xRead - Nasal Obstruction (September 2024) Full Articles

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Orlandi et al.

Penetration of irrigations improved with both

balloon sinus dilation and traditional ESS.

Maxillary antrostomy had better penetration of

irrigations than balloon sinus dilation.

Draf2a frontal sinusotomy had no additional benefit

over balloon sinus dilation for irrigations.

Maxillary revision rate was 0.3%.

improved with increasing antrostomy size

maxillary sinus and access for surgical instruments

was improved with Mega-A and EMMA compared to MMA.

Improved penetration and force of irrigation into larger sphenoid sinus openings.

irrigation fluid with larger sphenoid opening.

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Penetration of

Overall revision rate was 7%.

Irrigation penetration

Visualization of interior of

Less residual pooling of

irrigations using a high-volume,

high-flow squeeze bottle

Surgical revision rate: 1. To address the maxillary sinus 2.Overall

irrigations using a squeeze bottle

interior of maxillary sinus

irrigations using a high-volume,

high-flow squeeze bottle.

within the sphenoid sinus.

irrigation fluid after the irrigation.

Penetration of

Surgical access to

Penetration of

Force of irrigation

Residual pooling of

Se 1971 1996 5 Expert opinion Patients undergoing uncinectomy but not antrostomy to address the maxillary sinuses

undergoing maxillary sinus surgery with balloon sinus dilation followed by ESS

(maxillary antrostomy and

Draf2a frontal sinusotomy)

undergoing MMA, (Mega-A), andEMMA

undergoing sphenoidotomy, sphenoid sinusectomy (type 1), or sphenoid sinusectomy (type 3a)

Govindaraju 1993 2019 5 Cadaveric study Fresh frozen cadaver heads

Grayson 1995 2019 5 Cadaveric study Fresh frozen cadaver heads

Gantz 1994 2019 5 Cadaveric study Fresh frozen cadaver heads

TABLE XII-14 (Continued)