This presentation aims to provide a comprehensive and evidence-based overview of frontal sinus dr ain placement\, focusing on indications\, patient selection\, technical nu ances\, and strategies for minimizing complications. Various drain types\, their biomechanical characteristics\, technical steps for safe placement\ , and recommended durations will be discussed in detail. Additionally\, th e presentation will highlight long-term outcomes from current literature\, the role of drains in revision and high-risk cases\, and practical consid erations that guide decision-making in daily clinical practice.
The session will inco rporate high-definition endoscopic images\, step-by-step procedural demons trations\, and illustrative case examples. Emphasis will be placed on “t echnical pearls” that enhance success and common pitfalls that surgeons should avoid. Through the integration of clinical experience and published evidence\, the presentation will offer a balanced and practical framework for the use of frontal sinus drains in contemporary rhinologic surgery.
Outc ome Objectives:
To understand the scientific rationale\, indications\, and limitations o f frontal sinus drain placement.
To compare different drain types and placement techniques\, wit h emphasis on their advantages and disadvantages.
To recognize postoperative factors contributin g to neo-ostium restenosis and to learn evidence-based strategies for its prevention.
To evaluat e the role of frontal sinus drains in complex\, high-risk\, and revision f rontal sinus surgery.
To enable participants to make informed\, evidence-based decisions regardi ng drain placement in their own clinical practice.
Background: Frontal sinus surgery remains one of the most technically demanding a reas of endoscopic sinus surgery due to the narrow surgical corridor\, ana tomical variations\, and the dynamic nature of postoperative mucosal heali ng. Published studies report restenosis rates of the frontal neo-ostium ra nging from 20% to 30%\, particularly in patients with extensive inflammati on\, polyposis\, or prior surgery. These challenges have prompted increase d interest in postoperative strategies aimed at maintaining long-term osti al patency.
Frontal sinus drain placement has become an important adjunctive option\, especially in revision cases\, patients with a narrow frontal recess\, pe rsistent inflammation\, scarring\, or high risk of mucosal instability. By maintaining lumen caliber during the critical early healing period\, drai ns may reduce the likelihood of closure and support more predictable surgi cal outcomes. This presentation synthesizes current evidence and clinical experience to clarify the role of drains within modern frontal sinus surge ry and to guide surgeons in integrating this technique into their practice when appropriate.
DTSTAMP:20260805T062742Z LOCATION:Rhinology 3 (HILTON-Connie 1) SUMMARY:Strategies for Maintaining Long-Term Patency: The Role of Drain Pla cement in Frontal Sinus Surgery - Abdullah Ozdem URL:https://sciencenext.org/ifos2026/talk/WLVC9F/ END:VEVENT END:VCALENDAR