiographs were obtained at3, 6 and 12 months after obliteration of the
sinus with Bioglass. No patient has developed clinical or radiographic evidence
of recurrent frontal sinusitis. No implant has been rejected. Seven
patients reported complete resolution of all symptoms. Bioglass hail demonstrated
efficacy in obliteration offrontal sinus. The material has the advantage
that it takes well, no reaction or rejection and it is also of reasonable
expense. The obstruction of the frontonasal duct by this material
was ensured. Bioglass offers the advantages of no donor site morbidity
and the potential for complete osseointegration. |
