Naslov
Comparison between the Draf IIc and standard Draf IIb procedure for frontal sinus drainage: single center experience and comparison of outcomes

Autori
Kvarantan, Aigerim ; Poje, Gorazd ; Kalogjera Livije

Izvornik
Comparison between the Draf IIc and standard Draf IIb procedure for frontal sinus drainage: single center experience and comparison of outcomes (2379-6359) 12 (2020), 5; 167-170

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
chronic rhinosinusitis ; drafprocedure ; frontal sinus drainage ; frontal intersinus septum ; intersinusseptectomy

Sažetak
Aims: Inadequate surgical frontal sinus drainage in chronic sinusitis cases refractory to conservative treatment results in a poor clinical response and is associated with recurrent frontal recess stenosis. Endonasal frontal sinus drainage procedures are classified according to Draf into three groups: DrafIIb enables unilateral orbit to septum drainage and the IIc is the extension of the IIb across the midline. The purpose of our report is to review chronic sinusitis cases treated at our Department using the standard (IIb) or modified (IIc) procedure and compare results. Methods: Patient- and surgery-related data were retrieved on patients operated between 2013 and 2016 for chronic frontal sinusitis using the standard/modified DrafIIb procedure. The modified IIb (i.e. IIc) procedure was performed so that both frontal sinus ostia were visualized by performing an intersinusseptectomy: the aim was to provide drainage to both frontal sinuses simultaneously. Results: In the observed period, 26 patients were treated: 12 using the modified DrafIIb (IIc) and 14 using the standard DrafIIb procedure. There were no significant differences between groups regarding age, sex, number of previous procedures or follow-up period. All patients had an uneventful postoperative recovery and there were no cases of re-stenosis observed in the DrafIIc group ; there were seven cases of restenosis in the DrafIIb group. Conclusion: The extension of the DrafIIb across the midline (IIc) offers good results and should be considered as an addition to standard care for selected chronic frontal sinusitis cases.

Izvorni jezik
Engleski

Znanstvena područja
Kognitivna znanost (prirodne, tehničke, biomedicina i zdravstvo, društvene i humanističke znanosti), Kroatologija

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