Multiple bioabsorbable corticosteroid‐eluting stent placement with associated skull base injury
Dennis M. Tang MD  Christopher R. Roxbury MD  Raj Sindwani MD  Varun R. Kshettry MD  Pablos Recinos MD  Troy D. Woodard MD
First published: 30 December 2018 https://doi.org/10.1002/lary.27659
Institution where work was performed: Cleveland Clinic, Cleveland, Ohio, U.S.A.
Dr. Troy D. Woodard is a consultant for Intersect ENT (Menlo Park, CA). In addition, Dr. Troy D. Woodard is a consultant for Acclarent (Irvine, CA) and Olympus America (Center Valley, PA), which are not relevant to this article. Dr. Raj Sindwani is a consultant for Olympus (Center Valley, PA) and Acclarent (Irvine, CA), which are not relevant to this article. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
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Abstract
Bioabsorbable corticosteroid‐eluting sinus stents (BCES) are used to optimize healing after sinus surgery. We report a patient with BCES placed through a dural defect. A 70 year old underwent sinus surgery. Postoperatively, the patient developed mental status changes. The patient was taken to the operating room and eight BCES were identified, with one extending through the skull base. The stents were extracted and the defect was repaired. The patient recovered well. This is the first significant complication associated with BCES. Thorough review of preoperative imaging, understanding of skull base anatomy, and careful use of BCES are critical for safety.

Level of Evidence
NA

Laryngoscope, 129:1494–1496, 2019