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Peer-reviewedCC BY-NC-NDActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

Steroid-eluting sinus implants in endoscopic sinus surgery: results of an Italian Nationwide Survey.

  • Mario Turri-Zanoni1
  • Maurizio Bignami2
  • Marco Ferrari3,4
  • Piero Nicolai3,4
  • Fabio Pagella5
5 affiliations
  1. 1Department of Otorhinolaryngology, Ospedale Sant'Anna, ASST Lariana, University of Insubria, Como, Italy.
  2. 2Division of Otorhinolaryngology, Department of Surgical Specialties, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, University of Insubria, Varese, Italy.
  3. 3Section of Otorhinolaryngology - Head and Neck Surgery, Department of Neuroscience, University of Padua, Padua, Italy.
  4. 4Unit of Otorhinolaryngology - Head and Neck Surgery, Azienda Ospedale-Università Padova, Padua, Italy.
  5. 5Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
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Abstract

Objective

To investigate current clinical practice patterns and perceptions regarding steroid-eluting sinus implants (SESIs) among Italian rhinologists.Methods

A nationwide survey on SESIs use in endoscopic sinus surgery (ESS) was developed by an advisory board of 5 Italian experts from tertiary referral centres and distributed to rhinology surgeons across Italy. Of 145 invited physicians, 103 responded (71%). Three respondents without experience or interest in SESIs were excluded, leaving 100 participants for analysis.Results

Among respondents, 46% were SESI Users and 54% Non-Users. SESIs were mainly used in revision ESS, frontal sinus surgery, and in patients with contraindications to systemic corticosteroids. Users valued SESIs for reducing restenosis and promoting controlled healing. In frontal sinus surgery, SESIs were commonly recommended in revision cases, especially for scarring-related restenosis. In ethmoid surgery, middle turbinate preservation influenced recommendations. Non-users cited high costs, lack of reimbursement, and limited guideline clarity as the main barriers.Conclusions

This survey shows marked variability in SESI adoption in Italy. While benefits are acknowledged in selected cases, economic and guideline-related issues limit wider use, highlighting the need for cost-effectiveness studies and national guidelines to better define the role of SESIs in ESS.

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Cite

BibTeXRIS
BibTeX
@article{turrizanoni2026steroideluting,
  title = {{Steroid-eluting sinus implants in endoscopic sinus surgery: results of an Italian Nationwide Survey.}},
  author = {Mario Turri-Zanoni and Maurizio Bignami and Marco Ferrari and Piero Nicolai and Fabio Pagella},
  journal = {Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale},
  year = {2026},
  month = oct,
  doi = {10.14639/0392-100x-a1966},
  url = {https://europepmc.org/article/MED/42969777},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Steroid-eluting sinus implants in endoscopic sinus surgery: results of an Italian Nationwide Survey.
AU  - Mario Turri-Zanoni
AU  - Maurizio Bignami
AU  - Marco Ferrari
AU  - Piero Nicolai
AU  - Fabio Pagella
PY  - 2026
DA  - 2026/10/01
JO  - Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
DO  - 10.14639/0392-100x-a1966
UR  - https://europepmc.org/article/MED/42969777
AB  - Objective  To investigate current clinical practice patterns and perceptions regarding steroid-eluting sinus implants (SESIs) among Italian rhinologists.Methods  A nationwide survey on SESIs use in endoscopic sinus surgery (ESS) was developed by an advisory board of 5 Italian experts from tertiary referral centres and distributed to rhinology surgeons across Italy. Of 145 invited physicians, 103 responded (71%). Three respondents without experience or interest in SESIs were excluded, leaving 100 participants for analysis.Results  Among respondents, 46% were SESI Users and 54% Non-Users. SESIs were mainly used in revision ESS, frontal sinus surgery, and in patients with contraindications to systemic corticosteroids. Users valued SESIs for reducing restenosis and promoting controlled healing. In frontal sinus surgery, SESIs were commonly recommended in revision cases, especially for scarring-related restenosis. In ethmoid surgery, middle turbinate preservation influenced recommendations. Non-users cited high costs, lack of reimbursement, and limited guideline clarity as the main barriers.Conclusions  This survey shows marked variability in SESI adoption in Italy. While benefits are acknowledged in selected cases, economic and guideline-related issues limit wider use, highlighting the need for cost-effectiveness studies and national guidelines to better define the role of SESIs in ESS.
SN  - 0392-100X
SN  - 1827-675X
ER  -