AIM: The most prevalent complication of Draf III surgery is recurrence of frontal recess stenosis. The aim of this study is to introduce a method to prevent closure of the recess. TYPE OF THE STUDY AND SETTING: This is a retrospective study that was conducted in Ear, Nose and Throat Referral Center, Amir'Alam Hospital, Tehran. METHODS AND MATERIALS: We introduced a new technique for reconstructing frontal recess mucosa and prevention of restenosis following Draf III operation; we covered the posterior wall of the common recess with a vascular mucosal flap from nasal septum. RESULTS: During a 6-month period we used septal flaps based on anterior ethmoidal artery on four patients who had undergone endoscopic Draf III operation. During a 3-month follow-up period, frontal recess stenosis did recur in any of the patients. CONCLUSION: Applying a precise and astute surgical method along with reconstructing common recess mucosa will improve the outcomes of endoscopic frontal sinus drill-out. We strongly recommend application of septal mucosal flap based on the anterior ethmoidal artery during Draf III operation to decrease the incidence of scar and recurrence of common frontal recess stenosis.
AIM: The most prevalent complication of Draf III surgery is recurrence of frontal recess stenosis. The aim of this study is to introduce a method to prevent closure of the recess. TYPE OF THE STUDY AND SETTING: This is a retrospective study that was conducted in Ear, Nose and Throat Referral Center, Amir'Alam Hospital, Tehran. METHODS AND MATERIALS: We introduced a new technique for reconstructing frontal recess mucosa and prevention of restenosis following Draf III operation; we covered the posterior wall of the common recess with a vascular mucosal flap from nasal septum. RESULTS: During a 6-month period we used septal flaps based on anterior ethmoidal artery on four patients who had undergone endoscopic Draf III operation. During a 3-month follow-up period, frontal recess stenosis did recur in any of the patients. CONCLUSION: Applying a precise and astute surgical method along with reconstructing common recess mucosa will improve the outcomes of endoscopic frontal sinus drill-out. We strongly recommend application of septal mucosal flap based on the anterior ethmoidal artery during Draf III operation to decrease the incidence of scar and recurrence of common frontal recess stenosis.
Authors: Juan R Gras-Cabrerizo; Elena García-Garrigós; Joan R Montserrat-Gili; Juan R Gras-Albert; Rosa Mirapeix-Lucas; Humbert Massegur-Solench; Miquel Quer-Agusti Journal: Indian J Otolaryngol Head Neck Surg Date: 2017-09-06
Authors: Mario Turri-Zanoni; Alberto Daniele Arosio; Aldo Cassol Stamm; Paolo Battaglia; Giovanni Salzano; Antonio Romano; Paolo Castelnuovo; Frank Rikki Canevari Journal: Eur Arch Otorhinolaryngol Date: 2018-03-29 Impact factor: 2.503
Authors: Ejemai Eboreime; Reham Shalaby; Wanying Mao; Ernest Owusu; Wesley Vuong; Shireen Surood; Kerry Bales; Frank P MacMaster; Diane McNeil; Katherine Rittenbach; Arto Ohinmaa; Suzette Bremault-Phillips; Carla Hilario; Russ Greiner; Michelle Knox; Janet Chafe; Jeff Coulombe; Li Xin-Min; Carla McLean; Rebecca Rathwell; Mark Snaterse; Pamela Spurvey; Valerie H Taylor; Susan McLean; Liana Urichuk; Berhe Tzeggai; Christopher McCabe; David Grauwiler; Sara Jordan; Ed Brown; Lindy Fors; Tyla Savard; Mara Grunau; Frank Kelton; Sheila Stauffer; Bo Cao; Pierre Chue; Adam Abba-Aji; Peter Silverstone; Izu Nwachukwu; Andrew Greenshaw; Vincent Israel Opoku Agyapong Journal: BMC Health Serv Res Date: 2022-03-12 Impact factor: 2.655