Endoscopic sinus surgery for nasal polyps is very common. Unfortunately, the recurrence rate of polyps is very high (up to 70%) which often leads patients to undergo multiple revision surgeries in their lifetimes. In the past decade or so, there have been significant advancements in both the medical and surgical management of nasal polyps. One such newer technology that I routinely use is the use of sinus bioabsorbable implants.
During surgery, I often use a PROPEL mini or contour implant to promote ideal healing in the immediate weeks after surgery. I also routinely use a relatively newer sinus implant called SINUVA, which was FDA approved at the end of 2017.
SINUVA is the only stent available specifically designed for patients that have nasal polyps and have previously undergone sinus surgery (ie: ethmoidectomy). This stent only takes a few minutes to be placed in the office under local anesthesia. The stent slowly releases medication over 90 days in hopes of dissolving the polyps. The goal of this procedure is to avoid the need for another formal revision sinus surgery under general anesthesia. See how it works:
If you’ve had sinus surgery in the past, and now have a recurrence of nasal polyps, a SINUVA implant placement may be a great alternative to another surgery. The procedure is nearly painless. There is no down-time after the procedure. The vast majority of patients cannot feel the implant once placed. The likelihood of any side effects are exceedingly low. This implant has been another great tool in my armamentarium as an option for my patients to potentially avoid revision sinus surgery.