Name of the Procedure:

Mometasone furoate sinus implant, 370 micrograms (S1090)

Common Names: Mometasone Sinus Implant

Summary

Mometasone furoate sinus implant involves the placement of a tiny device inside the sinus cavity that slowly releases a corticosteroid, Mometasone, over time to reduce inflammation and keep the sinus passages open.

Purpose

This procedure addresses chronic sinusitis and nasal polyps. The goal is to reduce inflammation and blockage in the sinuses, improve breathing, reduce symptoms like congestion and facial pain, and minimize the need for oral steroids or additional surgeries.

Indications

• Chronic sinusitis not responsive to medical management
• Recurrent nasal polyps causing significant nasal obstruction
• Patients who have had previous sinus surgery but continue to experience obstruction and inflammation
• Symptoms include persistent nasal congestion, reduced sense of smell, facial pain or pressure, and nasal discharge

Preparation

• Pre-procedure consultation to discuss medical history and any current medications
• Diagnostic tests like nasal endoscopy or CT scan of the sinuses to assess the extent of inflammation and blockage
• Patients may be advised to avoid certain medications, such as blood thinners, prior to the procedure

Procedure Description

1. Local Anesthesia: The sinus cavity is numbed with a local anesthetic.
2. Preparation: The nasal passage is cleaned and prepared for the implant.
3. Implant Placement: Using specialized instruments, the surgeon inserts the Mometasone furoate implant into the targeted sinus cavity.
4. Deployment: The implant is positioned and deployed, where it will slowly release medication over time.

Equipment: Endoscopic tools, Mometasone furoate implants

Duration

Typically takes about 30 minutes to 1 hour.

Setting

Usually performed in an outpatient clinic or surgical center.

Personnel

• ENT (Ear, Nose, and Throat) specialist or sinus surgeon
• Nurses
• Possibly an anesthesiologist if sedation is used

Risks and Complications

Common Risks:

• Localized discomfort or pain
• Minor bleeding or nasal discharge

Rare Risks:

• Infection
• Implant displacement
• Severe allergic reactions or side effects from the steroid

Benefits

• Reduced nasal and sinus inflammation
• Improved nasal airflow and reduced congestion
• Decreased need for oral steroids or further surgeries
• Symptom relief often noticed within days to weeks

Recovery

• Minimal downtime, most patients can return to normal activities within a day
• Follow-up visits to monitor progress and ensure the implant is in place
• Additional nasal sprays or medications may be prescribed to aid healing
• Instructions on nasal hygiene, like gentle saline rinses

Alternatives

• Oral or topical corticosteroids
• Functional endoscopic sinus surgery (FESS)
• Balloon sinuplasty
• Continued medical management with nasal sprays and decongestants

Pros of Sinus Implant:

• Targeted treatment with fewer systemic side effects.

Cons:

• May not be effective in all patients, potential for displacement or side effects.

Patient Experience

Patients might feel slight pressure during the procedure but should not experience significant pain. Post-procedure, some discomfort, minor bleeding, or nasal congestion might be experienced, which is usually manageable with over-the-counter pain relief and nasal hygiene practices. Most find their symptoms significantly improved within a few weeks.