xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 2021, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.22741 by Stanford University, Wiley Online Library on [01/07/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

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Orlandi et al.

(Continues)

Description of variation to the Draf procedures.

Frontal ostium size correlates with stenosis, as well as recurrent/residual

inflammation. Asthma,

eosinophilic mucin, allergy

and smoking did not affect outcomes.

Draf IIb is a safe procedure with multiple indications and long term patency. Suggests that this would be a valid alternative to a Draf III

procedure in appropriate patients

Use of mucosal graft may reduce postoperative stenosis.

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions

Long term patent frontal sinusotomy.

Postoperative outcome, as well as analysis of factors leading to stenosis.

Review of indications and postoperative outcomes.

diameter at 3 months

post surgery, as well as reviewing patient demographics and percentage graft viability.

Anterior-posterior

AlKomser 2022 2013 4 Case-series Description of “Draf IIc” procedure, with case

presentations – Draf IIb sinusotomy was

extended to include the

nasal and frontal sinus septum, without extension to the

opposite frontal recess.

Naidoo 1813 2012 4 Case-series 109 patients undergoing primary Draf IIa procedure.

Turner 2016 2016 4 Case-series 22 patients undergoing Draf IIb procedure.

Conger 2018 2012 4 Case-series 29 patients undergoing Draf III procedures,

with free mucosal graft

to dress the neo-ostium.

TABLE XII-17 (Continued)